脑卒中护理门诊的4C管理模式在脑梗死高危人群中的应用  

Application of 4C management model based on stroke care outpatient clinic in high-risk groups of cerebral infarction

作　　者：王小丽 曹俊景 李玲杰 张冬 司晓娜 WANG Xiaoli;CAO Junjing;LI Lingjie;ZHANG Dong;SI Xiaona(Department of Neurology,Zhengzhou People′s Hospital,Zhengzhou 450000,China)

机构地区：[1]郑州人民医院神经内科,郑州450000

出　　处：《华夏医学》2024年第1期196-201,共6页Acta Medicinae Sinica

基　　金：河南省医学科技攻关计划项目(LHGJ20200688)。

摘　　要：目的分析脑卒中护理门诊的4C管理模式应用于脑梗死高危人群中的效果。方法以2021年1月至12月收治的73例脑梗死高危人群为对照组,以2022年1月至12月收治的75例脑梗死高危人群为4C管理组。对照组采用脑卒中护理门诊的常规延续护理模式,4C管理组在对照组基础上加用脑卒中护理门诊的4C管理模式。干预并随访6个月,调查脑梗死危险因素达标率,采用健康促进生活方式量表Ⅱ(HPLPⅡ)评估健康行为,采用自我护理能力测定量表(ESCA)评估自我护理能力。结果干预后,4C管理组的血压、血脂、血糖、运动能力、体质量指数等脑梗死危险因素达标率,健康责任、自我实现、营养、运动锻炼、人际关系、压力管理等健康行为评分,自护技能、自护责任感、健康知识水平、自我概念等自我护理能力评分均高于对照组,差异均具有统计学意义(P<0.05)。对照组脑梗死高危人群管理期间脑梗死发生率高于4C管理组(P<0.05)。结论脑卒中护理门诊的4C管理模式可以显著改善脑梗死高危人群的危险因素达标率,能够提升健康行为及自我护理能力,预防脑梗死的发生。Objective To analyze the effects of applying the 4C management model in stroke nursing clinics to high-risk populations for cerebral infarction.Methods 73 high-risk individuals for cerebral infarction admitted from January to December 2021 were selected as the control group,and 75 high-risk individuals for cerebral infarction admitted from January to December 2022 were selected as the 4C management group.The control group were adopted the conventional continuous care model of the stroke nursing outpatient department,while the 4C management group were added the 4C management model of the stroke nursing outpatient department on the basis of the control group.Follow up for 6 months,the compliance rate of risk factors for cerebral infarction were investigated.Health behavior using the Health Promotion Lifestyle Scale-Ⅱ(HPLP-Ⅱ)and self-care ability using the exercise of self-care agency scale(ESCA)were evaluated.Results After intervention,the compliance rate of stroke risk factors such as blood pressure,blood lipids,blood glucose,exercise ability,and body mass index in the 4C management group,as well as health behavior scores such as health responsibility,self-actualization,nutrition,exercise,interpersonal relationships,and stress management,as well as self-care skills,self-care responsibility,health knowledge level,self-concept,and other self-care ability scores were higher than those in the control group,and the difference was statistically significant(P<0.05).The invidence of cerebral infarcition in the control group was higher than that in the 4C management group during the management period in the high-risk population for cerebral infarction.(P<0.05)Conclusion The 4C management model of stroke nursing clinics can significantly improve the risk factor compliance rate of high-risk populations for cerebral infarction,and can enhance healthy behavior and self-care abilities.

关 键 词：脑卒中护理门诊 4C管理模式 脑梗死高危人群 脑梗死危险因素达标率 健康行为 自我护理能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]