以需求为导向的出院准备对围绝经期脑卒中患者认知恢复与康复效果的影响  

Effect of demand-oriented discharge preparation on cognitive recovery and rehabilitation of menopausal stroke patients

作　　者：黄林敏[1] 单慧慧 张青青 胡丹红[1] HUANG Lin-min;SHAN Hui-hui;ZHANG Qing-qing;HU Dan-hong(Department of Neurological Rehabilitation,the Second Hospital Affiliated to Wenzhou Medical University,Wenzhou,Zhejiang 325000,China)

机构地区：[1]温州医科大学附属第二医院神经康复科,浙江温州325000

出　　处：《中国妇幼保健》2025年第6期971-975,共5页Maternal and Child Health Care of China

基　　金：浙江省温州市基础性科研项目(Y20210456)。

摘　　要：目的探讨以需求为导向的出院准备对围绝经期脑卒中患者认知恢复与康复效果的影响。方法选取2023年3月—2024年3月温州医科大学附属第二医院收治的80例围绝经期脑卒中患者为研究对象,随机分成对照组(常规出院准备)和研究组(以需求为导向的出院准备),每组40例患者。比较两组患者住院时间、住院费用、住院满意度、生活质量、自我感受负担、认知功能、出院准备度、再次入院率及并发症发生率。结果研究组患者的住院时间[(14.89±2.36)d]、住院费用[(7589.16±1462.53)元]均少于对照组[(16.38±2.75)d、(8639.27±1543.48)元],住院满意度评分[(93.67±8.45)分]高于对照组[(89.46±7.52)分],差异均有统计学意义(t=2.600,3.123,2.354,均P<0.05)。干预后,研究组患者的躯体功能评分[(92.13±4.96)分]、情感状态评分[(88.52±5.40)分]、社交活动评分[(91.86±5.21)]、全面健康状况评分[(93.02±4.15)分]较对照组[(89.16±5.49)分、(85.73±5.09)分、(88.72±6.54)分、(90.34±5.21)分]均明显上升(t=2.539,2.378,2.375,2.545,均P<0.05)。干预后,研究组患者的经济负担评分[(3.75±0.71)分]、生理负担评分[(17.86±3.45)分]、情绪负担评分[(12.96±1.24)分]较对照组[(4.10±0.57)分、(19.65±3.27)分、(13.62±1.48)分]均明显下降,差异均有统计学意义(t=2.431,2.382,2.162,均P<0.05),简易智能评估量表(MMSE)评分[(25.18±1.40)分]较对照组[(24.31±1.65)分]明显上升,差异均有统计学意义(t=2.543,P<0.05)。干预后,研究组患者的个人状态评分[(21.75±3.41)分]、适应能力评分[(35.71±4.09)分]、预期性支持评分[(31.97±3.86)分]较对照组[(19.85±3.16)分、(33.68±4.25)分、(29.84±3.61)分]均明显上升,差异均有统计学意义(t=2.585,2.177,2.429,均P<0.05)。研究组患者再次入院率(5.00%)和并发症发生率(5.00%)均低于对照组(20.00%、22.50%),差异均有统计学意义(χ^(2)=4.114,5.165,均P<0.05)。结论以需求为导向的出院�Objective To explore the effect of demand-oriented discharge preparation on cognitive recovery and rehabilitation of menopausal stroke patients.Methods From March 2023 to March 2024,eighty patients with menopausal stroke admitted to the Second Hospital Affiliated to Wenzhou Medical University were selected as study objects,then they were randomly divided into control group(routine discharge preparation)and study group(demand-oriented discharge preparation),forty patients in each group.The hospitalization time,hospitalization expenses,hospitalization satisfaction,quality of life,self-perceived burden,cognitive function,discharge readiness,readmission rates,and complication rates were compared between the two groups.Results The hospitalization time[(14.89±2.36)days]and hospitalization expense[(7589.16±1462.53)Yuan]in study group were less than those in control group[(16.38±2.75)days,(8639.27±1543.48)Yuan],and hospitalization satisfaction score[(93.67±8.45)points]in study group was higher than that in control group[(89.46±7.52)points],there were statistically significant differences between the two groups(t=2.600,3.123,2.354,all P<0.05).After intervention,physical function score[(92.13±4.96)points],emotional state score[(88.52±5.40)points],social activity score[(91.86±5.21)points],and overall health status score[(93.02±4.15)points]in study group were significantly higher than those in control group[(89.16±5.49)points,(85.73±5.09)points,(88.72±6.54)points,(90.34±5.21)points],there were statistically significant differences between the two groups(t=2.539,2.378,2.375,2.545,all P<0.05).After intervention,economic burden score[(3.75±0.71)points],physiological burden score[(17.86±3.45)points],and emotional burden score[(12.96±1.24)points]in study group were significantly lower than those in control group[(4.10±0.57)points,(19.65±3.27)points,(13.62±1.48)points],there were statistically significant differences between the two groups(t=2.431,2.382,2.162,all P<0.05),mini-mental state examination(MMSE)score

关 键 词：以需求为导向 出院准备 围绝经期 脑卒中 认知恢复 

分 类 号：R543[医药卫生—心血管疾病]