[1]胡欢欢,郑静,李冬梅,等.卒中健康管理门诊的建立与实践效果研究[J].军事护理,2021,38(02):48-51.[doi:10.3969/j.issn.1008-9993.2021.02.013]
　HU Huanhuan,ZHENG Jing,LI Dongmei,et al.Establishment and Effect of Stroke Health Management Clinic[J].Nursing Journal Of Chinese People's Laberation Army,2021,38(02):48-51.[doi:10.3969/j.issn.1008-9993.2021.02.013]
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卒中健康管理门诊的建立与实践效果研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
38
期数:
2021年02期
页码:
48-51
栏目:
研究荟萃
出版日期:
2021-02-15

文章信息/Info

Title:
Establishment and Effect of Stroke Health Management Clinic
文章编号:
1008-9993(2021)02-0048-04
作者:
胡欢欢; 郑静; 李冬梅; 刘建民
(海军军医大学第一附属医院 神经外科,上海 200433)
Author(s):
HU Huanhuan; ZHENG Jing; LI Dongmei; LIU Jianming
(Neurosurgery Department,The First Affiliated Hospital of The Naval Medical University,Shanghai 200433,China)
关键词:
脑卒中;  健康管理;  门诊
Keywords:
stroke;  health management;  outpatient department
分类号:
R472
DOI:
10.3969/j.issn.1008-9993.2021.02.013
文献标志码:
A
摘要:
目的 探讨开展卒中健康管理门诊的效果。方法 便利抽样法选取2018年11月至2019年5月上海市某三级甲等医院收治的脑卒中患者288例为研究对象,按其住院号末位数字的奇偶数分为门诊管理组和电话随访组。电话随访组给予常规电话随访,门诊管理组通过卒中健康管理门诊就诊,健康管理师根据患者住院期间建立的健康管理档案,评估患者高危因素的管控情况,提供专业健康管理服务。比较两组患者疾病知识掌握、自我行为管理、复诊率、服药依从性及卒中合并症(高血压和高血糖)的发生情况及卒中复发率。结果 门诊管理组疾病知识掌握、自我行为管理、复诊率均优于电话随访组,合并症发生情况及卒中复发率低于电话随访组,差异均有统计学意义(均P<0.05)。结论 开展卒中健康管理门诊能提高患者疾病知识掌握程度、复诊率,改善患者自我行为管理能力,提高服药依从性及降低合并症的发生,从而降低卒中复发风险。
Abstract:
Objective To explore the effect of health management clinic for stroke patients.Methods From November 2018 to May 2019,288 stroke patients in our center was enrolled in this study by the convenience sampling method.Patients were categorized into outpatient clinic group and the phone follow-up group according to the odd and even of the last number of their hospital admission number.In the outpatient clinic group,regular follow-up at outpatient department on the basis of cellphone follow-up would be performed,for the purpose of health profile establishment and follow-up management.Disease knowledge,self-management,medication compliance and the management of hypertension and hyperglycemia were compared between the two groups.Results Patients in outpatient clinic group had a higher rate of self-management,further consultation and better understanding of disease.Furthermore,hypertension and hyperglycemia were better controlled and the difference was of statistically significance(P<0.05).Conclusions Stroke patients would benefit from stroke health management outpatient,with incremental disease cognition and improved self-management.Reduced recurrence risk could be expected by elevated medication compliance and better controlled hypertension and hyperglycemia.

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(本文编辑:郁晓路)

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备注/Memo

备注/Memo:
【 收稿日期 】 2020-04-01 【 修回日期 】 2020-10-20
【 基金项目 】 上海申康医院发展中心临床科技创新项目(SHDC12019609); 海军军医大学第一附属医院护理科研雏鹰项目(2021HLCY05)
【 作者简介 】 胡欢欢,本科,护师,从事卒中健康管理及科研工作
【 通讯作者 】 李冬梅,电话:021-31161795
更新日期/Last Update: 2021-02-15