摘要
目的评估缺血性脑卒中患者采用疾病管理模式的效果。方法将62名符合条件的患者随机分为疾病管理组和对照组各31名。疾病管理组从入院开始系统收集资料,建立健康档案,院中及院后按疾病管理的方法进行管理和随访;对照组按缺血性脑卒中护理常规进行护理并于出院后予以常规电话回访一次,观察两组患者相关疾病健康知识的掌握情况,血压控制情况,焦虑、抑郁改善情况及日常生活活动能力改善情况。结果疾病管理组管理6个月后病人健康知识掌握情况显著高于对照组(P<0.05);血压控制方面两组患者经过住院治疗和宣教,6个月内的血压都有不同程度的控制,疾病管理组的收缩压由165.65±15.52降低到了122.16±2.17,舒张压由96.70±8.38降低到了77.41±0.93,对照组的收缩压由172.06±14.71降低到了140.74±1.42,舒张压由95.87±8.01降低到了93.64±0.87;抑郁自评量表及焦虑自评量表得分均比对照组低(P<0.05),日常生活活动能力明显改善。结论对缺血性脑卒中患者采用疾病管理模式可提高患者健康知识的掌握程度,对患者的血压控制及焦虑、抑郁、日常生活活动能力均有明显的改善。
Objective To evaluate the effect of disease management model in patients with ischemic stroke. Methods 62 eligible patients were randomly divided into two groups: the disease management group and the control group, 31 patients in each group. In the disease management group, from admission to system data were collected to establish health records, which were managed according to the disease management method during in or out hospital. In the control group, patients were taken care according to ischemic stroke care routine, after discharge from hospital, each patient were contacted by telephone follow-up. observe two groups of patients with health knowledge they learned, the situation of blood pressure control, anxiety and depression improvement and activities of daily living ability to improve the situation.Results 6 months later, The patient of disease management group management learn health knowledge better than those of the control group (P < 0.05); Blood pressure were controlled in two groups of patients after inpatient treatment and education. In the disease management group, systolic blood pressure reduced from 165.65 ± 15.52 to 122.16 ±2.17, diastolic blood pressure reduced from 96.70± 8.38to 77.41±0.93;while in the control group systolic blood pressure reduced from 172.06±14.71 to 14.074 ±1.42, diastolic blood pressure reduced from 95.87± 8.01 to93.64±0.87; self rating depression scale and anxiety self rating scale scores were lower than control group (P < 0.05), with the significant improvement in activities of daily living . Conclusion Take care ischemic stroke patients with disease management model can improve the level of health knowledge of patients. their high blood pressure anxiety, depression, activity of daily living capacity has improved significantly.
作者
马霞
徐凤珍
MA Xia;XU Feng-zhen(Taizhou People ’s Hospital , Taizhou Jiangsu 225300, China)
出处
《泰州职业技术学院学报》
2016年第3期73-76,共4页
Journal of Taizhou Polytechnic College
