[1]万仁娟.脑心健康管理师在缺血性卒中患者全程健康管理中的作用研究[J].医学信息,2023,36(11):153-156.[doi:10.3969/j.issn.1006-1959.2023.11.032]
　WAN Ren-juan.Study on the Role of Brain-heart Health Manager in the Whole-course Health Management of Patients with Ischemic Stroke[J].Journal of Medical Information,2023,36(11):153-156.[doi:10.3969/j.issn.1006-1959.2023.11.032]
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脑心健康管理师在缺血性卒中患者全程健康管理中的作用研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年11期
页码:
153-156
栏目:
护理研究
出版日期:
2023-06-01

文章信息/Info

Title:
Study on the Role of Brain-heart Health Manager in the Whole-course Health Management of Patients with Ischemic Stroke
文章编号:
1006-1959（2023）11-0153-04
作者:
万仁娟
（井冈山大学附属医院神经内科，江西 吉安 343000）
Author(s):
WAN Ren-juan
(Department of Neurology,Jinggangshan University Affiliated Hospital,Ji’an 343000,Jiangxi,China)
关键词:
脑心健康管理师; 缺血性卒中; 全程健康管理; 健康知识
Keywords:
Brain heart health manager; Ischemic stroke; Whole-health management; Health knowledge
分类号:
R473.74
DOI:
10.3969/j.issn.1006-1959.2023.11.032
文献标志码:
A
摘要:
目的 研究脑心健康管理师在缺血性卒中患者全程健康管理中的作用。方法 选取2021年1月-2022年1月在我院诊治的74例缺血性卒中患者为研究对象，采用随机数字表法分为对照组和观察组，各37例。对照组给予常规护理管理，观察组在对照组基础上接受脑心健康管理师参与的全程健康管理干预。比较两组患者疾病健康知识水平、血脂水平、日常生活能力水平（ADL）、神经功能缺损评分（NIHSS）以及复发率。结果 观察组疾病认知、禁忌事项、治疗知识、护理知识评分均高于对照组（P＜0.05）；观察组干预后总胆固醇、三酰甘油、低密度脂蛋白胆固醇均低于对照组，高密度脂蛋白胆固醇高于对照组（P＜0.05）；两组干预后ADL评分均高于干预前，NIHSS均低于干预前，且观察组ADL评分高于对照组，NIHSS低于对照组（P＜0.05）；随访3个月，观察组复发率为8.11%，低于对照组的18.92%（P＜0.05）。结论 脑心健康管理师参与缺血性卒中患者全程健康管理，可有效提高患者疾病健康知识水平，促进血脂水平改善，提升患者日常生活能力，降低神经功能缺损，预防缺血性卒中复发，是一种有效、可行的护理管理方法。
Abstract:
Objective To study the role of brain-heart health manager in the whole-course health management of patients with ischemic stroke.Methods A total of 74 patients with ischemic stroke diagnosed and treated in our hospital from January 2021 to January 2022 were selected as the research objects. They were divided into control group and observation group by random number table method, with 37 patients in each group. The control group was given routine nursing management, and the observation group received whole-course health management intervention with the participation of brain-heart health managers on the basis of the control group. The disease health knowledge level, blood lipid level, daily living ability level (ADL), neurological deficit score (NIHSS) and recurrence rate were compared between the two groups.Results The scores of disease cognition, taboo matters, treatment knowledge and nursing knowledge in the observation group were higher than those in the control group (P<0.05). After intervention, total cholesterol, triglyceride and low density lipoprotein cholesterol in the observation group were lower than those in the control group, and high density lipoprotein cholesterol was higher than that in the control group (P<0.05). After intervention, the ADL scores of the two groups were higher than those before intervention, and the NIHSS scores were lower than those before intervention, while the ADL score of the observation group was higher than that of the control group, and the NIHSS score was lower than that of the control group (P<0.05). After 3 months of follow-up, the recurrence rate of the observation group was 8.11%, which was lower than 18.92% of the control group (P<0.05).Conclusion Brain-heart health managers participating in the whole-course health management of patients with ischemic stroke can effectively improve the level of disease health knowledge, promote the improvement of blood lipid level, improve the daily living ability of patients, reduce neurological deficits, and prevent the recurrence of ischemic stroke. It is an effective and feasible nursing management method.

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更新日期/Last Update: 1900-01-01