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个性化干预对康复期脑卒中患者的影响 预览

Effect of personalized intervention on stroke patients in recovery stage
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摘要 目的了解个性化干预对提高康复期脑卒中患者二级预防依从性及预后的效果。方法将2018年1月1日-4月30日在某院神经内科因脑卒中住院后出院的患者40例设为对照组,同时选取2018年5月1日-8月30日在同病区同类疾病患者40例设为实验组。对照组患者仅实施基本宣教;实验组在基本宣教的基础上,通过定期电话(或微信)追踪随访实施个体化干预。对比两组患者的服药依从性、血压(Hp)、糖化血红蛋白(HbAlc)、低密度脂蛋白(LDL)的达标率,以及日常生活能力(基本生活活动能力BADL和辅助生活活动能力IADL)和患者满意度。结果实验组患者的服药依从性、BADL、IADL和满意度评分均明显高于对照组,Hp、HbAlc、LDL达标率亦明显优于对照组,差异均有统计学意义(P<0.05或0.01)。结论对康复期脑卒中患者进行个性化干预,可以达到提高二级预防依从性,改善预后,提高满意度的目的。 Objective To evaluate the effect of personalized intervention in improving compliance of secondary prevention and prognosis of patients with stroke during rehabilitation. Methods Forty patients with stroke who received treatment and were discharged from a hospital from January 1 to April 30, 2018 were set as the Control Group while another forty patients with the same disease and in the same ward area from May 1 to August 30, 2018 were selected as the Experimental Group. The Control Group received basic education while the Experimental Group received personalized intervention via regular phone (or wechat) follow-up on the basis of basic education. The two groups were compared in terms of the medication compliance, the control rate of hypertension (Hp), HbAlc and LDL, activity of daily living (BADL and IADL) and patient satisfaction. Results After 3 months of observation, the Experimental Group had the medication compliance, BADL, IADL and satisfaction score higher than the Control Group and had the control rate of hypertension (Hp), HbAlc and LDL significantly superior to the Control Group, and the differences were statistically significant (P<0.05 or 0.01). Conclusion Personalized intervention for stroke patients during rehabilitation can increase compliance of secondary prevention, improve the prognosis and increase the patient satisfaction.
作者 崔静舒 梁洁 刘春兰 何小青 陆成红 刘小宇 CUI Jing-shu;LIANG Jie;LIU Chun-lan;HE Xiao-qing;LU Cheng-hong;LIU Xiao-yu(Central People’s Hospital of Zhanjiang, Zhanjiang 524000, China)
出处 《广东医科大学学报》 2019年第4期492-495,共4页 Journal of Guangdong Medical University
基金 湛江市非资助科技攻关计划项目(No.2018B01075).
关键词 个性化干预 电话随访 脑卒中 二级预防依从性 日常生活能力 满意度 personalized interventions telephone follow-up stroke secondary prevention compliance activities of daily living satisfaction
作者简介 崔静舒(1980-),女,本科,主管护师.
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