卒中健康管理师为主导的卒中管理模式对缺血性卒中预后及复发的影响研究

目的 探讨以患者需求为导向、卒中健康管理师为主导的卒中管理模式对轻中度缺血性卒中患者预后及卒中复发的影响.方法 连续纳入2019年1-6月诊治的轻中度缺血性卒中患者,随机分为对照组和试验组.对照组采用常规卒中管理模式,试验组采用以患者需求为导向、卒中健康管理师为主导的卒中管理模式.比较两组患者12个月随访时的血压、空腹...

Prognosis and Recurrence of Ischemic Stroke under Stroke Management Model Guided by Stroke Health Manager

Objective To explore the effect of stroke management model guided by stroke health managers based on patients’needs on the prognosis and recurrence of mild to moderate ischemic stroke.Methods The patients with mild to moderate ischemic stroke from January to June 2019 were randomly divided into control group and observational group.The routine stroke management was adopted in control group,and the stroke health manager-guided management model based on patient’s needs was adopted in observational group.The blood pressure,fasting blood glucose,LDL-C level,NIHSS score,stroke recurrence rate,basic self-care rate(modified Barthel index>80)rate and good prognosis(mRS≤2)rate were compared between the two groups at 12-month follow-up.Results Finally,101 cases in control group and 105 ones in observational group were included.There was no statistical difference in baseline data between the two groups.At the 12-month followup,the systolic blood pressure(P<0.001),diastolic blood pressure(P=0.002),fasting blood glucose(P<0.001)and LDL-C level(P<0.001)in observational group were all lower than those in control group,while NIHSS score(median,2 vs 3,P=0.041)and stroke recurrence rate(8.6%vs 18.8%,P=0.032)were lower than that in control group.In addition,the basic self-care rate(87.6%vs 75.2%,P=0.022)and good prognosis rate(81.9%vs 69.3%,P=0.035)in observational group were higher than that in control group.Conclusions The stroke health manager-guided management model based on patient’s needs can better control stroke risk factors,significantly improve the prognosis of patients with mild to moderate ischemic stroke,and reduce the disability rate and stroke recurrence rate.