摘要
目的 探讨全流程脑心健康管理模式对急性脑卒中患者预后的效果与影响因素。方法 将随机选取 200 例急性脑卒中患者按照入院时间分对照组（88例）和观察组（112例）。对照组采用常规护理方法，观察组在对照组基础上接受脑心健康管理师的全流程健康管理。比较干预前后两组预后效果及生活质量影响因素。结果 干预后观察组的神经受损情况在出院后6月、12月显著改善，日常生活能力在出院后6月、12月评分>80分的病例数显著高于对照组（P=0.03）。观察组焦虑抑郁评分显著低于对照组，治疗依从率显著高于对照组（P<0.05）。结论 脑心健康管理师对急性脑卒中患者全流程的健康管理可促进患者康复，降低复发率，减轻患者的负性情绪，提高患者生活质量。关键在于建立完善的卒中档案，定制个性化康复方案，并且通过建立脑心健康管理服务群和长期的随访监测来修订患者康复计划。
关键词： 脑卒中；脑心健康管理；急性脑卒中；日常生活能力指数；复发率；焦虑；抑郁
Abstract
Objective To investigate the effect and influencing factors of the whole-process brain-heart health management model on the prognosis of acute stroke patients. Methods 200 patients with acute cerebral stroke were randomly selected and divided into control group (88 cases) and observation group (112 cases) according to the time of admission. The control group received routine nursing methods, and the observation group received the whole-process health management of brain and heart health managers on the basis of the control group. The prognostic effect and influencing factors of quality of life were compared between the two groups before and after the intervention. Results After the intervention, the neurological impairment of the observation group was significantly improved at 6 and 12 months after discharge, and the number of cases with ADA scores >80 at 6 and 12 months after discharge was significantly higher than that of the control group (P=0.03). The anxiety and depression scores of the observation group were significantly lower than those of the control group, and the treatment compliance rate was significantly higher than that of the control group (P<0.05). Conclusion The whole-process health management of patients with acute cerebral stroke by brain and heart health managers can promote the recovery of patients, reduce the recurrence rate, reduce the negative emotions of patients, and improve the quality of life of patients. The key is to establish a complete stroke file, customize a personalized rehabilitation plan, and revise the patient's rehabilitation plan by establishing a brain and heart health management service group and long-term follow-up monitoring.
Key words： Stroke; Brain and heart health management; Acute stroke; Daily living ability index; Recur- rence rate; Anxiety; Depression
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