4CH8模式下社区脑卒中管控效果评价

Evaluation of control effects of stroke with 4CH8 mode in community

目的对社区卫生服务中心实施4CH8健康管理模式后社区脑卒中患者的管控效果明显提高的情况进行分析和评价。方法在上海市某社区卫生服务中心随机抽取100名脑卒中患者分为实验组和对照组,每组50人,在脑卒中临床治疗的基础上,实验组参照4CH8健康管理模式对患者进行疾病的综合管控,对照组则采用一般的健康宣教对患者进行健康教育,比较2组患者干预前后疾病认知情况和危险行为变化情况,对比2组患者的疾病复发率。结果实验组患者在综合管控后脑卒中确诊标准知晓率,高血压、糖尿病、房颤、高脂血症导致脑卒中,成人每日食盐摄入标准的知晓率明显优于对照组(P<0.05)。实验组在食盐控制、饮食规律、吸烟、饮酒、滥用药物、适量运动等方面明显优于对照组(P<0.05)。实验组脑卒中复发率由68%降低到4%,明显优于对照组的复发率由70%降低到32%(P<0.05)。结论 "4CH8"模式对社区脑卒中患者的初步临床效果是积极的,可以降低脑卒中的复发率、致残率、病死率,值得在社区进行全面推广。

Objective To evaluate the control effect of stroke patients after the implementation of 4CH8 health manage- ment mode in community health service center. Methods 100 patients with stroke from a community health service cen- ter in Shanghai were randomly selected and divided into experimental group and control group with 50 cases in each group. The comprehensive control of the disease was performed in the experimental group according to 4CH8 health man- agement mode;while the patients received the general health education. The cognition and risk behavior change of the pa- tients before and after the intervention was compared between the two groups, the recurrence rate was also compared. Re- suits The awareness rate on the diagnostic criteria for stroke, risk factors of stroke such as high blood pressure, diabetes, atrial fibrillation and hyperlipidemia, and adult daily salt intake standard of patients in the experimental group was signifi- candy better than the control group （P 〈 O. 05 ）. The patients in the experimental group done better in the salt control, di- et, smoking, drinking, drug abuse, moderate exercise as compared with the control group （ P 〈 0.05 ）. The recurrent rate of stroke decreased from 68% to 4% in the experimental group, which was significantly better than the control group, the re- currence rate reduced（from 70% to 32% ） ,P 〈 0.05. Conclusion CH8 health management mode for the patients with stroke in the community is effective, which can reduce the recurrence rate of stroke, disability and mortality. It is worth to be popularized in the community.