组织化管理模式对基层医院脑卒中患者随诊率的影响

The effect of organized stroke management mode on the follow-up rate of stroke patients in the primary hospital

目的:观察组织化管理模式对基层医院脑卒中患者随诊率的影响。方法:收集2014年1月—2015年5月基层医院脑卒中患者162例,分成干预组82例有针对性地按照组织化管理模式进行干预,对照组80例,按既往常规进行干预。比较两组在1、6、12个月的随诊率。结果:干预组和对照组1个月随访率分别为87.8%(72/82)和81.25%(65/80),组间差异无统计学意义(P>0.05)。干预组6和12个月的随访率分别为79.2%(65/82)和68.2%(56/82),对照组分别为42.5%(34/80)和22.5%(18/80),组间差异有统计学意义(P<0.05),尤其以12个月最为显著。结论:组织化管理能明显提高门诊脑卒中患者的随访率,尤其对远期随访率提高具有显著优势,值得推广应用。

Objective： To observe the effect of organized stroke management mode on the follow-up rate of stroke patients in the primary hospital. Methods： One hundred and sixty-two patients with stroke in the primary hospital from January 2014 to May 2015 were randomly selected and divided into an intervention group and a control group, and the differences in follow-up rates in 1, 6 and 12 months were compared between the two groups. Results： There was no significant difference in the follow-up rate in 1 month in the intervention and the control groups. The follow-up rates in 6 and 12 months of the intervention group were higher than those of the control group, and the follow-up rate in 1 year was particularly obvious, and the difference had the statistical significance（P〈0.05）. Conclusion： Organized stroke management has a significant improvement on outpatient follow-up rate of stroke, and especially a significant advantage on the long term follow-up rate. It is worthy of popularization and application in the clinic.