脑心健康管理师主导的缺血性卒中患者全流程健康管理

Brain-heart health care manager-led whole-process health management for ischemic stroke patients

目的探讨脑心健康管理师主导的全流程健康管理对急性缺血性卒中患者血脂水平和卒中复发率的影响。方法将189例急性缺血性脑卒中患者按照入院时间分对照组(95例)和观察组(94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。比较干预前后两组焦虑抑郁评分、血脂水平、治疗依从率及出院后1年脑卒中复发率。结果干预后观察组焦虑抑郁评分及总胆固醇、三酰甘油、低密度脂蛋白胆固醇水平显著低于对照组,治疗依从率显著高于对照组,脑卒中复发率显著低于对照组(P<0.05,P<0.01)。结论脑心健康管理师主导的急性缺血性脑卒中患者全流程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。

Objective To explore the effect of a whole-process health management program led by brain-heart health care manager on blood lipid level and stroke recurrence in patients with acute ischemic stroke(AIS).Methods A total of 189 AIS patients were divi-ded into a control group of 95 and an intervention group of 94 according to their admission time, receiving either conventional nur-sing care or brain-heart health care manager-led whole-process health management respectively. The anxiety and depression scores, blood lipid levels, therapeutic compliance, and stroke recurrence rate within 1 year after discharge were compared between the two groups.Results The intervention group had lower anxiety and depression scores, lower levels of total cholesterol, triglyceride and low-density lipoprotein cholesterol, higher therapeutic compliance and lower rate of stroke recurrence compared to the control group(P<0.05,P<0.01). Conclusion The brain-heart health care manager-led whole-process health management program for AIS patients can facilitate recovery, reduce recurrence and alleviate negative emotions.