脑心健康管理师主导脑卒中风险筛查门诊的实践效果

Practice of brain and heart health manager-led stroke risk screening clinic

目的探讨脑心健康管理师主导的脑卒中风险筛查门诊实践效果。方法2019年建立脑卒中风险筛查门诊,选拔和培训脑心健康管理师,制订工作流程和规范,筛查门诊通过初筛评定患者脑卒中风险等级,对中高危风险患者进行全面评估和针对性指导。结果截至2021年12月,15名脑心健康管理师为3370例患者提供脑卒中风险筛查,筛查出2939例中高危风险患者并建档。2021年1~5月有效随访256例,患者戒烟、饮酒、饮食口味、运动、血压规律测量和血压血糖控制达标比较,差异有统计学意义(P<0.05,P<0.01)。结论脑卒中风险筛查门诊提高了患者对脑卒中危险因素的认知,对促进不良生活方式改善和高危因素控制有积极作用。

Objective To explore the effect of brain and heart health manager-led stroke risk screening clinic.Methods In 2019,a cli-nic for screening stroke risk was established,then nurses were selected and trained as brain and heart health manager.Work process and norms were formulated.Brain and heart health managers run the clinic to assess the risk of stroke in patients,and provided comprehensive assessment and targeted education for those at medium to high risk of stroke.Results Until December 2021,3,370 patients were screened,of whom 2,939 were at medium to high risk of stroke and documented.From January to May 2021,256 patients were followed up,and their smoking cessation,alcohol cessation,dietary taste,exercise,blood pressure measurement,blood pressure and blood glucose control rates had significant differences before and after the screening intervention(P<0.05,P<0.01).Conclusion The practice of stroke risk screening clinic can enhance awareness of patients about risk factors of stroke,which has a positive significance on changing unhealthy lifestyle and managing high risk factors.