脑卒中共病患者的共病现况及健康管理的研究进展

Research progress on multimorbidity and health management of stroke patients with multiple chronic conditions

随着人们生活方式的改变和人口老龄化的加剧,慢性病患者中共病现象也在逐渐增多。脑卒中后患者常伴随着不同程度的日常生活活动障碍,而共病现象又会增加脑卒中患者健康管理的复杂度,使脑卒中患者的健康状况更差、死亡危险性更高、预后更差、住院次数增多以及就医成本与健康管理服务资源使用水平的提高,因此,脑卒中共病成为社会各界和研究中所关心的重大健康问题。本文就国内外脑卒中共病患者的患病率、健康结局及其健康管理现况做出总结,旨在为更好地开展脑卒中共病患者的健康管理服务及实践提供依据。

Due to the change in people's lifestyle and the aggravation of population aging,the phenomenon of patients with multiple chronic conditions is also increasing gradually.Patients with stroke are often accompanied by disorders of activities of daily life in varying degrees,and the phenomenon of multimorbidity will increase the complexity of health management of stroke patients.As a result,stroke patients have worse health status,higher risk of death,worse prognosis,more hospitalization,higher cost of medical treatment and higher level of use of health management service resources.Therefore,it has increasingly become a major health issue of concern to all sectors of society and research institutes.This article will summarize the prevalence rate,health outcome,and health management status of stroke patients with multiple chronic conditions at home and abroad,to provide a basis for better health management services and practice of stroke patients with various chronic conditions.