Objective: To explore the effect of case management model in patients with ischemic stroke. Methods: A total of 104 patients with ischemic stroke admitted from January to December 2020 were randomly divided into observation group (52 cases) and control group (52 cases). The control group adopted the routine diagnosis and treatment nursing method of neurology, while the observation group applied the case management mode on the basis of the routine diagnosis and treatment nursing of neurology. The differences in stroke-related knowledge, quality of life and revisit rate between the two groups at 3 months, 6 months and 1 year after intervention were compared. Results: The scores of stroke knowledge mastery in the observation group at 3 months, 6 months and 1 year after intervention were (20.36±1.62), (22.26±1.19) and (25.26±1.55) respectively, which were higher than those in the control group (P<0.05). The quality of life scores were (362.61±52.63) points, (468.35±50.22) points and (529.43±56.21) points respectively, which were statistically significant compared with the control group (P<0.05). The readmission rates were 92.3%, 75.0% and 63.5%, respectively, which were statistically significant compared with the control group (P<0.05). Conclusion: The case management model can effectively improve the stroke knowledge level and the admission rate of patients with ischemic stroke, and improve their quality of life.
LI Min
,
LIN Yan
,
SHI Mengyu
,
CHEN Ting
,
SUN Erdi
,
ZHANG Xuewei
. Application effect of case management model in patients with ischemic stroke[J]. Journal of Baotou Medical College, 2023
, 39(8)
: 80
-84
.
DOI: 10.16833/j.cnki.jbmc.2023.08.016
[1] GBD 2019 Diseases and Injuries Collaborators.Global burden of 369 diseases and injuries in 204 countries and territories,1990-2019:a systematic analysis for the Global Burden of Disease Study 2019[J].Lancet,2020,396(10258):1204-1222.
[2] 中国疾病预防控制中心慢性非传染性疾病预防控制中心, 国家卫生健康委统计信息中心.中国死因监测数据集2019[M].北京:中国科学技术出版社,2020:58.
[3] MA Q, LI R, WANG L, et al. Temporal trend and attributable risk factors of stroke burden in China,1990-2019:an analysis for the global burden of disease study 2019[J].Lancet Public Health,2021,6(12):e897-e906.
[4] 王拥军,李子孝,谷鸿秋,等. 中国卒中报告2020(中文版)(1)[J].中国卒中杂志,2022,17(5):433-447.
[5] 栗江霞,崔永菁,李娟,等. 结构化教育在脑卒中病人自我管理中的应用[J].护理研究,2021,35(10):1843-1846.
[6] 吕茵茵,沈犁. 个案管理模式在疾病管理中的临床实践[J].中国护理管理,2018,18(7):970-973.
[7] 肖丽娜, 石帆, 孙秋, 等. 个案管理在PCI术后患者心脏康复中的应用[J].中国老年学杂志,2021,41(1):100-104.
[8] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组.中国脑血管疾病分类2015[J].中华神经科杂志,2017,50(3):168-171.
[9] 薛晶. 不同TOAST分型缺血性卒中神经系统并发症研究进展[J].中风与神经疾病杂志,2020,37(1):80-83.
[10] 万丽红, 张小培, 洪华, 等. 脑卒中病人的健康行为及其影响因素研究[J].护理研究,2010,24(1):1-4.
[11] 汪杰, 李宏增. 脑卒中影响量表在脑卒中患者诊治与康复中的应用价值[J].中国实用神经疾病杂志,2015,(23):28-29.
[12] 侯多朵, 李彩宏, 吕茵茵, 等. 脑卒中个案管理模式的临床实践及效果评价[J].中华脑血管病杂志:电子版,2021,15(6):382-385.
[13] 陈玉芝,周怡真. 台北荣民总医院肿瘤个案管理经验分享[J].中国医院管理,2010,10(3):21-22.
[14] 刘晓青, 金爱萍, 董琼, 等. 以护士为主导的脑卒中出院患者个案管理实践与效果评价[J].中国护理管理,2019,19(3):423-427.