首页|以危险因素为指导制定的个体化预警管理方案对TIA患者预后的影响研究

以危险因素为指导制定的个体化预警管理方案对TIA患者预后的影响研究

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目的 探讨以危险因素为指导制定的个体化预警管理方案对短暂性脑缺血发作(TIA)患者预后的影响.方法 纳入首都医科大学附属北京世纪坛医院神经内科2021年12月至2022年12月收治的TIA患者90例为研究对象,随机分为2组,每组45例.对照组采用常规干预,观察组采用以危险因素为指导制定的个体化预警管理方案,比较2组患者的干预效果.结果 观察组药物治疗、疾病症状、运动、饮食、复查、规律休息等疾病相关知识掌握率优于对照组(P<0.05).2组干预后的临床指标改善情况优于干预前,观察组优于对照组(P<0.05).观察组用药、饮食与运动、定期复查、合理休息、负性情绪管理等依从性高于对照组(P<0.05).观察组中,复发1例,复发率为2.22%,脑卒中发生0例,发生率为0.00%;对照组中,复发10例,复发率为22.22%,脑卒中发生8例,发生率为17.78%,观察组复发率和脑卒中发生率均低于对照组(P<0.05).结论 给予TIA患者以危险因素为指导制定的个体化预警管理方案,能提升患者的疾病认知水平及治疗依从性,改善患者临床指标,减少疾病复发和防止发生脑卒中事件.
Study on the impact of an individualized early warning management plans guided by risk factors on the prognosis of transient ischemic attack
Objective To explore the effect of an individualized early warning management plans guided by risk factors on the prognosis of transient ischemic attack(TIA).Methods A total of 90 TIA patients admitted to Department of Neurology,Beijing Shijitan Hospital,Capital Medical University from December 2021 to December 2022 were enrolled in the study.They were randomly divided into the control group and observation group,with 45 patients in each group.Patients in the control group received routine nursing care,while those in the observation group received an individualized early warning management plans guided by risk factors.The intervention effects of the two groups were compared.Results Patients in the observation group had significantly higher rates of disease-related knowledge mastery,including medication treatment,disease symptoms,exercise,diet,recheck,and regular rest than those of the control group(P<0.05).Clinical indicators after intervention in both groups were significantly improved than those before intervention,which were significantly better in the observation group than those of the control group(P<0.05).The compliance of medication,diet and exercise,regular review,reasonable rest,and negative emotion management in the observation group was significantly higher than that of the control group(P<0.05).The recurrent rate(2.22%[1/45]vs 22.22%[10/45],P<0.05)and incidence of stroke(0 vs 17.78%[8/45],P<0.05)were significantly lower in the observation group than those of control group.Conclusion An individualized early warning management plans guided by risk factors to TIA patients can enhance their disease awareness and treatment compliance,improve clinical indicators,reduce disease recurrence,and prevent stroke events.

transient ischemic attackrisk factorsindividualized early warning management plansdisease awarenesscompliance

赵蕾、齐琳琳、李巍、王芳

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100038 北京,首都医科大学附属北京世纪坛医院神经内科

短暂性脑缺血 危险因素 个体化预警管理方案 疾病认知水平 依从性

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(8)
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