专科护士参与的住院患者脑卒中风险筛查及随访管理
Evaluation of a specialist nurse-involved stroke risk screening and follow-up pro-gram for inpatients
孙莉 1陆敏智 2浦菊芬 1包秋芳 2杨靖华3
作者信息
- 1. 东南大学医学院附属江阴医院消化内科(江苏江阴,214431)
- 2. 东南大学医学院附属江阴医院神经内科(江苏江阴,214431)
- 3. 东南大学医学院附属江阴医院护理部(江苏江阴,214431)
- 折叠
摘要
目的 探讨专科护士参与的住院患者脑卒中风险筛查及随访管理效果,为全面落实脑卒中一级预防提供借鉴.方法 构建住院患者脑卒中风险筛查模式,对内外科≥40岁的住院患者进行脑卒中风险筛查.由病区责任护士对患者进行初筛、专科护士对高危风险患者进行卒中一级预防管理,进行1年的随访.结果 2021年9月从内外科36个病区中筛查出脑卒中风险患者3 416例,其中高危513例(15.02％),中危1 926例(56.38％),低危977例(28.60％);对3类患者实施分级管理,其中高危患者由神经内科进一步诊疗;完成1年随访的197例高危患者,随访后血压、血脂、运动等达标率显著高于随访前(均P＜0.05),健康自我管理能力得分显著提高(均P＜0.05).结论 专科护士参与的住院患者脑卒中风险筛查模式有利于早期发现脑卒中风险患者,落实一级预防,从而降低脑卒中发生率.
Abstract
Objective To explore the effect of a specialist nurse-involved stroke risk screening and follow-up program for inpatients,and to provide reference for primary prevention of stroke.Methods We developed a stroke risk screening mode for patients who were hospitalized in general medical and surgical wards,aged 40 years or older.The first screening was performed by the ward nurse to identify those at high-risk for stroke,then the specialist nurse provided primary prevention interventions for 1 year.Results In September 2021,3,416 patients at stroke risk were identified,with 513(15.02％)at high risk,1,926(56.38％)at moderate risk,and 977(28.60％)at low risk.Targeted management was provided for patients with different risk gradings,and the high-risk patients were further treated by the department of neurology.A total of 197 high-risk patients completed 1-year follow-up and presented better control rate of blood pressure and blood lipid,higher exercise participation and self-management ability compared with the baseline assessment before follow-up(all P＜0.05).Conclusion The specialist nurse-involved stroke risk screening mode is beneficial for early detection of patients at risk for stroke,thus to implement primary prevention interventions and reduce the inci-dence of stroke.
关键词
住院患者/脑卒中/风险筛查/专科护士/脑卒中门诊/随访/一级预防/神经内科护理Key words
hospitalized patients/stroke/risk screening/specialist nurse/stroke clinic/follow-up/primary prevention/neurological nursing引用本文复制引用
基金项目
无锡市科协软课题(KX-21-C244)
江阴市卫健委指导性项目(G202004)
出版年
2024
NETL
NSTL
万方数据