文章摘要
出院准备计划服务模式对脑梗塞患者认知及预后的影响研究
A Study on the Impact of Discharge Preparation Plan Service Model on the Cognition and Prognosis of Patients with Cerebral Infarction
投稿时间:2024-08-09  修订日期:2024-10-29
DOI:
中文关键词: 出院准备计划服务模式  脑梗塞  认知  预后  再入院
英文关键词: Discharge Readiness Plan Service Model  Cerebral Infarction  Cognition  Prognosis  Re-admission
基金项目:
作者单位邮编
邹小燕* 吉安市第一人民医院 343000
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中文摘要:
      目的 分析出院准备计划服务模式对脑梗塞患者认知及预后的影响。方法 选择我院神经内科2023年4月至2024年1月期间收治60例脑梗塞患者为研究对象,利用随机数表法分为对照组(30例)和实验组(30例),对照组行常规院内治疗和护理,出院前接受健康教育,实验组行常规院内治疗和护理,出院前实施出院准备计划服务模式,对比两组患者认知和预后情况。结果 出院6个月时,实验组奥马哈系统结局评价子系统(认知、行为、状况)评分均显著高于对照组同期及本组出院前1天,差异有统计学意义(P<0.05)。表2。实验组疾病加重率及在入院率低于对照组,差异有统计学意义(P<0.05)。实验组服务满意度高于对照组,差异有统计学意义(P<0.05)。结论 脑梗塞患者在常规院内治疗和护理措施的基础上,出院前接受出院准备计划服务,有助于其出院后认知状态的改善,进而获得良好预后,降低疾病加重率和再入院率。
英文摘要:
      Objective: To statistically analyze the impact of the discharge readiness plan service model on the cognition and prognosis of patients with cerebral infarction.Methods: Sixty patients with cerebral infarction admitted to the neurology department of our hospital from April 2023 to April 2024 were selected as the subjects of observation. They were randomly divided into a control group (30 cases) and an experimental group (30 cases). The control group received routine inpatient treatment and nursing, along with health education before discharge. The experimental group also received routine inpatient treatment and nursing, but in addition, implemented a discharge readiness plan service model before discharge. The cognitive status and prognosis of the two groups were compared.Results: After six months of discharge, the experimental group showed significant improvements in cognition, behavior, and overall condition, demonstrating remarkable progress compared to the day before discharge. Through data comparison and analysis, it was found that this improvement was more prominent in the experimental group than in the control group, with statistically significant differences (P<0.05), fully demonstrating the superiority of the experimental group in terms of rehabilitation or treatment effectiveness. The disease exacerbation rate in the experimental group was 6.67%, significantly lower than the 20.00% in the control group, and the re-admission rate six months after discharge was 3.33%, significantly lower than the 13.33% in the control group. There were significant differences between the two groups (P<0.05).Conclusion: For patients with cerebral infarction, receiving a discharge readiness plan service before discharge, in addition to routine inpatient treatment and nursing measures, can help improve their cognitive status after discharge, lead to a favorable prognosis, and reduce the risk of disease exacerbation and re-admission.
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