[1]张纯,金华洋,付晶晶,等.脑心健康管理师主导的“一科一品”服务融合模式在出血性脑卒中病人护理中的应用[J].中国临床神经外科杂志,2024,29(03):165-168.[doi:10.13798/j.issn.1009-153X.2024.03.009]
　ZHANG Chun,JIN Huang-yang,FU Jing-jing,et al.Application of the "one subject, one product" service integration model led by brain and heart health manager in the nursing of hemorrhagic stroke patients[J].,2024,29(03):165-168.[doi:10.13798/j.issn.1009-153X.2024.03.009]
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脑心健康管理师主导的“一科一品”服务融合模式在出血性脑卒中病人护理中的应用()

《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年03期
页码:
165-168
栏目:
护理技术
出版日期:
2024-03-31

文章信息/Info

Title:
Application of the "one subject, one product" service integration model led by brain and heart health manager in the nursing of hemorrhagic stroke patients
文章编号:
1009-153X（2024）03-0165-04
作者:
张纯; 金华洋; 付晶晶; 彭小祥; 冯娟娟; 陈迎春; 赵畅; 李倩; 方艳; 柳洁
430065武汉，武汉科技大学医学院（张纯、金华洋、付晶晶）；430033武汉，江汉大学附属湖北省第三人民医院神经外科（张纯、冯娟娟、陈迎春、赵畅、李倩、方艳、柳洁）；430070武汉，中部战区总医院神经外科（付晶晶）；430056武汉，江汉大学脑血管病研究所（彭小祥）
Author(s):
ZHANG Chun1; 2;  JIN Huang-yang1;  FU Jing-jing1; 3;  PENG Xiao-xiang4;  FENG Juan-juan;  CHEN Ying-chun;  ZHAO Chang;  LI Qian;  FANG Yan;  LIU Jie
1. Medical College of Wuhan University of Science and Technology, Wuhan 430065, China; 2. Department of Neurosurgery, The Third People's Hospital of Hubei Province Affiliated to Jianghan University, Wuhan 430033, China; 3. Department of Neurosurgery, General Hospital of Central Theater Command, Wuhan 430070, China; 4. Institute of Cerebrovascular Disease, Jianghan University, Wuhan 430056, China
关键词:
出血性卒中; 脑心健康管理师; “一科一品”服务模式; 护理
Keywords:
Hemorrhagic stroke;  "One subject;  one product" service integration model;  Brain and heart health manager
分类号:
R 743; R 473.6
DOI:
10.13798/j.issn.1009-153X.2024.03.009
文献标志码:
B
摘要:
目的 探讨脑心健康管理师主导的“一科一品”服务融合模式在出血性脑卒中病人护理中的应用效果。方法 2020年6月到2022年6月前瞻性收集208例出血性卒中，按照护理管理方法分为对照组（100例）和观察组（108例）。对照组给予常规护理模式，观察组给予脑心健康管理师主导的“一科一品”服务融合模式，对比两组满意度、建档率、管理率、复诊率。结果 观察组满意度（95.37% vs. 80.00%）、建档率（96.29% vs. 75.00%）、随访率（85.18% vs. 70.00%）、复诊率（83.33% vs. 65.00%）、卒中识别能力掌握率（94.44% vs. 80.00%）均明显优于对照组（P<0.05）。结论 脑心健康管理师主导的“一科一品”服务融合模式能够有效提高出血性脑卒中病人的满意度以及卒中三级预防管理的效能，改善医疗服务水平。
Abstract:
Objective To investigate the application effectiveness of the "one subject, one product" service integration model led by brain and heart health manager (BHHM) in the nursing of patients with hemorrhagic stroke. Methods Between June 2020 and June 2022, 208 patients with hemorrhagic stroke, who were divided into control group (n=100) and observation group (n=108) according to the nursing management method, were prospectively recruited. Patients in the control group were given the conventional nursing model, and patients in the observation group were given the brain and heart health manager-led "one subject, one product" service integration model. The satisfaction rate, registration rate, management rate, and follow-up rate were compared between the two groups. Results The satisfaction rate (95.37% vs. 80.00%), registration rate (96.29% vs. 75.00%), follow-up rate (85.18% vs. 70.00%), re-examination rate (83.33% vs. 65.00%), and mastery rate of stroke recognition ability (94.44% vs. 80.00%) in the observation group were significantly better than those in the control group (P<0.05). Conclusions The "one subject, one product" service integration model led by the brain and heart health manager can effectively improve the satisfaction rate of patients with hemorrhagic stroke and the effectiveness of stroke three-level prevention management, and improve the level of medical services.

参考文献/References:

[1]TU WJ, QIU HC, ZHANG Y, et al. Lower serum retinoic acid level for prediction of higher risk of mortality in ischemic stroke [J]. Neurology, 2019, 92(15): e1678-e1687.
[2]GBD 2016 Life time Risk of Stroke Collaborators, FEIGIN VL, NGUYEN G, et al. Global, regional, and country- specific lifetime risks of stroke, 1990 and 2016 [J]. N Engl J Med, 2018, 379(25): 2429-2437.
[3]Editorial Committee of the Chinese Journal of Health Management, Health Management Branch of the Chinese Medical Association, National Cerebrovascular Disease Prevention and Control Research Office. Expert consensus on cerebrovascular health management and early prevention of stroke [J]. Chin J Health Manag, 2017, 11 (5): 397-407.
《中华健康管理学杂志》编辑委员会，中华医学会健康管理学分会，全国脑血管病防治研究办公室. 脑血管健康管理与脑卒中早期预防专家共识[J]. 中华健康管理学杂志，2017，11（5）：397-407.
[4]LIU XZ, LI YX. The importance and model exploration of brain health management [J]. Med Philosophy, 2018, 39(6): 78-80.
刘向哲，李雅新. 脑健康管理的重要性及其模式探讨[J]. 医学与哲学，2018，39（6）：78-80.
[5]GAO CP, HU YW, CHAO BH, et al. Training practice for brain and heart health managers [J]. Chin J Hosp Manag, 2021, 37(2): 144-146.
高春鹏，胡叶文，巢宝华，等. 脑心健康管理师培训实践[J]. 中华医院管理杂志，2021，37（2）：144-146.
[6]YANG CX, LIU YJ, GUO YL, et al. Effect of health management based on protection motivation theory on the outcome of stroke patients [J]. Chin J Pract Nurs, 2020, 36(6): 411-414.
杨彩侠，刘延锦，郭园丽，等. 基于保护动机理论的健康管理对脑卒中患者效果的影响[J]. 中国实用护理杂志，2020，36（6）：411-414.
[7]CHEN XM, LI L, WU Y, et al. A study on the influencing factors of the management effect of stroke patients by brain and heart health managers [J]. South Nat Def Med, 2021, 31(6): 519-522.
陈雪梅，李　丽，伍　燕，等. 脑心健康管理师对脑卒中患者管理效果影响因素研究[J]. 西南国防医药，2021，31（6）：519-522.
[8]LIU B, JIAO JJ, ZHANG XF, et al. Improving the service process for inpatient care and improving medical services action [J]. Chin Med Human, 2022, 8(5): 44-45.
刘　博，焦俊杰，张咸锋，等. 完善住院患者服务流程改善医疗服务行动[J]. 中国医学人文，2022，8（5）：44-45.
[9]YANG CX, LIU YJ, GUO YL, et al. Whole process health management of ischemic stroke patients led by brain and heart health managers [J]. J Nurs, 2020, 35(21): 36-39.
杨彩侠，刘延锦，郭园丽，等. 脑心健康管理师主导的缺血性卒中患者全流程健康管理[J]. 护理学杂志，2020，35（21）：36-39.
[10]ZHANG GF, LIU ZY, GAO SJ, et al. The application of health education led by stroke health managers in the treatment compliance of ischemic stroke patients [J]. J Interven Radiol, 2020, 29(1): 100-103.
张桂芳，刘真亚，高石娟，等. 以脑卒中健康管理师为主导的健康教育在缺血性脑卒中患者治疗依从性中的应用[J]. 介入放射学杂志，2020，29（1）：100-103.
[11]LIU T, YANG XL, WU D, et al. Status quo of the occupational identity of in-service nurses in Tangshan and its relationship with psychological resilience [J]. J Clin Pathol Res, 2022, 42(11): 2769-2775.
刘　婷，杨秀兰，吴　笛，等. 唐山市在职护士职业认同现状及与心理弹性的关系[J]. 临床与病理杂志，2022，42（11）：2769-2775.
[12]ZHANG YM, SUN L, SUN XB, et al. The application of health management based on the theory of knowledge, belief, and action in the primary prevention of stroke in children of stroke patients [J]. Nurs Prac Res, 2022, 19(19): 2905-2910.
张亚梅，孙　璐，孙晰博，等. 基于知信行理论的健康管理在脑卒中患者子女卒中一级预防中的应用[J]. 护理实践与研究，2022， 19（19）：2905-2910.

备注/Memo

备注/Memo:
（2023-03-20收稿，2023-12-22修回）
基金项目：湖北省卫生健康委员会科研项目（WJ2021F140；WJ2019F179；WJ2021F139；WJ2023Z014）
通信作者：付晶晶，Email：fujingjingwin@163.com
更新日期/Last Update: 2024-03-31