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目的探讨二级医院中青年急性脑卒中患者进行疾病管理的效果。方法对105例中青年急性脑卒中首次发病患者进行生活方式问卷调查,综合评估危险因素后建立健康档案,制定相应的疾病管理计划,有针对性地实施健康教育和随访,并进行个体化健康指导,6个月后观察并分析疾病管理效果。结果患者不良生活方式得到改变,坚持服药率达93.02%,戒烟率达90.69%,限酒率97.67%,能坚持康复锻炼患者达90.69%,坚持低盐低脂饮食患者达81.39%。结论对中青年急性脑卒中患者实施疾病管理,为降低疾病发病率和复发率、提高患者的生活质量提供了一条新途径。
Objective To investigate the effect of disease management in middle-aged and young patients with acute stroke in secondary hospitals. Methods A total of 105 middle-aged and young adults with first-time acute stroke were surveyed by lifestyle questionnaire. After comprehensive assessment of risk factors, health records were established, corresponding disease management plans were formulated, targeted health education and follow-up were conducted, and individualized health guidance Six months later, the effect of disease management was observed and analyzed. Results The unhealthy lifestyles of patients were changed. The rate of taking medicine was 93.02%, the rate of smoking cessation was 90.69%, the rate of limiting alcohol was 97.67%, 90.69% of those who could insist on rehabilitation exercise and 81.39% of those who insisted on low-salt and low-fat diet. Conclusion The implementation of disease management in acute stroke patients in middle-aged and young people provides a new way to reduce the incidence of disease and the recurrence rate and improve the quality of life of patients.