Transitional care need investigation of ischemic stroke patients and its influencing factors analysis
10.3760/cma.j.issn.1674-2907.2017.06.010
- VernacularTitle:缺血性脑卒中患者延续性护理需求调查及影响因素分析
- Author:
Huijie TIAN
1
;
Limei TANG
;
Juan WANG
;
Xiaoya CAO
;
Huilian SUN
Author Information
1. 河北医科大学第二医院神经内科
- Keywords:
Stroke;
Secondary prevention;
Health service demand;
Transitional care
- From:
Chinese Journal of Modern Nursing
2017;(6):777-780
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the transitional care needs of ischemic stroke patients when they were discharged and analyze the influencing factors.Methods Transitional care needs of stroke patients questionnaires were conducted in 136 ischemic stroke patients in the department of neurology from April 2014 to December 2014.Results Telephone follow-up was the easiest way of transitional care to be accepted by patients. The transitional care needs included five aspects:safe medication(86.0%),blood pressure self monitoring(83.1%),diet guiding(83.1%),rehabilitating exercise(80.1%) and stroke knowledge(75.7%). The influencing factors of transitional care needs were:the patients with previous medical history demanded much more on the safe medication intervention than the patients without history disease. The demand of the patients with previous medical history was 7.17 times as much as that of the patients without previous medical history (OR=7.15,95%CI:1.83-27.94).The demand of the patients with previous medical history on "rehabilitation exercise" was 4.68 times as much as that of the patients without previous medical history (OR=4.68,95%CI:1.40-15.63). The demand of the patients over 60 years old on "diet guiding" was 11.41 times as much as patients under 50 years old (OR=11.41,95%CI:1.75-74.46).Conclusions For ischemic stroke patients,telephone follow-up can be used as the method of transitional care. Older patients and patients with previous medical history are the main patients who need transitional care.
