Effect of disease management programs on stroke recurrence in patients with ischemic stroke
10.3760/cma.j.issn.1674-2907.2017.10.017
- VernacularTitle:疾病管理计划对缺血性脑卒中患者卒中复发的影响
- Author:
Xiaohong MIAO
1
;
Liya HU
;
Xiaofang ZHENG
;
Hong YE
;
Xiaofang LIN
;
Yongxia WANG
;
Haifang LIN
;
Shufang YE
;
Lijuan BAO
Author Information
1. 323000,浙江省丽水市人民医院神经内科
- Keywords:
Recurrence;
Disease management programs;
Ischemic stroke
- From:
Chinese Journal of Modern Nursing
2017;23(10):1402-1406
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of disease management programs (DMPs) on prevention of recurrence of ischemic stroke (IS).Methods This study was a prospective follow-up study which included 182 subjects with IS between January 2012 and December 2013. These subjects were divided into study group (n=88) and control group (n=94) randomly. The patients of study group received six months of DMPs and the pa-tients of control group received conventional health education at discharge.Results The follow-up was carried out 33 months (6-45 months) averagely in two groups. 5 cases recurred IS in the study group, with the time to recurrence of 20 (10-35) months, and 3-year recurrence-free survival rate was 92.8%; 14 cases recurred IS in the control group, with the time to recurrence of 13 (4-28) months, and 3-year recurrence-free survival rate was 84.3%. Recurrence-free survival rate in study group was significantly increased than the control group(χ2=4.371, P<0.05).Conclusions Disease management programs can significantly reduce the recurrence of ischemic stroke, which is worthy of applying in clinical work further.
