Effect of 5As model based on integrated hospital and community team management on self-management behavior in stroke high-risk population
10.3760/cma.j.issn.1671-7368.2018.06.021
- VernacularTitle:基于两位一体团队5As模式管理对社区脑卒中高危人群自我管理行为的影响
- Author:
Qian WANG
1
;
Xiaoci HE
;
Xiao ZHI
;
Peng WU
;
Yanfeng WANG
;
Kepin SUN
;
Ting ZHANG
;
Rongying WANG
Author Information
1. 河北医科大学第二医院脑卒中筛查与防治基地办公室
- Keywords:
Patient Care management;
Community health services;
Stroke;
Primary prevention
- From:
Chinese Journal of General Practitioners
2018;17(6):490-493
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of "5As" (ask,advice,assess,assist,arrange) model based on the "two-in-one team" management (integrated hospital and community health service center management team) on the self-management behavior in stroke high-risk population.Method A stroke risk screening was conducted among 1 196 residents aged ≥40 years selected by cluster sampling in a community of Shijiazhuang city from March 2016 to March 2017,and 218 high-risk individuals were identified.The high risk individuals were randomly divided into intervention group and control group.The control group received routine health instruction,the intervention group was managed by "two-in-one team" with 5As model.Stroke prevention knowledge questionnaire and self-evaluation scale were applied for evaluation before and after intervention.Results Before intervention,scores of the stroke prevention knowledge and self-management behavior in the intervention group and the control group were (21.6 ±4.7) and (130.8 ± 6.4) points,(20.4±5.0) and (131.4 ±6.3) points,respectively (t =1.79,P =0.08;t =0.67,P =0.50).After intervention,the scores of prevention knowledge and self-management behavior in the intervention group were higher than those in the control group [(30.5 ± 5.1) vs.(21.7 ± 6.0) points,t =16.83,P=0.00;(158.3±19.0) vs.(135.6±20.0)points,t=7.85,P=0.00].Conclusion The 5As intervention model based on the two-in-one team management can improve stroke prevention knowledge and self-management behavior among stroke high-risk individuals in the community.
