摘要
目的 研究山区脑梗死患者采用家庭访视联合个案管理对其溶栓后康复依从性与预后的影响。方法选择2023年6月至2024年6月期间前来我院进行脑梗死溶栓治疗的60例患者，将患者依据入院顺序分为对照组与干预组，每组包含30例，对照组接受常规护理服务及出院后电话随访，干预组使用以家庭访视为核心的个案管理模式，评估患者的康复依从性、mRS评分、日常活动量表（ADL）评分。结果 观察组溶栓后康复依从性大于对照组，各项预后指标观察组均优于对照组，差异显著（P＜0.05）。结论 家庭方式联合个案管理在山区脑梗死患者中有良好的应用效果。
关键词： 家庭访视；个案管理；山区脑梗死；康复依从性；预后状况
Abstract
Objective To investigate the impact of joint case management with home visits on the compliance and prognosis of post-thbolysis rehabilitation in mountain patients with cerebral infarction. Methods Among the 60 patients who received thrombolytic treatment for cerebral infarction our hospital from June 2023 to June 2024, patients were divided into control and intervention groups according to their hospital admission sequence, with each group containing30 cases. The control group received routine nursing services and telephone follow-up after discharge, while the intervention group used a case management model with home visits as the core. The of rehabilitation, mRS score, and Activity of Daily Living (ADL) score were evaluated. Results The post-thrombolysis rehabilitation compliance of the observation group greater than that of the control group, and all prognostic indicators of the observation group were superior to those of the control group, with significant differences (P<0.05). Conclusion Joint case management with home visits has good application effects in mountain patients with cerebral infarction.
Key words： Home visit; Case management; Cerebral infarction; Rehabilitation compliance; Prognosis
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