| 陈珍凤,陈霞,胡琼丹,等.门诊患者脑卒中风险评级的相关因素分析及对策[J].中国临床保健杂志,2021,24(3):411-417. |
| 门诊患者脑卒中风险评级的相关因素分析及对策 |
| Related factors of stroke risk rating in clinic patients analysis and countermeasures |
| 投稿时间：2021-03-11 |
| DOI：10.3969/J.issn.1672-6790.2021.03.029 |
| 中文关键词: 卒中 危险性评估 危险因素 门诊病人 |
| 英文关键词: Stroke Risk assessment Risk factors Outpatients 〖FL |
| 基金项目: |
| 作者 | 单位 | E-mail | | 陈珍凤 | 中国科学技术大学附属第一医院 安徽省立医院 , 南区护理部,合肥 230036 | 1569265542@qq.com | | 陈霞 | 中国科学技术大学附属第一医院 安徽省立医院 , 南区护理部,合肥 230036 | 1569265542@qq.com | | 胡琼丹 | 中国科学技术大学附属第一医院 安徽省立医院 , 南区护理部,合肥 230036 | 1569265542@qq.com | | 段禹 | 中国科学技术大学附属第一医院,南区医务科,合肥 230036 | 1569265542@qq.com | | 吴寒 | 中国科学技术大学附属第一医院,南区神经内科,合肥 230036 | 1569265542@qq.com |
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| 中文摘要: |
| 目的 探讨门诊患者脑卒中风险评级的相关生活因素,筛选出高风险评级的脑卒中人群,制定针对性的护理干预对策,以降低患者脑卒中发生风险。方法 采用便利抽样法共选取我院南区脑卒中护理门诊患者102例进行问卷调查,收集其基线资料、生活方式、饮食习惯等,根据脑卒中风险评级分为低危组、中危组、高危组。分析全人群、女性人群、男性人群不同脑卒中风险评级相同基本生活因素的差异性,再采用多因素logistic回归模型,探索全人群、女性人群中影响脑卒中风险评级的独立影响因素。结果 全人群中低危组、中危组、高危组三组人群中性别、体质量、收缩压均存在明显组间差异；女性人群中三组在收缩压、舒张压上差异有统计学意义；男性人群中与中危组相比,高危组收缩压、舒张压、运动习惯均存在差别；调整混杂因素后,全人群中性别、收缩压是影响脑卒中风险评级的独立影响因素；女性人群中,收缩压是影响高危组脑卒中风险评级的独立影响因素；男性人群中,运动习惯是影响高危组脑卒中风险评级的独立影响因素。结论 性别、运动习惯、血压是影响卒中风险评级的重要影响因素,并且对其具有独立的预测价值。 |
| 英文摘要: |
| Objective To investigate the relevant life factors of stroke risk rating for nursing stroke patients,screen out stroke populations with high risk ratings,and formulate targeted nursing intervention strategies to reduce the risk of stroke in outpatients.Methods A continuous collection of 102 patients who visited the stroke screening nursing clinic of our hospital,collected their baseline data,lifestyle,eating habits,etc.,were divided into low-risk group,intermediate-risk group,and high-risk group according to the stroke risk rating.To analyze the differences in the same basic life factors of the whole population,female population,and male population with the same basic life factors with different stroke risk ratings,and then a multi-factor logistic regression model was used to explore independent influencing factors that affect stroke risk ratings in the whole population and female population.Results There were significant differences in gender,weight,and systolic blood pressure among the three groups of the whole population in the low-risk group,the medium-risk group,and the high-risk group;the three groups in the female population had significant statistical significance in systolic and diastolic blood pressure;compared with the intermediate-risk group,the high-risk group had differences in systolic blood pressure,diastolic blood pressure,and exercise habits in the male population;after adjusting for confounding factors,gender and systolic blood pressure in the entire population are independent factors that affect the risk rating of stroke;in the female population,systolic blood pressure was an independent factor affecting the stroke risk rating of the high-risk group;among men,exercise habits were an independent factor affecting the stroke risk rating of the high-risk group.Conclusion Gender,exercise habits,and blood pressure are important factors affecting the rating of stroke risk,and they have independent predictive value. |
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