社区健康管理模式对缺血性脑卒中危险因素干预的研究进展
Research Progress of Community Health Management Model Intervention on Ischem-ic Stroke Risk Factors
摘要: 随着人口老龄化的不断推进以及人们不健康的生活方式,缺血性脑卒中的发病率逐年增高,已经成为我国居民致死、致残的首位病因,给社会及患者家庭造成极大的经济负担和精神压力,严重影响国计民生。缺血性脑卒中已经成为我国社区卫生服务需要重点管理的慢性疾病之一,对危险因素进行干预是阻止疾病发生发展的重要预防措施。本文将对当前缺血性脑卒中在社区健康管理模式中的现状以及危险因素干预措施进行综述,旨在发现其中存在的不足,使我国社区健康管理模式在预防缺血性脑卒中发挥更大的作用,从而减少我国居民缺血性脑卒中的发病率、患病率以及致残率。
Abstract: With the continuous advancement of population aging and people’s unhealthy lifestyles, the inci-dence of ischemic stroke is increasing year by year, and it has become the first cause of death and disability in China, causing a huge economic burden and mental pressure to the society and the pa-tient’s family, seriously affecting the national economy and people’s livelihood. Ischemic stroke has become one of the chronic diseases that need to be managed by community health services in China. Intervention of risk factors is an important preventive measure to prevent the occurrence and fur-ther development of the disease. This article will review the current status of ischemic stroke in the community health management model and related risk factor interventions, aiming to find out the shortcomings, so that China’s community health management model can play a greater role in the prevention of ischemic stroke. Therefore, it can reduce the incidence, prevalence and disability rate of ischemic stroke among Chinese residents.
文章引用:刘湘, 段振斌, 刘海楠, 杨芹, 张伟. 社区健康管理模式对缺血性脑卒中危险因素干预的研究进展[J]. 临床医学进展, 2023, 13(6): 10308-10313. https://doi.org/10.12677/ACM.2023.1361443

参考文献

[1] 王陇德, 刘建民, 杨弋, 等. 我国脑卒中防治仍面临巨大挑战——《中国脑卒中防治报告2018》概要[J]. 中国循环杂志, 2019, 34(2): 105-119.
[2] 亓建羽, 王晨冉, 刘咪, 等. 1990-2017年中国与不同社会人口学指数地区脑卒中疾病负担和危险因素的比较分析[J]. 中华预防医学杂志, 2021, 55(8): 958-964.
[3] 刘雷. 健康中国2030: 发展目标和指标体系研究[J]. 科学与现代化, 2017, 71(2): 26-59.
[4] GBD 2019 Stroke Collaborators (2021) Global, Regional and National Burden of Stroke and Its Risk Factors, 1990-2019: A Systematic Analysis for the Global Burden of Disease Study 2019. The Lancet Neurology, 20, 795-820.
[5] 《中国卒中中心报告2020》编写组. 《中国卒中中心报告2020》概要[J]. 中国脑血管病杂志, 2021, 18(11): 737-743.
[6] 王陇德, 彭斌, 张鸿祺, 等. 《中国脑卒中防治报告2020》概要[J]. 中国脑血管病杂志, 2022, 19(2): 136-144.
[7] 秦静, 周亚霖, 朱书平, 等. 城市社区老年人脑卒中患病状况及健康管理[J]. 中国老年学杂志, 2021, 41(8): 1730-1732.
[8] 贾丽莉. 社区脑卒中高危人群健康生活方式调查及干预措施[J]. 河南医学研究, 2021, 30(3): 419-421.
[9] 肖怡, 张跃红, 任珊, 李思佳, 李芸. 北京某社区脑卒中危险因素调查及干预效果[J]. 继续医学教育, 2022, 36(1): 105-108.
[10] 隋梦芸, 叶迎风, 苏锦英, 等. 国内外社区健康管理模式研究[J]. 医学与社会, 2020, 33(4): 51-55.
[11] 高彩红, 裴建基, 马丽芳, 等. 社区医师对脑卒中二级预防可控危险因素的认知情况及培训效果研究[J]. 中国全科医学, 2019, 22(1): 75-78.
[12] Chin, Y.Y., et al. (2018) Prevalence, Risk Factors and Secondary Prevention of Stroke Recurrence in Eight Countries from South, East and Southeast Asia: A Scoping Review. The Medical journal of Malaysia, 73, 90-99.
[13] Crayton, E., et al. (2017) Psychological Determinants of Medication Adherence in Stroke Survivors: A Systematic Review of Observational Studies. Annals of Behavioral Medicine, 51, 833-845. [Google Scholar] [CrossRef] [PubMed]
[14] 周筠, 殷粒实, 宫恩莹, 等. 河北省南和县农村卒中患者二级预防药物依从性及其相关因素分析[J]. 中国卒中杂志, 2020, 15(6): 673-680.
[15] 林锦春, 李笑丛, 黄文静, 等. 罗湖区居民对家庭医生服务需求与期望[J]. 中国慢性病预防与控制, 2021, 29(1): 41-45.
[16] 林燕. “最多跑一次”改革下居民家庭公共卫生健康档案管理的重要性探讨[J]. 中医药管理杂志, 2020, 28(18): 213-215.
[17] 李沛鸿, 何业虎, 邢维祖, 等. 脑卒中二级预防社区管理的模式及其应用效果研究进展[J]. 海南医学, 2021, 32(20): 2685-2687.
[18] 温俊程, 曹春水. 我国脑卒中社区管理中存在的问题及对策探讨[J]. 中国全科医学, 2019, 22(20): 2482-2487.
[19] 高腾, 杨滨瑞, 赵琳琳, 等. 缺血性脑卒中可预防性危险因素的研究进展[J]. 中国实验诊断学, 2020, 24(11): 1920-1923.
[20] 龙秀英, 曾倩, 李秋茹. 缺血性卒中复发危险因素分析及风险评估[J]. 中国现代神经疾病杂志, 2016, 16(7): 442-446.
[21] 曹静雅. 健康教育对社区老年人防治脑卒中的影响探讨[J]. 基层医学论坛, 2021, 25(32): 4684-4685+4688.
[22] Nasr, N.B., Rouault, A., Cornillet, N., et al. (2018) Evaluation of a Hypertension-Based Patient Education Program in a Stroke Center. International Journal of Clinical Pharmacy, 40, 1490-1500. [Google Scholar] [CrossRef] [PubMed]
[23] Feigin, V.L., et al. (2016) Global Burden of Stroke and Risk Factors in 188 Countries, during 1990-2013: A Systematic Analysis for the Global Burden of Disease Study 2013. The Lancet Neurology, 15, 913-924. [Google Scholar] [CrossRef
[24] Chen, S.H., Lee, H.C., Chang, K.C., et al. (2019) Low Per-sistence of Antithrombotic Agents Is Associated with Poor Outcomes after First-Ever Acute Ischemic Stroke. Acta Neu-rologica Taiwanica, 28, 95-118.
[25] 张丽琼, 蔡乐. 高血压患者服药依从性及其影响因素研究现状[J]. 中华高血压杂志, 2020, 28(1): 25-29.
[26] 宋佳, 梅乐荣, 李珊, 陈美芬. 心脑血管疾病高危人群首发缺血性脑卒中的影响因素分析[J]. 护理与康复, 2021, 20(11): 1-6.
[27] 靳祥云, 刘文伟, 宿连政, 覃贤文. 脑卒中患者心理困扰现状研究进展[J]. 护士进修杂志, 2022, 37(4): 355-358.
[28] Wang, X., Shang, S., Yang, H., et al. (2019) Associations of Psychological Distress with Positive Psychological Variables and Activities of Daily Living among Stroke Patients: A Cross-Sectional Study. BMC Psychiatry, 19, Article No. 381. [Google Scholar] [CrossRef] [PubMed]
[29] Kirkevold, M., et al. (2018) Promoting Psychosocial Well-Being Following Stroke: Study Protocol for a Randomized, Controlled Trial. BMC Psychology, 6, Article No. 12. [Google Scholar] [CrossRef] [PubMed]