Abstract:

Objective To evaluate the effect of individualized continuous follow-up management in patients with remote ischemic conditioning（RIC） on compliance and treatment. Methods Using convenience sampling and historical control,patients received RIC from March to May 2017 were recruited as the control group,and those received RIC from June to September 2017 were recruited as the experimental group. The control group was provided with routine follow-up,whereas the experimental group was provided with individualized continuous follow-up management. Treatment compliance at 1,3,6 months,as well as recurrence rate of ischemic stroke events within 6 months for two groups were compared. Results The compliance in the experimental group was higher than that in the control group at 1,3,and 6 months,and the differences were statistically significant（P<0.001）. The recurrence rate of the ischemic stroke in the control group was 5.66% which was higher than 0% in the experimental group,but the difference was not statistically significant（P>0.05）. Conclusion Individualized continuous follow-up management can effectively improve the treatment compliance of patients undergoing RIC,thus ensuring the clinical research effect of RIC. This management method can provide reference for construction of RIC treatment and nursing model in the future.

Key words: Remote Ischemic Conditioning, Individualization, Continuous, Follow-up Management

摘要：

目的 评价基于个体化需求的护理随访对行远隔缺血适应（remote ischemic conditioning,RIC）治疗患者依从性及治疗效果的影响。方法 采用方便抽样历史对照的方法,将2017年3月—5月纳入RIC治疗的患者设为对照组,将2017年6月—9月纳入RIC治疗的患者设为试验组,对照组接受常规临床实验的随访方法,试验组接受基于个体化需求的护理随访。比较对照组和试验组行RIC治疗的缺血性脑卒中患者1个月、3个月、6个月的治疗依从性及6个月内缺血性脑卒中事件的复发率。结果 试验组的治疗依从性在1个月、3个月、6个月时均高于对照组,差异均具有统计学意义（P<0.001）,对照组6个月缺血性脑卒中复发率高于试验组,但差异无统计学意义（P >0.05）。 结论 基于个体化需求的护理随访可以有效提高行RIC治疗患者的治疗依从性,从而保证RIC的临床研究效果。该方法可为构建RIC治疗护理模式提供借鉴。

关键词: 远隔缺血适应, 个体化, 延伸, 随访管理