Study on the effect of county-level intensive health care specialist sinking service model on stroke management
县域级紧密型健共体专家下沉服务模式对脑卒中管理成效的研究

摘要

目的 文章探讨了县域级紧密型健共体专家下沉服务模式对脑卒中管理成效的研究。方法 选取我院于2022年4月-2023年4月收治的80例脑卒中患者为研究对象，采取数字分组法，分为对照组、观察组，对照组采取常规医疗服务模式，观察组采取了紧密型健共体专家下沉服务模式，试验指标包括：2组脑卒中治疗有效率、治疗复发率和致残率、SF-36量表评估。结果 相比对照组，观察组脑卒中治疗有效率更高，分别为75%、50%，具有显著统计学差异性意义，P＜0.05。相比对照组，观察组治疗治疗复发率和致残率更低，其中，观察组复发率为20%，对照组复发率为45%，观察组致残率2.5%，对照组致残率12.5%，具有显著统计学差异性意义，P＜0.05。相比对照组，观察组治疗后生活质量评分更高，分别为340±35.1、310±26.5，具有显著统计学差异性意义，P＜0.05。结论 观察组采取的紧密型健共体专家下沉服务模式具有较高的医学临床价值，值得广泛推广。

Abstract

Objective This article explores the research on the effectiveness of the service mode of experts sinking from a closely-knit health care at the county level in the management of stroke.
Methods Eighty patients with stroke treated in our hospital from April 2022 to April 203 were selected as the research subjects. The numerical grouping method was adopted, dividing them into a control group and an observation group. The control group adopted the routine medical mode, while the observation group adopted the service mode of experts sinking from a closely-knit health care community. The trial indicators included the effective rate of stroke treatment the recurrence rate and the disability rate of treatment, and the SF-36 scale assessment.
Results Compared with the control group, the observation group had a higher rate of stroke treatment, which were 75% and 50% respectively, and there was significant statistical difference, P < 0.05. with the control group, the recurrence rate and disability rate of treatment in the observation group were lower, with the recurrence rate in the observation group being 20% that in the control group being 45%, and the disability rate in the observation group being 2.5% and that in the control group being 2.5%. There was significant statistical difference, P < 0.05. Compared with the control group, the observation group had higher scores of healthrelated quality of life after treatment, which were 340 ± 35.1 and 310 ± 26.5, respectively, there was significant statistical difference, P < 0.05.
Conclusion   The service mode of experts sinking from a closely-knit health care community adopted the observation group has high medical clinical value and is worth promoting widely.