Effect of behavioral intervention on the prognosis of patients with carotid artery stenting

中华行为医学与脑科学杂志 Pub Date : 2020-03-20 DOI:10.3760/CMA.J.CN371468-20191120-00885

Zhaoying Wu, Baojun Qiao, Hui Yan, Chen Chen, Shuhu Zhou, Yanlei Hao

{"title":"Effect of behavioral intervention on the prognosis of patients with carotid artery stenting","authors":"Zhaoying Wu, Baojun Qiao, Hui Yan, Chen Chen, Shuhu Zhou, Yanlei Hao","doi":"10.3760/CMA.J.CN371468-20191120-00885","DOIUrl":null,"url":null,"abstract":"Objective \nTo explore the effects of behavior intervention on patients with ischemic cerebrovascular disease recurrence, carotid artery stenosis recurrence, and quality of life after carotid artery stenting implantation. \n \n \nMethods \nSixty patients with carotid stenosis who underwent stenting surgery between January 2017 and July 2018 in Affiliated Hospital of Jining Medical University were recruited.The subjects were randomly divided into behavioral intervention group and control group.The control group was routinely followed up after carotid artery stenting implantation.The behavioral intervention group added home visit, education, guidance of the control and detection of risk factors for cerebrovascular disease of stent implantation. \n \n \nResults \nAfter 12 months of intervention, the incidence of ischemic cerebrovascular disease and the recurrence rate of carotid restenosis in the behavioral intervention group(6.7%, 3.3%) were significantly lower than those in the control group(30.0%, 20.0%) (both P<0.05). Six months after the intervention and 12 months after the intervention, the self-management ability score (intervention group: six months after the intervention (171.20±18.43), 12 months after the intervention (179.90±14.34); control group: six months after the intervention (160.77±13.43); 12 months after the intervention (164.27±14.85)) and quality of SS-QOL score (intervention group: 6 months after intervention (188.47±16.25), 12 months after intervention (203.17±13.84); control group: 6 months after intervention (170.67±15.82); 12 months after intervention (183.80±18.19)of the intervention group were higher than that of the control group, the difference is statistically significant (all P<0.05). \n \n \nConclusion \nBehavioral intervention after carotid artery stenting implantation can effectively reduce the incidence of stroke and the recurrence rate of carotid stenosis and improve the prognosis of patients.The mechanism may be related with that the behavioral intervention can improve the self-management ability and the quality of life of patients with carotid stenosis. \n \n \nKey words: \nBehavioral intervention; Carotid stenosis stent implantation; Recurrence of carotid stenosis; Prognosis","PeriodicalId":9940,"journal":{"name":"中华行为医学与脑科学杂志","volume":"29 1","pages":"250-255"},"PeriodicalIF":0.0000,"publicationDate":"2020-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华行为医学与脑科学杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.CN371468-20191120-00885","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

Abstract

Objective To explore the effects of behavior intervention on patients with ischemic cerebrovascular disease recurrence, carotid artery stenosis recurrence, and quality of life after carotid artery stenting implantation. Methods Sixty patients with carotid stenosis who underwent stenting surgery between January 2017 and July 2018 in Affiliated Hospital of Jining Medical University were recruited.The subjects were randomly divided into behavioral intervention group and control group.The control group was routinely followed up after carotid artery stenting implantation.The behavioral intervention group added home visit, education, guidance of the control and detection of risk factors for cerebrovascular disease of stent implantation. Results After 12 months of intervention, the incidence of ischemic cerebrovascular disease and the recurrence rate of carotid restenosis in the behavioral intervention group(6.7%, 3.3%) were significantly lower than those in the control group(30.0%, 20.0%) (both P<0.05). Six months after the intervention and 12 months after the intervention, the self-management ability score (intervention group: six months after the intervention (171.20±18.43), 12 months after the intervention (179.90±14.34); control group: six months after the intervention (160.77±13.43); 12 months after the intervention (164.27±14.85)) and quality of SS-QOL score (intervention group: 6 months after intervention (188.47±16.25), 12 months after intervention (203.17±13.84); control group: 6 months after intervention (170.67±15.82); 12 months after intervention (183.80±18.19)of the intervention group were higher than that of the control group, the difference is statistically significant (all P<0.05). Conclusion Behavioral intervention after carotid artery stenting implantation can effectively reduce the incidence of stroke and the recurrence rate of carotid stenosis and improve the prognosis of patients.The mechanism may be related with that the behavioral intervention can improve the self-management ability and the quality of life of patients with carotid stenosis. Key words: Behavioral intervention; Carotid stenosis stent implantation; Recurrence of carotid stenosis; Prognosis

查看原文本刊更多论文

行为干预对颈动脉支架置入术患者预后的影响

目的探讨行为干预对缺血性脑血管病复发、颈动脉狭窄复发及颈动脉支架置入术后生活质量的影响。方法选择2017年1月至2018年7月在济宁医科大学附属医院接受支架置入术的颈动脉狭窄患者60例。受试者被随机分为行为干预组和对照组。对照组在颈动脉支架植入术后进行常规随访。行为干预组增加了家访、教育、指导支架置入术控制和检测脑血管疾病危险因素。结果干预12个月后，行为干预组缺血性脑血管病发生率和颈动脉再狭窄复发率（6.7%、3.3%）明显低于对照组（30.0%、20.0%）（均P<0.05），自我管理能力评分（干预组：干预后6个月（171.20±18.43），干预后12个月（179.90±14.34）；对照组：干预后6个月（160.77±13.43）；干预后12个月（164.27±14.85））和SS-QOL评分质量（干预组：干预后6个月（188.47±16.25），干预后12月（203.17±13.84）；对照组：干预后6个月（170.67±15.82）；干预组干预12个月后（183.80±18.19）明显高于对照组，差异有统计学意义（均P<0.05）。其机制可能与行为干预能够提高颈动脉狭窄患者的自我管理能力和生活质量有关。关键词：行为干预；颈动脉狭窄支架植入术；颈动脉狭窄复发；预后

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

中华行为医学与脑科学杂志

自引率

0.00%

发文量

8131

期刊介绍： "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.