Observational Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 16, 2022; 10(29): 10478-10486
Published online Oct 16, 2022. doi: 10.12998/wjcc.v10.i29.10478
Effect of medical care linkage-continuous management mode in patients with posterior circulation cerebral infarction undergoing endovascular interventional therapy
Fen-Xia Zhu, Qian Ye
Fen-Xia Zhu, Qian Ye, Department of Interventional Medicine, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu Province, China
Author contributions: Zhu FX and Ye Q both participated in the design of this study. Zhu FX was responsible for collecting, analyzing, and processing the data; Zhu FX wrote the manuscript, and Ye Q made the final revisions to the manuscript.
Institutional review board statement: This research was approved by the Ethics Committee of The First Affiliated Hospital of Soochow University.
Informed consent statement: Informed consent was obtained from all study participants or their legal guardian prior to study enrollment.
Conflict-of-interest statement: There are no conflicts of interest to report.
Data sharing statement: The datasets used and/or analyzed in this study are available from the corresponding author on reasonable request.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and prepared and revised the manuscript accordingly.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qian Ye, BSc, Nurse, Department of Interventional Medicine, The First Affiliated Hospital of Soochow University, No. 188 Shizi Street, Suzhou 215006, Jiangsu Province, China. qianyqyejs@yeah.net
Received: July 3, 2022
Peer-review started: July 3, 2022
First decision: August 1, 2022
Revised: August 12, 2022
Accepted: August 30, 2022
Article in press: August 30, 2022
Published online: October 16, 2022
Processing time: 87 Days and 21.4 Hours
Abstract
BACKGROUND

Acute cerebral infarction is a severe type of ischemic stroke that can be divided into anterior circulation cerebral infarction and posterior circulation cerebral infarction (PCCI). PCCI affects the structure of the posterior circulation brain, because posterior part of the brain, which has more complex anatomical structures and more prone to posterior circulation vascular variation. Therefore, improving the prognosis of PCCI patients is necessary.

AIM

To explore the effect of medical care linkage-continuous management mode (MCLMM) on endovascular interventional therapy (EIT) for PCCI.

METHODS

Sixty-nine patients with PCCI who received EIT and conventional nursing intervention were selected as the control group, and 78 patients with PCCI who received EIT and MCLMM intervention were selected as the observation group. The incidence of postoperative complications, compliance and disease self-management behavior after six months of intervention, modified Rankin scale (mRS) and Barthel index (BI) scores in the acute phase and after one year of intervention, and recurrence within one year were compared between the two groups.

RESULTS

The total incidence rate of postoperative complications in the observation group (7.69%) was lower than that in the control group (18.84%) (P < 0.05). The scores for medical compliance behavior (regular medication, appropriate diet, and rehabilitation cooperation rates) and disease self-management behavior (self-will, disease knowledge, and self-care ability) in the observation group were higher than those in the control group (P < 0.05). After one year of intervention, in the observation group, the mRS score was significantly lower, and the BI score was significantly higher than those in the control group (P < 0.05). The recurrence rate within one year in the observation group (3.85%) was significantly lower than that in the control group (13.04%) (P < 0.05).

CONCLUSION

MCLMM can reduce the incidence of complications after EIT for PCCI, improve patient compliance behavior and disease self-management ability, and promote the recovery of neurological function.

Keywords: Medical care linkage-continuous management mode; Posterior circulation cerebral infarction; Cerebral infarction; Medical care; Interventional therapy

Core Tip: In our study, we explored the effect of medical care linkage-continuous management mode in endovascular interventional therapy for posterior circulation cerebral infarction (PCCI). Our results showed that this mode effectively reduces the incidence of complications after vascular interventional therapy for PCCI, effectively improves patient compliance behavior and disease self-management ability, and is important for promoting recovery of neurological function and activities of daily living as well as for preventing recurrence of disease. Thus, it is worthy of being widely used in clinical applications.