Abstract:

Objective To explore the effects of the follow-up process based on a case management model in cerebrovascular patients with stents. Methods Patients who were admitted in the neurology department of a hospital for stents treatment from June to December 2020 were recruited in the study. According to the location of the department（Neurology Area A and Area B）,patients were assigned to the interventional group（120 cases） and the control group（121 cases）. Patients in the interventional group received follow-up based on a case management model while patients in the control group received routine follow-up. The outpatient clinic revisit rate,waiting time in outpatient clinic,and patients' satisfaction were compared between the two groups in 6 months after discharge. Results The outpatient clinic revisit rate of patients in the interventional group was significantly higher than that of patients in the control group（94.58% vs 72.64%, χ²=64.941,P<0.001）. The medica-tion adherence of patients in the interventional group[7.25（7.00,7.86）] was higher than that in the control group[7.25（5.25,7.56）]（U=5 468,P<0.001）. The waiting time in the outpatient clinic in the trial group was significantly lower than that in the control group[115（105.25,123.00） min vs 166（154.5,178.00）min]（U=14 510,P<0.001）. Patients' satisfaction level in the interventional group was higher than that in the control group[9.25（9.00,10.00） vs [9.00（8.75,9.25）]（U=4402,P<0.001）. Conclusion The follow-up process based on a case mana-gement model can improve the revisit rate in the outpatient clinic,medication adherence,reduced outpatient waiting time,and satisfaction level of patients.

Key words: Cerebrovascular Disorders, Stents, Case management, Return visit