广州医药 ›› 2026, Vol. 57 ›› Issue (2): 240-247.DOI: 10.20223/j.cnki.1000-8535.2026.02.017

• 医院管理 • 上一篇    下一篇

广东省卒中中心建设进展及改进措施初探

蓝花红1, 欧阳樱君2, 李进3, 綦远丹1, 吕径云2, 黄结泳2   

  1. 1 华南理工大学附属第二医院(广州市第一人民医院)南沙医院血液科(广东广州 511475);
    2 华南理工大学附属第二医院(广州市第一人民医院)南沙医院神经内科(广东广州 511475);
    3 华南理工大学附属第二医院(广州市第一人民医院)南沙医院护理部(广东广州 511475)
  • 收稿日期:2025-03-25 出版日期:2026-02-20 发布日期:2026-04-03
  • 通讯作者: 李进,E-mail:7340375@qq.com
  • 基金资助:
    国家卫健委2023年度脑卒中防治技术研究(WKZX2023CZ0231); 广州市卫生健康科技一般引导项目(20251A010003)

Development and improvement measures of Stroke Center in Guangdong Province

LAN Huahong1, OUYANG Yingjun2, LI Jin3, QI Yuandan1, LYU Jingyun2, HUANG Jieyong2   

  1. 1 Department of Hematology,Nansha Hospital,Guangzhou First People's Hospital,the Second Affiliated Hospital,School of Medicine,South China University of Technology,Guangzhou 511475,China;
    2 Department of Neurology,Nansha Hospital,Guangzhou First People's Hospital,the Second Affiliated Hospital,School of Medicine,South China University of Technology,Guangzhou 511475,China;
    3 Department of Nursing Management,Nansha Hospital,Guangzhou First People's Hospital,the Second Affiliated Hospital,School of Medicine,South China University of Technology,Guangzhou 511475,China
  • Received:2025-03-25 Online:2026-02-20 Published:2026-04-03

摘要: 目的 分析广东省卒中中心建设现状及存在的问题,提出切实可行的改善建议。方法 基于广泛的文献调研,通过问卷对广东省护士协会卒中中心建设与管理分会相关单位开展问卷调查,统计分析其在医院管理制度、医护人员卒中救治水平及健康宣教等方面的现状与问题。结果 广东省卒中中心建设与管理委员会相关单位在卒中救治中基本实现跨学科合作,院前评估制度基本满足卒中判断需求,在提高卒中救治效率方面已基本形成共识,卒中健康宣教基本满足患者需求,但方式有待改进,卒中随访制度和个案管理制度基本符合要求;存在的问题包括卒中中心一线救治人员外出交流学习机会较少;院前评估数据采集的便利性有待提高;卒中康复需求仍难以满足;健康宣教工作仍需加强。结论 广东省卒中中心建设与管理委员会相关单位在卒中院前评估、院内救治、出院随访和健康宣教方面能够满足患者需求,但仍存在不足。建议相关单位为一线工作人员提供更多外出交流学习机会,充分应用互联网和物联网技术提高院前卒中数据采集共享便利性;加强多种形式的科普宣教,继续完善拓展卒中康复治疗和护理服务并完善相关制度。

关键词: 卒中中心, 建设进展, 改善建议, 广东省

Abstract: Objective To understand the current situation of construction and existing problems of Stroke Center in Guangdong Province.Put forward feasible suggestions for improvement.Methods Based on extensive literature research,a questionnaire was designed to investigate the relevant organizations of Stroke Center Construction and Management Branch of Guangdong Nurses Association.The status quo and existing problems in hospital management system,stroke treatment level of medical staff,health education and other aspects were statistically analyzed.Results The relevant organizations of the Guangdong Stroke Center Construction and Management Committee could basically achieve interdisciplinary cooperation in stroke treatment,the pre-hospital assessment system basically met the needs of stroke judgment,and a consensus was basically reached on how to improve the efficiency of stroke treatment.Stroke health education basically met the needs of patients but the methods need to be improved.The stroke follow-up system and case management system basically met the requirements,but there were not many opportunities for first-line treatment personnel in stroke centers to exchange and study abroad.The convenience of data collection for pre-hospital assessment needed to be improved.Stroke rehabilitation needs were still difficult to meet.Health education still needs to be strengthened.Conclusions The relevant units of Guangdong Stroke Center Construction and Management Committee can meet the needs of patients in the aspects of pre-hospital assessment,in-hospital treatment,discharge follow-up and health education,but there are still shortcomings.It is suggested that relevant organizations provide more opportunities for front-line staff to exchange and study abroad,make full use of Internet and Internet of Things technology to improve the convenience of pre-hospital stroke data collection and sharing.Strengthen various forms of science popularization and education,and continue to improve and expand stroke rehabilitation treatment and nursing services,improve relevant systems.

Key words: stroke center, construction progress, suggestions for improvement, Guangdong Province