微信平台的延续护理对老年脑卒中主要照顾者心理及照顾能力的影响  

Effects of continuing care based on WeChat platform on the mental health status and care ability of main caregivers for the patients with senile cerebral stroke

作　　者：王晓华[1] 孟伟康[1] 梁晓慧[1] 王敬如[1] WANG Xiaohua;MENG Weikang;LIANG Xiaohui(The First Hospital of Qinhuangdao City,Hebei,Qinhuangdao 066000,China)

机构地区：[1]河北省秦皇岛市第一医院

出　　处：《河北医药》2019年第13期2059-2062,共4页Hebei Medical Journal

摘　　要：目的探讨基于微信平台的延续护理对老年脑卒中患者主要照顾者的心理状况及照顾能力的影响。方法选择老年病科2016年6月至2017年12月收治的病情平稳准备出院的66例老年脑卒中患者主要照顾者作为研究对象,随机分为干预组和对照组,每组33例。2组在住院期间接受常规健康教育,包括日常生活、服药、安全指导等,对照组出院后3个月接受常规电话随访,干预组患者主要照顾者接受为期3个月的基于微信平台的延续护理,包括成立微信随访小组、在微信公众号定期发布疾病相关知识、安排小组成员参与微信群聊等。使用焦虑自评量表(SAS)和抑郁自评量表(SDS)及照顾能力量表(ECTI)在干预前和干预后3个月对患者照顾者心理状况及照顾能力进行评估。结果干预前2组患者照顾者的SDS、SAS得分差异无统计学意义(P>0.05);干预3个月后,2组患者照顾者的SDS、SAS得分差异有统计学意义(P<0.05);且干预组患者照顾者SDS、SAD得分均低于对照组,差异有统计学意义(P<0.05)。干预前2组患者照顾者的照顾能力得分差异无统计学意义(P>0.05);干预3个月后,2组患者照顾者的照顾能力差异有统计学意义(P<0.05);且干预组照顾者的照顾能力得分均低于对照组,差异有统计学意义(P<0.05)。结论微信作为一种简单方便的沟通方式,既能为老年脑卒中患者照顾者提供专业的知识及心理支持,同时为不同照顾者提供沟通交流的平台,基于微信平台的延续护理对提高老年脑卒中患者主要照顾者心理状况及照顾能力有积极作用,可在临床中推广。Objective To investigate the effects of continuing care based on WeChat platform on the mental health status and care ability of main caregivers for the patients with senile cerebral stroke. Methods A total of 66 elderly patients with cerebral stroke who were admitted and treated in our hospital from June 2016 to December 2017 were enrolled in the study,whose caregivers were enrolled as research objects,who were randomly divided into intervention group ( n =33) and control group ( n =33).The caregivers received routine health education including daily life, medication, safety instruction,etc,and those in control group received regular telephone follow-up at 3 months after the patients were discharged from hospital,however,those in intervention group,on the basis of control group, received continuing care based on WeChat platform for three months, including the establishment of WeChat follow-up team, regular release issueing of the related knowledge with disease on official Wechat public number, and arrangement for the team members to participate in WeChat group chat,etc. Finally the mental health status and care ability of the caregivers before intervention and at 3 months after intervention were evaluated by self-rating anxiety scale (SAS),self-rating depression scale (SDS) and caregiver’ skills scale. Results Before intervention there were no significant differences in SDS scores and SAS scores between the two groups ( P >0.05). After intervention there were significant differences in SDS scores and SAS scores between the two groups ( P <0.05),moreover,which in intervention group were significantly lower than those in control group ( P <0.05).Before intervention there were no significant differences in the scores of care ability of caregivers between the two groups ( P >0.05). After intervention there were significant differences in the scores of care ability of caregivers between the two groups ( P <0.05). Conclusion WeChat,as a simple and convenient way can not only provide professional knowledge and psycho

关 键 词：老年脑卒中 患者照顾者 微信 延续护理 

分 类 号：R473.5[医药卫生—护理学]