微信平台对出院脑卒中康复期患者的影响  

Impacts of WeChat platform on discharged stroke patients in rehabilitation

作　　者：黄根林[1] 周伟坤[1] 丘燕娇 李又佳[1] 黄燕[1] HUANG Genlin;ZHOU Weikun;QIU Yanjiao;LI Youjia;HUANG Yan(Department of Neurology,the First People's Hospital of Zhaoqing,Guangdong,Zhaoqing 526000,China)

机构地区：[1]广东省肇庆市第一人民医院神经内科,广东肇庆526000

出　　处：《中国医药科学》2021年第16期132-135,共4页China Medicine And Pharmacy

基　　金：广东省肇庆市科技创新指导类项目(201704030705)。

摘　　要：目的探讨微信平台对出院脑卒中康复期患者主要照护者执行力、日常生活活动能力和疾病管理情况的研究。方法选取2018年5月至2019年4月肇庆市第一人民医院神经内科收治的脑卒中患者为研究对象。按照随机数字表法将患者分为干预组(n=100)和对照组(n=100)。对照组进行常规的出院指导和健康教育,干预组则通过微信管理平台对出院脑卒中康复患者进行健康管理和指导。比较两组患者在出院后3个月、出院后6个月和出院后1年的Barthel指数评分、Rivermead运动指数、主要照护者执行力和疾病管理情况。结果干预组出院后6个月和出院后1年的Barthel指数评分、Rivermead运动指数和主要照护者的执行力评分显著高于对照组(P<0.05);干预组出院后1年的感染发生率和疾病再发住院率显著低于对照组(P<0.05);干预组出院后6个月及出院后1年的压疮发生率显著小于对照组(P<0.05)。结论通过微信平台对出院脑卒中康复期患者进行指导可提高其日常生活活动能力、运动能力和主要照护者执行力,加强对疾病的管理。Objective To investigate the impacts of WeChat platform on the executive ability,activities of daily living(ADL)and disease management of main caregivers of discharged stroke patients in rehabilitation.Methods Stroke patients admitted to and treated in the department of neurology of the First People's Hospital of Zhaoqing from May 2018 to April 2019 were selected as the experimental subjects.The patients were divided into the intervention group(n=100)and the control group(n=100)according to the random number table method.The control group was treated with conventional discharge guidance and health education,while the intervention group was treated with health management and guidance for discharged stroke patients in rehabilitation through WeChat management platform.The Barthel index score,Rivermead movement index,executive ability of main caregivers and disease management after 3 months,6 months and 1 year of discharge were compared between the two groups of patients.Results The Barthel index score,Rivermead movement index and executive ability score of main caregivers in the intervention group were significantly higher than those in the control group after 6 months and 1 year of discharge(P<0.05).The incidence of infection and hospitalization rate of disease relapse in the intervention group after 1 year of discharge were significantly lower than those in the control group(P<0.05).The incidences of pressure ulcer in the intervention group after 6 months and 1 year of discharge were significantly lower than those in the control group(P<0.05).Conclusion Guidance through WeChat platform can improve the ADL,movement ability and executive ability of main caregivers of discharged stroke patients in convalescence and strengthen disease management.

关 键 词：微信平台 出院 脑卒中 康复 神经内科 

分 类 号：R743.3[医药卫生—神经病学与精神病学]