医护宣教平台对缺血性脑卒中患者神经功能和生活质量的影响  

Effect of medical education platform on neurological function and quality of life of patients with ischemic stroke

作　　者：王娟[1] 张海娇 高媛媛[3] 唐丽梅[1] 田惠杰[1] 田素斋[4] WANG Juan;ZHANG Hai-jiao;GAO Yuan-yuan;TANG Li-mei;TIAN Hui-jie;TIAN Su-zhai(Department of Neurology, East Branch of the Second Hospital of Hebei Medical University, Shijiazhuang 050005, China;Department of Nursing, Handan Central Hospital, Handan 056000, China;Clinic of Skin Scraping,Hebei Provincial Hospital of Traditional Chinese Medicine, Shijiazhuang 0500017, China;Pension Center of the Second Hospital of Hebei Medical Universit, Shijiazhuang 050005, China)

机构地区：[1]河北医科大学第二医院东院区神经内科,河北石家庄050005 [2]河北省邯郸市中心医院护理部,河北邯郸056000 [3]河北省中医院刮痧门诊,河北石家庄0500017 [4]河北医科大学第二医院养老中心,河北石家庄050005

出　　处：《河北医科大学学报》2022年第6期632-636,661,共6页Journal of Hebei Medical University

基　　金：河北省卫生和计划生育委员会医学科学研究重点课题(20170608)。

摘　　要：目的 探讨基于微信的医护宣教平台对缺血性脑卒中患者神经功能和生活质量的影响。方法 采用方便抽样法,选择出院患者430例,按信封法抽取编号,奇数为对照组,偶数为观察组,每组215例。对照组采用常规健康教育,观察组采用基于微信的医护宣教平台,使用改良Rankin量表(Modified Rankin Scale,mRS)评分和脑卒中专用生活质量量表比较2组出院前、出院3个月和出院6个月的生活质量,神经功能和肢体功能改善等情况。结果 干预3个月后和6个月后2组患者mRS评分均较干预前降低,组间、时点间、组间·时点间交互作用差异均有统计学意义(P<0.05)。干预3个月后,6个月后2组患者生存质量各领域总评分均较干预前升高,生存质量总分升高,组间、时点间、组间·时点间交互作用差异均有统计学意义(P<0.05)。结论 基于微信的医护宣教平台应用于缺血性脑卒中患者的延续护理中,有助于降低其mRS评分,改善肢体功能预后和神经功能,提高患者生活质量。Objective To explore the effect of medical education platform based on WeChat on neurological function and quality of life of patients with ischemic stroke.Methods Using convenient sampling method,430 discharged patients with ischemic stroke in Department of Neurology were selected and numbered by envelope method.The odd number was the control group and the even number was the observation group,with 215 patients in each group.The control group was given conventional health education,while the observation group was given medical education platform based on WeChat.The improved Rankin scale(mRS)and stroke-specific quality of life scale were used to compare the improvement of quality of life,neurological function and limb function of patients before discharge,at 3 months and 6 months after discharge in the two groups.Results At 3 months and 6 months after intervention,the mRS scores of patients in both groups were lower than those before intervention,and the differences of interaction between groups,time points,and time points between groups were statistically significant(P<0.05).At 3 months and 6 month safter intervention,the total scores of all areas of quality of life in the two groups were increased compared with those before intervention,and the total scores of quality of life were increased;there were statistical differences in interaction between groups,time points,and time points between groups(P<0.05).Conclusion The application of medical education platform based on WeChat in the transitional care of patients with ischemic stroke is helpful to reduce their mRS scores,improve the prognosis of limb function and neurological function,and improve the quality of life of patients.

关 键 词：卒中 延续性医护 生活质量 

分 类 号：R743[医药卫生—神经病学与精神病学]