脑卒中出院患者延续性护理中微信公众平台的应用效果  

Application effect analysis of wechat public platform in continuous nursing of discharged stroke patients

作　　者：许云辉[1] 朱达斌 林秀瑶[1] XU Yun-hui;ZHU Da-bin;LIN Xiu-yao(Quanzhou first hospital,Quanzhou 362000,China)

机构地区：[1]泉州市第一医院,福建泉州362000

出　　处：《吉林医学》2023年第3期799-802,共4页Jilin Medical Journal

基　　金：泉州市科技计划项目[项目编号:2018Z046]。

摘　　要：目的:探讨脑卒中出院患者延续性护理中微信公众平台的应用效果。方法:选取2019年1月~2021年6月期间经泉州市第一医院治疗后出院的100例脑卒中患者为研究对象,将患者随机分为两组,对照组50例,出院后行常规延续性护理,以电话随访为主;观察组50例,出院后行以微信公众平台为基础的延续性护理,对两组的干预效果进行对比。结果:出院时两组患者自我管理能力评分、日常生活能力评分及疾病认知水平评分差异均无统计学意义(P>0.05);干预后12 w,观察组上述各指标评分均优于对照组,差异有统计学意义(P<0.05)。两组患者出院时用药依从性评分差异无统计学意义(P>0.05),干预后12 w比较观察组依从性评分明显高于对照组,差异有统计学意义(P<0.05)。出院时两组患者神经功能缺损程度(NIHSS)评分及生活质量(SS-QOL量表)评分比较差异均无统计学意义(P>0.05);干预后12 w比较观察组NIHSS评分及SS-QOL量表评分均优于对照组,差异有统计学意义(P<0.05)。结论:以微信公众平台为基础的延续性护理在脑卒中出院患者中的应用效果更理想,有推广价值。Objective To explore the application effect of wechat public platform in the continuous nursing of discharged stroke patients.Method 100 stroke patients discharged after treatment in our hospital from January 2019 to June 2021 were selected as the research object. The patients were randomly divided into two groups. 50 patients in the control group received routine continuous nursing after discharge, mainly telephone follow-up;50 cases in the observation group received continuous nursing based on wechat public platform after discharge, and the intervention effects of the two groups were compared.Results There was no significant difference in the scores of self-management ability, daily living ability and disease cognition between the two groups at discharge(P> 0.05);After 12 weeks of intervention, the scores of the above indexes in the observation group were better than those in the control group(P<0.05).At the same time, there was no significant difference in medication compliance score between the two groups at discharge(P>0.05), but the compliance score of the observation group was significantly higher than that of the control group 12 weeks after intervention(P<0.05).At the time of discharge, there was no significant difference in NIHSS score and quality of life(SS-QOL scale) between the two groups(P>0.05);After 12 weeks of intervention, NIHSS score and SS-QOL scale score in the observation group were better than those in the control group(P<0.05). Conclusion The application effect of continuous nursing based on wechat public platform in stroke discharged patients is more ideal and worthy of popularization.

关 键 词：脑卒中 延续性护理 微信公众平台 

分 类 号：R473.74[医药卫生—护理学]