健康管理师结合微信健康教育对轻中型脑卒中患者依从性的影响  

Effect of health manager combined with WeChat health education on the treatment compliance of patients with mild to moderate stroke

作　　者：梁淑芹[1] 殷学芳 惠金金 LIANG Shuqin;YIN Xuefang;HUI Jinjin(Department of Neurology,Binzhou Medical University Hospital,Shandong Province,Binzhou256600,China)

机构地区：[1]滨州医学院附属医院神经内科,山东滨州256600

出　　处：《中国当代医药》2023年第7期98-101,共4页China Modern Medicine

摘　　要：目的探讨健康管理师结合微信健康教育对轻中型脑卒中治疗依从性的影响。方法选取2018年1月至12月滨州医学院附属医院神经内科收治的300例轻中型脑卒中患者作为研究对象,采用随机数字表法将其分为试验组与传统教育组,每组各150例。传统教育组患者实施常规的健康教育,试验组患者实施健康管理师结合微信健康教育。比较两组患者出院1、3、6个月及1年时的治疗依从性和门诊回诊率。结果试验组患者出院3、6个月及1年时的治疗依从性评分高于传统教育组,差异均有统计学意义(P<0.05)。两组患者出院1年时的治疗依从良好率比较,差异无统计学意义(P>0.05)。两组患者出院1、3个月时的门诊回诊率比较,差异无统计学意义(P>0.05)。试验组患者出院6个月及1年时的门诊回诊率均高于传统教育组,差异有统计学意义(P<0.05)。结论健康管理师结合微信健康教育可进一步提高轻中型脑卒中出院患者的治疗依从性,可以作为神经内科健康教育的一种可行方法,值得推广。Objective To explore the effect of health manager combined with WeChat health education on the treatment compliance of patients with mild to moderate stroke.Methods A total of 300 patients with mild to moderate stroke admitted to the Department of Neurology,Binzhou Medical University Hospital from January to December 2018 were selected as the research objects.Random number table method was used to divide them into experimental group and traditional education group,with 150 cases in each group.Patients in the traditional education group received conventional health education,and patients in the experimental group received health manager combined with WeChat health education.Treatment compliance and outpatient return rate were compared between the two groups at 1,3,6 months and 1 year after discharge from the hospital.Results Treatment compliance scores of experimental group were higher than those of traditional education group at 3,6 months and 1 year after discharge from the hospital,with statistically significant differences(P<0.05).There was no significant difference in the rate of good treatment compliance between the two groups at 1 year after discharge(P>0.05).There were no significant differences in the outpatient return rates at 1 and 3 months after discharge from the hospital between the two groups(P>0.05).The outpatient return rates of experimental group at 6 months and 1 year after discharge from the hospital were higher than those of traditional education group,the differences were statistically significant(P<0.05).Conclusion The health manager combined with WeChat health education can further improve the treatment compliance of discharged patients with mild to moderate stroke.It can be used as a feasible method of health education in neurology department and is worth promoting.

关 键 词：健康管理师 微信 健康教育 脑卒中 

分 类 号：R473[医药卫生—护理学]