基于微信平台个案管理模式对成年癫痫患者生存质量及自护能力的影响研究  

Effect of case management mode based on WeChat platform on the quality of life and self-care ability of adult epilepsy patients

作　　者：周友田 史佳英 韩文杰 黄育群 刘芙蓉 钟雀屏 邓彩云 项薇 ZHOU Youtian;SHI Jiaying;HAN Wenjie(Department of Neurology,General Hospital of Southern Theatre Command,Guangzhou 510010,China)

机构地区：[1]中国人民解放军南部战区总医院神经内科,广东广州510010

出　　处：《中风与神经疾病杂志》2024年第7期637-641,共5页Journal of Apoplexy and Nervous Diseases

基　　金：广东省护理学会护理科研课题(gdhlxueh2019zx328)。

摘　　要：目的探讨基于微信平台个案管理模式对成年癫痫患者生存质量和自护能力的影响。方法选取中国人民解放军南部战区总医院2020年1月—2022年1月收治的成年癫痫患者60例,按照随机数字表法分为对照组和研究组。对照组采用常规责任制整体护理模式,研究组在对照组基础上实施基于微信平台个案管理模式。使用癫痫患者生活质量量表31项(中文版)(QOLIE-31)、社会功能缺陷评定量表(SDSS)、自护能力测定量表(ESCA)对患者进行评估。结果出院后6个月、出院后1年两组QOLIE-31量表评分均较入院时升高,且研究组高于对照组(P<0.05);出院后6个月、出院后1年两组SDSS评分均较入院时降低,且研究组低于对照组(P<0.05);出院后6个月、出院后1年两组ESCA量表评分均较入院时升高,且研究组高于对照组(P<0.05)。结论基于微信平台个案管理模式能够提高成年癫痫患者的生活质量和自护能力,减轻社会功能缺陷程度,提升疗效。Objective To investigate the effect of case management model based on WeChat platform on the quality of life and self-care ability of adult epilepsy patients.Methods A total of 60 adult epilepsy patients who were admitted to our hospital from January 2020 to January 2022 were enrolled and divided into control group and study group using a random number table.The patients in the control group received routine responsibility-based holistic nursing,while those in the study group received case management model based on WeChat platform in addition to the nursing intervention in the control group.Quality of Life in Epilepsy-31(QOLIE-31),Social Disability Screening Schedule(SDSS),and Exercise of Self-care Agency Scale(ESCA)were used for evaluation.Results Both groups had a significant increase in QOLIE-31 score at 6 months and 1 year after discharge,and the study group had a significantly higher score than the control group(P<0.05).Both groups had a significant reduction in SDSS score at 6 months and 1 year after discharge,and the study group had a significantly lower score than the control group(P<0.05).Both groups had a significant increase in ESCA score at 6 months and 1 year after discharge,and the study group had a significantly higher score than the control group(P<0.05).Conclusion The case management model based on WeChat platform can improve the quality of life and selfcare ability of adult epilepsy patients,reduce the degree of social functional defects,and enhance the treatment outcome.

关 键 词：微信平台 个案管理模式 成年癫痫患者 生活质量 自护能力 

分 类 号：R742.1[医药卫生—神经病学与精神病学]