基于新媒体的延续性护理对改善急性缺血性卒中静脉溶栓后健康管理效果研究  

Effect of continuous nursing based on new media on improving health management after intravenous thrombolysis for patients with acute ischemic stroke

作　　者：庞玲 李红梅[1] 周金花[1] 顾晶花 姜林花 PANG Ling;LI Hongmei;ZHOU Jinhua;GU Jinghua;JIANG Linhua(Department of Neurology,Qidong People's Hospital(Affiliated Qidong Hospital of Nantong University),Nantong Jiangsu 226200,China)

机构地区：[1]启东市人民医院(南通大学附属启东医院)神经内科,江苏南通226200

出　　处：《中国急救复苏与灾害医学杂志》2024年第11期1504-1507,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：江苏省重点研发计划项目(编号:BE2021012-4);南通市卫生健康委员会科研课题合同(编号:MSZ2022102)。

摘　　要：目的 分析基于新媒体的延续性护理对改善急性缺血性卒中静脉溶栓后健康管理效果。方法 研究对象在启东市人民医院2020年2月—2023年2月期间收治的急性缺血性卒中并且接受静脉溶栓治疗患者中抽取108例,分组方法选择随机数字表法,分为对照组与观察组,各54例。对照组实施常规延续性护理,观察组实施基于新媒体的延续性护理。对比分析两组患者Fugl-Meyer运动功能评估量表、Barthel指数、脑卒中专门话生活质量量表(SS-QOL)以及干预依从性情况。结果 护理前,Fugl-Meyer、Barthel指数与SS-QOL各领域评分组间比较无意义(P>0.05)。护理后,Fugl-Meyer、Barthel指数与SS-QOL各领域评分均提高且观察组高于对照组(P<0.05)。对照组干预总依从性88.89%(48/54),显著高于对照组61.11%(33/54)(P<0.05)。结论 基于急性缺血性脑卒中静脉溶栓治疗患者基于新媒体的延续性护理措施,可显著提高患者干预依从性水平,利于提高患者运动、自理能力水平以及生活质量。ObjectiveTo study the effect of continuous nursing based on new media on improving health management after intravenous thrombolysis for patients with acute ischemic stroke.Methods108 patients with acute ischemic stroke who received intravenous thrombosis treatment at Qidong People's Hospital from February 2020 to February2023 conducted on this study.All patients were randomly divided into control group(54 cases) and observation group(54 cases).Patients in control group received routing continuous nursing;and patients in observation group received continuous nursing based on new media.Fugl-Meyer Motor Function Assessment scale,Barthel index,Stroke specific quality of life scale(SS-QOL) and intervention compliance were compared between the two groups.ResultsThere was no significant difference in Fugl-Meyer,Barthel index and SS-QOL scores between two groups before nursing(P>0.05).Fugl-Meyer,Barthel index and SS-QOL scores in all fields of observation group were higher than those of control group after nursing(P< 0.05).The total intervention compliance in the control group was 88.89%(48/54),which was significantly higher than the control group's 61.11%(33/54)(P<0.05).ConclusionContinuous nursing based on new media is very beneficial for acute ischemic stroke patients treated with intravenous thrombolysis.It can significantly improve the patients' intervention compliance and the quality of life.

关 键 词：新媒体 延续性护理 缺血性卒中 静脉溶栓 健康管理 

分 类 号：R473.54[医药卫生—护理学]