摘要
目的探讨"互联网+"延续护理平台在出院后脑卒中患者中的应用效果,为脑卒中患者出院后健康管理提供一种新方法。方法选择本院神经内科及康复科出院的196例脑卒中患者为研究对象,根据随机数字表法将患者随机分为对照组97例与试验组99例,对照组给予常规出院指导,包括建立患者微信分享群及电话随访等。试验组采用"互联网+"延续护理平台干预模式,包括提供出院患者线上诊疗、护理问诊、预约护理服务及健康教育等延续性健康管理。比较两组患者出院时、出院干预3个月、6个月、12个月自我管理行为得分及生存质量得分情况。结果出院时两组患者自我行为管理、生存质量总得分及其各维度得分比较,差异无统计学意义(均P>0.05);出院后3个月、6个月、12个月,两组患者自我管理行为总分及疾病管理、用药管理、日常生活起居管理及康复管理4个维度得分比较,均P<0.05,差异具有统计学意义,试验组得分高于对照组。出院后3个月、6个月、12个月,两组患者生存质量总分及语言、运动、自理能力及思维能力4个维度得分比较,均P<0.05,差异具有统计学意义,试验组得分高于对照组。结论 "互联网+"延续护理平台在出院后脑卒中患者中的应用,可有效提高脑卒中患者自我行为管理能力,并有效改善其生存质量,值得临床推广应用。
Objective To explore the effect of"Internet+"continuous nursing platform on the self-management behavior and quality of life of patients with stroke after discharge.Methods 196 stroke patients who were discharged from the Department of Neurology and Rehabilitation of the First People's Hospital of Foshan City were included in the study.Enrolled patients were randomly divided into a control group and an trial group.In the control group,routine discharge guidance,information sharing from WeChat groups,and telephone follow-up were used;and in the trial group,"Internet+"online interventions,nursing consultations,online appointment services,health education and other intervention models were used.The specialized stroke self-management behavior scale and the stroke-specific quality of life scale(SS-QOL)were used for the investigation before intervention and at the time points of 3 months,6 months,and 12 months after discharge.Results Before intervention,there was no significant difference between the two groups in the total scores of self-management behavior and the scores of the seven dimensions,the total scores of SS-QOL and the scores of the 12 dimensions(P>0.05).The total scores of self-management behaviors and scores in the four dimensions of disease management,medication management,daily life management and rehabilitation management in the trial group at 3 months,6 months and 12 months after discharge were significantly higher than those of the control group(P<0.05).At 3 months,6 months,and 12 months after discharge,the total score of SS-QOL and scores in the four dimensions of language,exercise,self-care ability and thinking ability in the trial group were significantly higher than those of the control group(P<0.05).Conclusions"Internet+"intervention platform can effectively improve the self-behavior management ability of stroke patients after discharge,and improve their quality of life.It is worthy of spreading clinically.
作者
祝小丹
张莉
陈书人
王妙婷
Zhu Xiaodan;Zhang Li;Chen Shuren;Wang Miaoting(Foshan First People's Hospital,Foshan,528000,China)
出处
《现代临床护理》
2020年第8期66-73,共8页
Modern Clinical Nursing
基金
2019年佛山市科技计划申报项目,项目编码为1920001001002。
