| 张凌云,华珏忆,袁紫君,陈莹.APP健康教育在降低脑卒中复发率的效果影响[J].上海护理,2017,17(7): |
| APP健康教育在降低脑卒中复发率的效果影响 |
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| DOI： |
| 中文关键词: 脑卒中 延续护理 APP平台 健康教育 复发率 |
| 英文关键词:stroke continuous nursing APP platform health education Recurrence rate |
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| 摘要点击次数: 1916 |
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| 中文摘要: |
| 【】目的：探讨用APP平台进行专科健康教育延伸服务对降低脑卒中患者复发率效果影响。方法：选取我院神经内科2015年11月-2016年4月住院的160例脑卒中患者进行研究,采用随机数字表法分为实验组和对照组各80例,两组患者住院期间均予以常规专科健康教育护理干预模式,实验组在此基础上应用APP平台延续性护理干预模式,两组出院后持续进行专科健康教育延续护理干预。干预后采用SF-36量表(the MOS 36-item Short Form HealthSurvey)患者的生活质量进行评估,采用国国立卫生研究院卒中量表(NIHSS)和日常生活活动能力量表(Barthel Index)评价患者的生活能力。两组患者的日常生活活动能力、依从性、生活质量进行比较,并与干预后对两组脑卒中疾病的复发率进行评定。结果：实验组的复发率(1.25%)明显少于对照组(12.5%),差异具有统计学意义(P＜0.05)；实验组的生活质量评分明显高于对照组,具有统计学意义(P＜0.05)；实验组的满意度(97.5%)明显高于对照组(80.0%),具有统计学意义(P＜0.05)；实验组的依从性评分明显高于对照组,具有统计学意义(P＜0.05)；实验组的NIHSS评分和Barthel Index评分(4.02士0.52分和92.37士7.34分)明显优于对照组(4.36士0.92分和69.41士6.81分),具有统计学意义(P＜0.05)。结论：对脑卒中患者进行延续护理的APP健康教育可以强化自我管理行为的认识,树立正确的健康态度和信念,改变不良的健康行为习惯,从而降低脑卒中的复发率。 |
| 英文摘要: |
| [Abstract] Objective: To study the the effect of extended service on the reduction of the recurrence rate of stroke patients by using the APP platform. Methods: From November 2015 -2016 to April, selected 160 cases of cerebral apoplexy patients by random digits table were divided into experimental group and control group (n=80), hospitalized patients in the two groups were given regular professional health education and nursing intervention model, experimental group on the basis of application of APP platform continued nursing intervention model, two groups after discharge ongoing special health education of continuous nursing intervention, after the intervention, used the SF-36 (the MOS 36 item short form HealthSurvey table) to evaluate the quality of life of patients, the National Institutes of Health Stroke Scale (NIHSS) and the activities of daily living (Index Barthel) were used to evaluate the life ability of patients. The activities of daily living, compliance and quality of life were compared between the two groups, and the recurrence rate of two groups of patients after the intervention was evaluated. Results: The recurrence rate (1.25%) of the experimental group was significantly less than that of the control group (12.5%), with significant difference (P < 0.05); quality of life scores in the experimental group was significantly higher than that of the control group, with significant difference (P < 0.05); satisfaction (97.5%) of experimental group was significantly higher than that of control group (80.0%), with statistical significance (P < 0.05); compliance score of the experimental groupwas significantly higher than that of the control group, with significant difference (P < 0.05); the NIHSS score and Index Barthel score(4.02士0.52 and 92.37士7.34) of the experimental group were significantly better than the control group(4.36士0.92 and 69.41士6.81), with statistical significance (P < 0.05). Conclusion: The stroke patients to continue nursing APP health education can strengthen awareness of self management behavior, establish correct health attitudes and beliefs, bad health habits change, so as to reduce the rate of recurrence of stroke. |
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