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目的探讨基于微信平台的延续护理对高血压脑卒中患者运动锻炼依从性和生活质量的影响。方法 2015年3月—2016年6月将在本院治疗出院的80例脑卒中患者随机分为观察组(39例)与对照组(41例),对照组给予常规常规延续护理,观察组在此基础上利用微信管理平台进行监督和指导,为期3个月,评价两组康复效果。计量资料比较采用t检验,计数资料比较采用χ2检验,P<0.05为差异有统计学意义。结果出院干预3个月后,观察组患者的身体锻炼、锻炼检测依从、日常生活活动能力、活动能力、自理能力得分[(20.93±5.60)、(7.67±1.91)、(56.96±7.81)、(25.44±4.29)、(18.01±3.57)分]均高于对照组[(18.07±5.36)、(4.51±1.26)、(49.9 6±5.83)、(23.30±5.17)、(15.74±3.15)分],差异均有统计学意义(均P<0.05)。结论基于微信平台的延续护理可提高出院后脑卒中者运动锻炼依从性和生活质量,值得临床推广。
Objective To investigate the effect of follow-up nursing care based on WeChat platform on exercise compliance and quality of life in hypertensive stroke patients. Methods From March 2015 to June 2016, 80 stroke patients who were discharged from our hospital were randomly divided into observation group (39 cases) and control group (41 cases). The control group was given conventional continuous nursing. The observation group Based on the use of WeChat management platform for monitoring and guidance for a period of 3 months, the two groups evaluated the effect of rehabilitation. Measurement data were compared using t test, count data were compared using χ2 test, P <0.05 for the difference was statistically significant. Results After discharge for 3 months, the scores of physical exercise, compliance with exercise test, activities of daily living, activities and self-care ability in the observation group [(20.93 ± 5.60), (7.67 ± 1.91), (56.96 ± 7.81), 25.44 ± 4.29, 18.01 ± 3.57, respectively] were higher than those in the control group [(18.07 ± 5.36), (4.51 ± 1.26), (49.9 6 ± 5.83), (23.30 ± 5.17), (15.74 ± 3.15) , The differences were statistically significant (all P <0.05). Conclusion Continuation care based on the WeChat platform can improve the compliance and quality of life of stroke stroke patients after discharge and is worthy of clinical promotion.