摘要
目的探讨电话及微信随访对首发脑梗死出院患者坚持二级预防依从性及远期预后的影响。方法选取2019年1月至2020年12月接受治疗后出院的98例首发脑梗死患者为研究对象,采用单双号分组法将其分为对照组和研究组,各49例。对照组实施常规护理+电话随访,研究组在对照组基础上实施微信随访。比较两组的坚持二级预防依从性、神经功能恢复情况、生活自理能力、出院后脑梗死复发情况及健康状况。结果研究组的坚持二级预防总依从率高于对照组(P<0.05)。干预前,两组的改良Rankin量表(mRS)、Barthel指数(BI)评分比较,差异无统计学意义(P>0.05);干预后,研究组的mRS评分低于对照组,BI评分高于对照组(P<0.05)。研究组的出院后脑梗死复发率低于对照组(P<0.05)。研究组的健康调查简表(SF-36)各维度评分均高于对照组,差异具有统计学意义(P<0.05)。结论电话及微信随访可有效提高患者坚持二级预防依从性,提高其神经功能恢复效果、生活自理能力及健康状况,改善远期预后,值得推广及应用。
Objective To investigate the effects of telephone and WeChat follow-up on adherence to secondary prevention compliance and long-term prognosis in discharged patients with first cerebral infarction.Methods A total of 98 patients with first cerebral infarction who were treated and discharged from January 2019 to December 2020 were selected as the research objects.The patients were divided into control group and study group by single and double number grouping method,with 49 cases in each group.The control group received routine nursing+telephone follow-up,and the study group received WeChat follow-up on the basis of the control group.The adherence to secondary prevention compliance,neurological function recovery,self-care ability,cerebral infarction recurrence after discharge and health status were compared between the two groups.Results The total compliance rate of adherence to secondary prevention in the study group was higher than that in the control group(P<0.05).Before intervention,there were no significant differences in Modified Rankin Scale(mRS)and Barthel Index(BI)scores between the two groups(P>0.05);after intervention,the mRS score of the study group was lower than that of the control group,the BI score was higher than that of the control group(P<0.05).The recurrence rate of cerebral infarction after discharge in the study group was lower than that in the control group(P<0.05).The scores of each dimension of the MOS 36-Item Short Form Health Survey(SF-36)in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Telephone and WeChat follow-up can effectively improve patients'adherence to secondary prevention compliance,enhance their neurological function recovery,self-care ability and health status,ameliorate long-term prognosis,which is worthy of promotion and application.
作者
沙银娟
郭琴琴
SHA Yinjuan;GUO Qinqin(Xi'an Tangcheng Hospital,Xi'an 710032;Xi'an Daxing Hospital,Xi'an 710016,China)
出处
《临床医学研究与实践》
2024年第19期170-174,共5页
Clinical Research and Practice
关键词
脑梗死
电话及微信随访
二级预防
依从性
远期预后
cerebral infarction
telephone and WeChat follow-up
secondary prevention
compliance
long-term prognosis
