微信基础的自我报告和互动平台对脑卒中患者治疗依从性、生活质量和认知功能的影响

Effects of WeChat based self-report and interactive platform on treatment compliance, quality of life and cognitive function of stroke patients

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(5)
作者
作者单位

安阳市中医院护理部 ;

摘要
探究以微信基础的自我报告和互动平台对脑卒中患者治疗依从性、生活质量和认知功能的影响。方法 选取2017年1月至2018年1月在安阳市中医院治疗的脑卒中患者198例,采用随机数表法分为对照组(99例)和观察组(99例),观察组使用以微信为基础的自我报告和互动平台,对照组使用常规随访。干预3个月后评估两组治疗依从性、生活质量及认知功能,并对比两组1年内卒中复发情况。结果 观察组治疗依从率显著高于对照组(82.83% vs 68.69%;χ2=5.390,P=0.020);观察组在精力、家庭角色、语言、活动能力、情绪、个性、自理能力、思维、肢体功能、劳动等评分显著高于对照组(P<0.05),两组在社会角色、视力评分无明显差异(P>0.05);干预前两组简明精神状态检查量表(MMSE)评分、长谷川智力量表(HDS)评分、临床痴呆量表(CDR)评分间无明显差异(P>0.05),干预后两组MMSE评分、HDS评分均显著提高,CDR评分均显著下降(P<0.05),其中观察组MMSE评分、HDS评分显著高于对照组,CDR评分显著低于对照组(P<0.05);对照组卒中复发风险显著高于观察组(HR=3.434,95%CI[1.327,8.890],P=0.020)。结论 微信基础的自我报告和互动平台可有效提高脑卒中患者的治疗依从性及生活质量,并改善认知功能。
Abstract
Objective To explore the effects of WeChat based self-report and interactive platform on treatment compliance, quality of life and cognitive function of stroke patients. Methods From January 2017 to January 2018, 198 stroke patients treated in Anyang City Hospital hospital were selected and divided into control group (99 cases) and observation group (99 cases) by random number table method. WeChat-based self-report and interactive platform was used in the observation group, and routine follow-up was used in the control group. After 3 months of intervention, treatment compliance, quality of life and cognitive function were assessed in both groups, stroke recurrence within 1 year was compared between the two groups. Results The treatment compliance rate of the observation group was significantly higher than control group (82.83% vs 68.69%;χ2=5.390,P=0.020). The scores of energy, family role, language, activity ability, emotion, personality, self-care ability, thinking, body function and labor in observation group were significantly higher than control group (P<0.05), there were no significant differences in social roles and visual acuity scores between the two groups (P > 0.05). There was no significant difference in MMSE, HDS and CDR scores between the two groups before intervention (P > 0.05), after intervention, MMSE and HDS scores were significantly increased and CDR scores were significantly decreased in both groups (P < 0.05), and MMSE and HDS scores in observation group were significantly higher than control group, CDR scores in observation group were significantly lower than control group (P < 0.05). The risk of recurrence in the control group was significantly higher than that in the observation group (HR=3.434,95%CI[1.327,8.890],P=0.020).Conclusions WeChat based self-report and interactive platform can effectively improve the treatment compliance, quality of life and cognitive function of stroke patients.
关键词
脑卒中;治疗依从性;认知;平台
KeyWord
Stroke; Treatment compliance; Cognitive; Platform
基金项目
页码 875-877
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董俊平*. 微信基础的自我报告和互动平台对脑卒中患者治疗依从性、生活质量和认知功能的影响 [J]. 国际精神病学杂志. 2019; 46; (5). 875 - 877.

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