基于微信平台的健康促进随访模式在脑卒中合并吞咽障碍患者中的应用

Study on the application of a health promotion follow-up managementmodel based on Wechat to stroke patients with dysphagia

目的探讨以微信平台为基础的健康促进随访模式在脑卒中吞咽障碍患者中的运用价值。方法采用信封法将2015年1~12月在广东省中医院治疗好转出院的108例脑卒中吞咽障碍患者随机分为观察组和对照组,每组54例。对照组接受常规电话随访管理和门诊复诊服务,观察组实施基于微信平台的健康促进随访管理模式。比较两组患者干预前和干预第2周和第4周的吞咽功能变化情况,干预后误吸和吸入性肺炎的发生情况以及对健康教育的满意度。结果两组患者在干预第2周及第4周的吞咽功能得分均较干预前明显改善(P<0.01),且观察组的得分明显高于对照组(P<0.01);观察组的误吸和吸入性肺炎发生率明显低于对照组(P<0.05);观察组的健康教育满意度明显高于对照组(P<0.01)。结论基于微信平台的健康促进随访管理模式能有效改善脑卒中患者的吞咽功能,降低误吸及吸入性肺炎的发生率和提高健康教育的满意度。

Objectives To explore the application value of a health promotion follow-up management model based on Wechat to stroke patients with. dysphagia. Methods From January to December 2015, 108 stroke patients with dysphagia who discharged from Guangdong Hospital of Chinese Medicine, were randomly divided into observation group and control group by envelop method, with 54 cases in each group. Compared with the control group adopted conventional telephone follow-up management and outpatient subsequent visits, while the observation group was implemented a health promotion follow-up management model based on Wechat. Then, the swallowing function of patients before intervention, the second week and the fourth week after intercention, the occurrence rate of aspiration and aspiration pneumonia after the intervention and the satisfaction of health education were compared. Results The scores of the Swallow- ing function in the second week and in the fourth week were higher than those before intervention （P 〈 0.01）, while the scores of the observation group wwere higher than those of the control group （P 〈 0.01）. The occurrence rate of aspira- tion and aspiration pneumonia of the observation group were lower than those of the control group （P 〈 0：05）. And health education satisfaction of the observation group was higher than that of the control group （P 〈 0.01）. Conclusion The health promotion follow-up management model based on Wechat can improve the swallowing function of stroke patients effectively, reduce the occurrence rate of aspiration and aspiration pneumonia and enhance the health education satisfaction.