微信为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 in stroke patients

目的探究以微信为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~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),观察组采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%;χ^2=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);观察组MMSE评分、HDS评分、CDR评分改善程度显著优于对照组(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)。结论微信为基础的自我报告和互动平台可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。

Objective To explore the effects of WeChat based self-report and interactive platform on treatment compliance,quality of life and cognitive function in stroke patients. Methods From January 2017 to January 2018,198 stroke patients treated in our 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%;χ^2=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 those in control group(P<0.05). The improvement of MMSE,HDS and CDR scores in observation group were significantly better than those in control group(P< 0.05). The risk of recurrence in control group was significantly higher than that in observation group(HR=3.434,95%CI[1.327,8.890],P=0.020). Conclusions We Chat based self-report and interactive platform can effectively improve the treatment compliance,quality of life and cognitive function in stroke patients.