移动应用程序在预防脑卒中健康教育中的效果研究

Use of mobile-stroke risk scale and lifestyle guidance promote healthy lifestyles and decrease stroke risk factors

目的探讨移动应用程序(基于脑卒中风险量表的生活方式指导)在促进脑卒中高危人群健康生活方式和降低脑卒中危险因素方面的有效性。方法采用临床随机对照试验研究设计。采用系统随机抽样选取来自印度尼西亚的东加里曼省和西加里曼省的64例患者,随机分为干预组(32例)和对照组(32例)。干预组使用移动应用程序,对照组使用脑卒中自我评估手册。干预前及干预后6个月分别采用简单生活方式指示问卷(The Simple Lifestyle Indicator Questionnaire,SLIQ)和脑卒中风险量表(the Stroke Risk Scorecard.SRS)测定患者健康生活方式和脑卒中危险因素。结果干预后两组患者简单生活方式及脑卒中危险因素得分比较,差异无统计学意义(P>0.05)。干预组在应用移动程序后在健康饮食,活动模式和压力控制得分都有提高(5.0411.38 vs.5.47±1.54,2.94±1.01 vs.3.34±0.97,2.25±0.76 vs.3.87±0.79)(P<0.01)。结论移动应用程序能够有效地促进脑卒中高危人群中健康的生活方式。

Objective:The purpose of this study was to determine the effectiveness of Mobile-Stroke Risk Scale and Life Style Guidance(M-SRSguide)in promoting a healthy lifestyle and reducing stroke risk factors in atrisk persons.Methods:This research was an clinical trial with a pre-test and post-test control group design.The accessible population is persons at risk of stroke in the community(West and East Kalimantan Province,Indonesia).Thirty-two participants in the intervention group and 32 participants in the control group participated in this study.The sampling method was systematic random sampling.We allocate the sample into the intervention and control groups using a randomized block design.The intervention group used the M-SRSguide.The control group used manual book for a self-assessment of stroke risk.The measurement of a healthy lifestyle and the stroke risk factors was performed before and six months after the intervention.Results:There are no significant differences in healthy lifestyle and stroke risk factors between the two groups after the intervention(P>0.05).Analysis of healthy lifestyle behavior assessment items in the intervention group showed an increase in healthy diets,activity patterns,and stress control after the use of the M-SRSguide(P<0.01).Conclusion:The use of M-SRSguide is effective in promoting a healthy lifestyle.