家庭参与式护理配合智慧健康宣教平台对老年脑卒中患者健康教育的应用效果

Application effect of family integrated care combined with intelligent health education platform in health education of elderly patients with stroke

目的探讨家庭参与式护理配合智慧健康宣教平台对老年脑卒中患者健康教育的应用效果。方法选取2019年6月—2020年5月重庆医科大学附属第二医院神经内科住院患者80例脑卒中患者为研究对象,采用随机数字表法分为试验组40例,对照组40例,对照组给予神经内科家庭参与式常规护理措施,试验组在此基础上配合智慧健康宣教平台进行强化宣教。分别于干预前、干预后采用改良Barthel指数量表、自我护理依从性量表及医院焦虑抑郁量表(HADS)对患者生活自理能力、自我护理依从性及焦虑抑郁程度进行评估。结果最终试验组39例(失访1例)、对照组37例患者(失访3例)完成研究。干预后试验组改良Barthel指数量表评分、自我护理依从性量表评分均显著高于对照组[(65.9±12.6)比(60.1±11.9)分、(78.2±13.6)比(71.4±14.6)分],HADS评分显著低于对照组[(15.18±2.46)比(19.46±2.40)分](均P<0.05)。试验组干预后改良Barthel指数量表评分、自我护理依从性量表评分均显著高于干预前[(65.9±12.6)比(40.8±12.5)分、(78.2±13.6)比(54.6±15.9)分](均P<0.05),HADS评分显著低于干预前[(15.18±2.46)比(21.74±3.52)分](均P<0.05);对照组干预后改良Barthel指数量表评分、自我护理依从性量表评分均显著高于干预前[(60.1±11.9)比(41.6±9.72)分、(71.4±14.6)比(54.3±14.8)分](均P<0.05),HADS评分显著低于干预前[(19.46±2.40)比(21.38±3.09)分](均P<0.05)。结论家庭参与式护理配合智慧健康宣教平台的健康宣教模式可显著提高老年脑卒中患者生活自理能力、自我护理依从性,明显改善抑郁和焦虑程度。

Objective To explore the effect of family integrated care(FIC)combined with intelligent health education platform in health education for elderly patients with stroke.Methods Eighty patients with stroke were included from the Department of Neurology of the Second Affiliated Hospital of Chongqing Medical University from June 2019 to May 2020.They were divided into the experimental group and the control group(n=40,respectively)by the random number table method.Patients in the control group received routine FIC in the Department of Neurology.Additional intelligent health education platform was provided for the experimental group to carry out intensive education.The modified Barthel index scale,self-care compliance scale and hospital anxiety and depression scale(HADS)were used before and after the intervention to evaluate patient′s self-care ability,self-care compliance and the degree of anxiety and depression.Results Finally,39 patients in the experimental group(1 case lost to followed-up)and 37 patients in the control group(3 cases lost to followed-up)completed the study.After the intervention,the scores of the modified Barthel index and self-care compliance scale of the experimental group were significantly higher than those of the control group[(65.9±12.6)vs(60.1±11.9)points,(78.2±13.6)vs(71.4±14.6)points],the HADS score was significantly lower than the control group[(15.18±2.46)vs(19.46±2.40)points](all P<0.05).The scores of the modified Barthel index scale and self-care compliance scale of the experimental group after the intervention were significantly higher than those before the intervention[(65.9±12.6)vs(40.8±12.5)points,(78.2±13.6)vs(54.6±15.9)points](all P<0.05),the HADS score was significantly lower than before the intervention[(15.18±2.46)vs(21.74±3.52)points](all P<0.05).Similarly,the scores of the modified Barthel index and self-care compliance scale of the control group after the intervention were significantly higher than before the intervention[(60.1±11.9)vs(41.6±9.72)points,(71.4±14.6)vs(54.3±14.8)points],the HADS score was significantly lower than before the intervention[(19.46±2.40)vs(21.38±3.09)points](all P<0.05).Conclusion FIC combined with intelligent health education platform can significantly improve the self-care ability and self-nursing compliance of elderly stroke patients,and markedly improve the degree of depression and anxiety.