基于微信平台的打卡督导管理在脑卒中患者居家康复中的应用效果

Application effect of check-in supervision management based on WeChat platform in home-based rehabilitation of stroke patients

目的探讨基于微信平台的打卡督导管理在脑卒中患者居家康复中的应用效果。方法采用便利抽样法,选取2018年7月—2020年12月南京医科大学附属淮安第一人民医院康复科收治的128例脑卒中患者为研究对象,采用随机数字表法将其分为观察组和对照组。随访期间两组共脱落8例,最终纳入观察组61例、对照组59例。对照组患者给予常规延续性护理干预,观察组在对照组的基础上联合应用基于微信平台的打卡督导管理。干预6个月后,比较两组患者的自我管理能力、康复锻炼依从性。结果干预6个月后,观察组脑卒中患者自我管理行为评定量表各维度得分均高于对照组,观察组患者康复锻炼依从率高于对照组,差异均有统计学意义(P<0.05)。结论基于微信平台的打卡督导管理有助于提高脑卒中患者康复锻炼自我管理能力和康复锻炼依从性。

Objective To explore the application effect of check-in supervision management based on WeChat platform in home-based rehabilitation of stroke patients.Methods Using the convenient sampling method,a total of 128 stroke patients who were admitted to Rehabilitation Department of the Affiliated Huaian No.1 People's Hospital of Nanjing Medical University,from July 2018 to December 2020 were selected as the research objects.They were divided into the observation group and the control group by the random number table method.During the follow-up period,a total of 8 cases in the two groups dropped out and 61 cases in the observation group and 59 cases in the control group were finally included.The patients in the control group were given routine continuous nursing intervention,while the observation group was given check-in supervision management based on WeChat platform on the basis of the control group.After 6 months of intervention,the self-management ability and rehabilitation exercise compliance of the two groups were compared.Results After 6 months of intervention,the scores of each dimension of Stroke Self-management Scale in the observation group were higher than those in the control group and the compliance rate of rehabilitation exercise in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions The check-in supervision management based on WeChat platform can help improve the self-management ability of rehabilitation exercise and the compliance of rehabilitation exercise in stroke patients.