"微信公众号"+多学科团队协作护理在出院脑梗死患者中的应用

Effect of"WeChat official account"+multidisciplinary team cooperative nursing in discharged patients with cerebral infarction

目的探讨"微信公众号"+多学科团队协作(MDT)护理在出院脑梗死患者中的应用效果。方法采用便利抽样法,选取2019年1月—2020年12月山东第一医科大学附属青岛医院收治的118例出院脑梗死患者为研究对象,将2019年1—12月收治的患者作为对照组,2020年1—12月收治的患者作为观察组,各59例。对照组给予常规干预和出院后随访,观察组在对照组基础上给予"微信公众号"+MDT护理,两组均干预3个月。比较干预前后两组的脑卒中行为改变问卷、Fugl-Meyer运动功能评定量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及依从性、不良事件发生情况。结果干预前,两组脑卒中行为改变问卷、Fugl-Meyer运动功能评定量表、SDS、SAS评分比较差异均无统计学意义(P>0.05);干预后,观察组患者脑卒中行为改变问卷、Fugl-Meyer运动功能评定量表评分均高于干预前和对照组,SDS、SAS评分均低于干预前和对照组,差异有统计学意义(P<0.01)。观察组治疗依从性为94.92%(56/59),高于对照组的81.36%(48/59),差异有统计学意义(P<0.05)。结论"微信公众号"+MDT护理能够有效改善出院脑梗死患者的运动行为情况,提高依从性,促进神经功能恢复,缓解负性情绪,降低出院后不良事件的发生率,值得临床应用。

Objective To explore the effect of"WeChat official account"+multidisciplinary team(MDT)cooperative nursing in discharged patients with cerebral infarction.Methods From January 2019 to December 2020,118 discharged patients with cerebral infarction were selected by convenience sampling from Qingdao Hospital affiliated to Shandong First Medical University as the research object.The patients admitted from January to December 2019 were taken as the control group,and the patients admitted from January to December 2020 were taken as the observation group,with 59 cases each.The control group was given routine intervention and follow-up after discharge.The observation group received"WeChat official account"+MDT cooperative nursing on the basis of the control group.Both groups were intervened for three months.The Stroke Behavior Change Questionnaire,Fugl-Meyer Assessment(FMA),Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),compliance and adverse events of the two groups were compared before and after the intervention.Results Before the intervention,there was no statistical difference between the two groups in the scores of Stroke Behavior Change Questionnaire,FMA,SDS and SAS(P>0.05).After the intervention,the scores of Stroke Behavior Change Questionnaire and FMA in the observation group were higher than those before the intervention and the control group,and the SDS and SAS scores were lower than those before the intervention and the control group,with statistical differences(P<0.01).The treatment compliance of the observation group was 94.92%(56/59),higher than 81.36%(48/59)of the control group,with a statistical difference(P<0.05).Conclusions"WeChat official account"+MDT cooperative nursing can effectively improve the exercise behavior of discharged cerebral infarction patients,increase compliance,promote neurological recovery,alleviate negative emotions,and reduce the incidence of adverse events after discharge,which is worthy of clinical practice.