基于微信平台的延续性护理措施对糖尿病合并脑卒中患者出院后自我效能的影响

Effects of Transitional Care Measures based on WeChat Platform on Self-efficacy of Patients with Diabetes Mellitus complicated with Stroke

目的探讨基于微信平台的延续性护理措施对糖尿病合并脑卒中患者出院后自我效能的影响。方法选取2020年3月至2022年3月谷城县人民医院收治的糖尿病合并脑卒中患者102例作为研究对象,将2020年3月至2021年3月入院患者48例作为对照组,2021年4月至2022年3月入院患者54例作为观察组。对照组予以常规延续性护理,观察组采用以微信平台为基础的延续性护理,比较两组的护理效果。结果干预后两组一般自我效能感量表(GSES)评分升高,且观察组高于对照组,差异有统计学意义(P<0.05);干预后两组控制饮食、用药、规律锻炼、监测血糖评分升高,且观察组高于对照组,差异有统计学意义(P<0.05);干预后两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分降低,且观察组低于对照组,差异有统计学意义(P<0.05)。结论糖尿病合并脑卒中患者在出院后给予以微信平台为基础的延续性护理措施,能够有效提高患者的自我效能以及自我管理能力,缓解不良情绪。

ObjectiveTo explore the effect of continuous nursing measures based on wechat platform on self-efficacy of patients with diabetes mellitus complicated with stroke.Methods A total of 102 patients with diabetes mellitus combined with stroke admitted to Gucheng County People's Hospital from March 2020 to March 2022 were selected as the study objects,48 patients admitted from March 2020 to March 2021 were selected as the control group,and 54 patients admitted from April 2021 to March 2022 were selected as the observation group.The control group was given routine continuity care,the observation group was given continuity care based on wechat plaform,and the nursing effect of the two groups was compared.Results Affer intervention,the score of general self-efficacy scale(GSES)of the two groups increased,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Ater the intervention,the two groups controlled diet,medication,regular exercise and monitored the increase of blood glucose score,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).After intervention,the scores of self-rating Anxiety Scale(SAS)and self-rating Depression Scale(SDS)of the two groups were decreased,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).Conclusion Patients with diabetes mellitus complicated with stroke are given continuous nursing measures based on wechat platform after discharge,which can effectively improve patients'self-efficacy and self-management ability,and alleviate bad emotions.