微信群延续性护理对高血压脑出血患者康复依从性及生活自理能力的影响

目的 探讨微信群延续性护理对高血压脑出血患者康复依从性及生活自理能力的影响.方法 收集高血压脑出血患者120例,运用随机数字表法将上述患者分为干预组(n=60)和常规组(n=60).常规组出院时给予常规的出院指导,干预组患者出院时加入高血压脑出血病微信群,通过微信群实施为期6个月的延续性护理.采用自行设计的调查问卷对患者的康复情况进行调查,内容包括康复依从性、生活自理能力及并发症发生情况.结果 干预组在出院6个月时的康复依从性评分及康复依从性分别为(16.83±1.86)分、78.33％,明显高于常规组的(13.54±1.25)分、58.33％(P＜0.05).出院6个月时,干预组达到生活自理的比例为53.33％,明显高于常规组的26.67％(P＜0.05).于预组的压疮发生率及总并发症发生率分别为1.67％、11.67％,明显低于常规组11.67％、35.00％(P＜0.05).结论 微信群延续性护理可有效提高高血压脑出血患者出院后的康复依从性及自我生活自理能力,降低相关并发症的发生风险,值得借鉴和推广.

Effect of continuous nursing care based on WeChat group on rehabilitation compliance and self-care ability of patients with hypertensive cerebral hemorrhage

Objective To explore the effect of continuous nursing care based on WeChat group on rehabilitation compliance and self-care ability of patients with hypertensive cerebral hemorrhage.Methods 120 patients with hypertensive intracerebral hemorrhage were collected and were divided into intervention group (n=60) and routine group (n=60) with the random number table method.The patients in the routine group received routine discharge guidance at discharge,and the patients in the intervention group were discharged into hypertensive cerebral hemorrhage WeChat group,the implementation of continuing nursing care for 6 months was carried out in the WeChat group.A self-designed questionnaire was used to investigate the rehabilitation status of the patients,including rehabilitation compliance,self-care ability,and complications.Results The rehabilitation compliance score and rehabilitation compliance of the intervention group at 6 months after discharge were respectively (16.83±1.86) points,78.33％,which were significantly higher than those of the routine group [(13.54±1.25) points,58.33％] (P＜0.05).At 6 months after discharge,the rate of self-care in the intervention group was 53.33％,which was significantly higher than that in the routine group (26.67％) (P＜0.05).The incidence of pressure sore and total complication rate in the intervention group were respectively 1.67％,11.67％,which were obviously lower than those in the routine group (11.67％,35.00％) (P＜0.05).Conclusion Continuous care of WeChat group can effectively improve the rehabilitation compliance and self-care ability of patients with hypertensive intracerebral hemorrhage after discharge,and reduce the risk of related complications.It is worth to be used for reference and promotion.