中国数字医学
中國數字醫學
중국수자의학
CHINA DIGITAL MEDICINE
2015年
6期
54-56
,共3页
洪丽燕%孔敏霞%邱佩琴%王珍珍
洪麗燕%孔敏霞%邱珮琴%王珍珍
홍려연%공민하%구패금%왕진진
脑卒中%颈动脉支架置入术%微信%健康宣教%自我效能
腦卒中%頸動脈支架置入術%微信%健康宣教%自我效能
뇌졸중%경동맥지가치입술%미신%건강선교%자아효능
stroke%carotid artery after carotid stenting%WeChat%health education%self-efficiency
目的：探讨微信（群）在提高颈动脉支架置入术后患者自我效能的影响。方法：选取2011年1月-2013年1月在本科室行颈动脉支架置入术治疗后出院的患者80例，随机分为观察组和对照组，每组各40例，对观察组患者进行微信（群）宣教，对对照组患者进行电话随访宣教。结果：观察组患者依从性得分为13.54±5.87分，对照组为10.47±6.35分，观察组患者依从性显著优于对照组，差异具有统计学意义（P＜0.05）。随访期间观察组中仅1例出现TIA发作，TIA及卒中复发率为2.5%，对照组中有3例患者出现TIA发作，5例患者出现急性脑梗死，TIA及卒中复发率为20.0%，观察组患者TIA及卒中复发率明显低于对照组，差异具有统计学意义（P＜0.05）。结论：基于微信平台对患者进行健康宣教有助于提高颈动脉支架置入术后患者的饮食和功能训练的依从性，提高患者自我效能水平，巩固了疾病治疗和预防效果，进而降低了患者复发率，提高患者生存质量，值得临床广泛推广。
目的：探討微信（群）在提高頸動脈支架置入術後患者自我效能的影響。方法：選取2011年1月-2013年1月在本科室行頸動脈支架置入術治療後齣院的患者80例，隨機分為觀察組和對照組，每組各40例，對觀察組患者進行微信（群）宣教，對對照組患者進行電話隨訪宣教。結果：觀察組患者依從性得分為13.54±5.87分，對照組為10.47±6.35分，觀察組患者依從性顯著優于對照組，差異具有統計學意義（P＜0.05）。隨訪期間觀察組中僅1例齣現TIA髮作，TIA及卒中複髮率為2.5%，對照組中有3例患者齣現TIA髮作，5例患者齣現急性腦梗死，TIA及卒中複髮率為20.0%，觀察組患者TIA及卒中複髮率明顯低于對照組，差異具有統計學意義（P＜0.05）。結論：基于微信平檯對患者進行健康宣教有助于提高頸動脈支架置入術後患者的飲食和功能訓練的依從性，提高患者自我效能水平，鞏固瞭疾病治療和預防效果，進而降低瞭患者複髮率，提高患者生存質量，值得臨床廣汎推廣。
목적：탐토미신（군）재제고경동맥지가치입술후환자자아효능적영향。방법：선취2011년1월-2013년1월재본과실행경동맥지가치입술치료후출원적환자80례，수궤분위관찰조화대조조，매조각40례，대관찰조환자진행미신（군）선교，대대조조환자진행전화수방선교。결과：관찰조환자의종성득분위13.54±5.87분，대조조위10.47±6.35분，관찰조환자의종성현저우우대조조，차이구유통계학의의（P＜0.05）。수방기간관찰조중부1례출현TIA발작，TIA급졸중복발솔위2.5%，대조조중유3례환자출현TIA발작，5례환자출현급성뇌경사，TIA급졸중복발솔위20.0%，관찰조환자TIA급졸중복발솔명현저우대조조，차이구유통계학의의（P＜0.05）。결론：기우미신평태대환자진행건강선교유조우제고경동맥지가치입술후환자적음식화공능훈련적의종성，제고환자자아효능수평，공고료질병치료화예방효과，진이강저료환자복발솔，제고환자생존질량，치득림상엄범추엄。
Objective: Discuss the impact of WeChat (group chat) on self-efficiency of patients processed the carotid artery stent implantation. Method:Select the 80 patients who left the hospital after processing the carotid artery stent implantation operation from January 2011 to January 2013 and divide them in observation group and control group in random with 40 patients in each group. Implement the WeChat propaganda and education towards the patients in observation group while apply the telephone follow-up propaganda and education towards the control group. Result:The score of compliance in observation group patients is 13.54±5.87, the control group is 10.47±6.35. The compliance of observation group is better than control group, and the difference has the statistical significance(P<0.05). During the follow-up visit, there was only one patient appearing the TIA, the recurrence rate of TIA and apoplexy is 2.5%. In the control group, there were three patients appearing the TIA and 5 patients appearing the acute cerebral infarction, the recurrence rate of TIA and apoplexy is 12.5%. The recurrence rate of TIA and apoplexy of observation group is significantly lower than control group, which has the statistical significance(P<0.05).Conclusion: Implementing the health education towards patients based on the WeChat platform is beneficial to enhance the compliance of patient diet and functional training, improve the self-efficiency of patients, strengthen the treatment and prevention as it seeks to reduce the recurrence rate and improve the quality of life of patients after processing the carotid artery stent implantation operation. This method should be promoted wildly in the clinic.
