微信平台在癫痫术后患者延续护理中的应用
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摘要
目的探讨微信平台对癫痫患者生活质量的影响。方法将90例癫痫术后患者按随机数字表法分成观察组(n=45)和对照组(n=45)。两组均在接受抗癫痫治疗的基础上对患者进行长期教育和管理,观察组建立微群信,在医患间建立网络微信服务平台,为癫痫术后患者提供延续护理服务,主要涉及术后随诊、服药指导、健康教育以及心理咨询等。对比两组患者的生活质量、医嘱依从性、并发症发生情况、焦虑及满意度等情况。结果观察组生活质量评分明显高于对照组,差异有统计学意义(P<0.05)。观察组的医嘱依从性及满意度均较对照组高,患者癫痫发作次数明显降低了,差异有统计学意义(P<0.05),90%以上患者再次选择本院复诊人数,两组之间无差异(P>0.05)。干预后患者焦虑程度较对照组低(P<0.05)。结论通过微信平台管理癫痫,可以有效强化患者自我管理能力,降低术后并发症的发生率,提高癫痫术后患者生活质量和满意度。
Objective To investigate the effect of We Chat platform on the quality of life for patients with epilepsy. Methods Ninety patients with epilepsy were divided into observation group( n = 45) and control group( n = 45) according to random number table. The two groups received long-term education and management on the basis of antiepileptic treatment. The observation group established a micro-group letter,and extended care services were provided for patients with epilepsy by establishing the micro-credit service platform,which mainly aimed to postoperative follow-up,medication guidance,health education and psychological counseling. The quality of life,the compliance,the occurrence of complications,anxiety and satisfaction were compared between the two groups. Results The quality of life of the observation group was higher than that of the control group,and the difference was significant( P < 0. 05). The degree of anxiety was lower than that of the control group( P < 0. 05). More than 90% of patients elected returned to this hospital,but there was not difference between the two groups( P> 0. 05). The level of anxiety in the observation group was lower than that of the control group( P < 0. 05). Conclusion The management of epilepsy through microcomputer platform can effectively strengthen the self-management ability of patients,reduce the incidence of postoperative complications and improve the quality of life and satisfaction of patients.
Objective To investigate the effect of We Chat platform on the quality of life for patients with epilepsy. Methods Ninety patients with epilepsy were divided into observation group( n = 45) and control group( n = 45) according to random number table. The two groups received long-term education and management on the basis of antiepileptic treatment. The observation group established a micro-group letter,and extended care services were provided for patients with epilepsy by establishing the micro-credit service platform,which mainly aimed to postoperative follow-up,medication guidance,health education and psychological counseling. The quality of life,the compliance,the occurrence of complications,anxiety and satisfaction were compared between the two groups. Results The quality of life of the observation group was higher than that of the control group,and the difference was significant( P < 0. 05). The degree of anxiety was lower than that of the control group( P < 0. 05). More than 90% of patients elected returned to this hospital,but there was not difference between the two groups( P> 0. 05). The level of anxiety in the observation group was lower than that of the control group( P < 0. 05). Conclusion The management of epilepsy through microcomputer platform can effectively strengthen the self-management ability of patients,reduce the incidence of postoperative complications and improve the quality of life and satisfaction of patients.
引文
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[12]杜爱玲,艾小青,张东军,等.我国成年癫痫患者生活质量Meta分析[J].中国实用神经疾病杂志,2015(18):15-17.
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[15]van Os-Medendorp H,van Leent-de Wit I,de Bruin-Weller M,et al.Usage and users of online self-management programs for adult patients with atopic dermatitis and food allergy:an explorative study[J].JMIR Research Protocols,2015,4(2):e57.
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[18]王晓庆,王婷,李列侠,等.延续护理对癫痫患者遵医依从性的影响[J].中国地方病防治杂志,2014(s1):316-317.
[19]肖淑珍.颅脑损伤患者生活质量调查研究与护理[J].现代预防医学,2012,39(18):4926-4927.
[20]徐嘉,郑重.采用综合康复模式对脑血管病患者康复效果的随机对照研究[J].现代预防医学,2015,42(14):2672-2674.
[21]周友田,康健捷,黎春镛,等.医护联合应用微信和移动医疗APP协助管理癫痫伴焦虑抑郁情绪患者的临床研究[J].中华现代护理杂志,2017,23(8):1050-1055.
[22]李莎.癫痫患者伴发焦虑抑郁研究分析[J].精神医学杂志,2012,25(2):137-138.
[23]Taft C,Sager Magnusson E,Ekstedt G,et al.Health-related quality of Life,mood,and patient satisfaction after epilepsy surgery in Sweden---a prospective controlled observational study[J].Epilepsia,2014,55(6):878-885.
[24]程玉红,孔悦,尤彩珠,等.延续护理干预对癫痫术后患者生存质量的影响[J].现代中西医结合杂志,2014,23(21):2383-2385.
[2]Chartrand D.The psychosocial challenges of epilepsy and the role of the clinical nurse specialist[J].Soins.Pediatrie,Puericulture,2015,1(283):31-36.
[3]Meinardi H,Scott RA,Reis R,et al.The treatment gap in epilepsy:The current situation and ways forward[J].Epilepsia,2001,42(1):136-149.
[4]常琳.中国癫痫流行病学调查研究进展[J].国际神经病学神经外科学杂志,2012,39(2):161-164.
[5]雷金娟.探讨集束化护理在癫痫患者中的应用效果[J].河南职工医学院学报,2014,26(5):608-609.
[6]康爱玲.微信教育应用于脑卒中出院患者延续护理的效果分析[J].国际医药卫生导报,2017,23(4):580-582.
[7]冯俊艳,张冰倩,何文英,等.微信健康教育在脑卒中患者延续护理中的应用[D].河北医药,2017,39(3):474-477.
[8]全宇莉,陈翠珍,戴兆燕,等.微信延续护理对中青年脑卒中患者生活质量的影响[J].卫生职业教育,2017,35(1):155-157.
[9]郭蕾,张雅琴.微信平台在外科患者围术期健康教育中的应用效果[J].国际护理学杂志,2016,35(17):2386-2388.
[10]王伟,丁小萍.微信健康教育对人工全膝关节置换术后患者康复效果的影响[J].解放军护理杂志,2016,33(14):67-70.
[11]王蕾,张玮,邵密.微信公众号在妇科术后出院患者健康教育中的应用[J].中国乡村医药,2016,23(6):76-77.
[12]杜爱玲,艾小青,张东军,等.我国成年癫痫患者生活质量Meta分析[J].中国实用神经疾病杂志,2015(18):15-17.
[13]Ives-Deliperi V,Butler JT.Quality of Life one year after epilepsy surgery[J].Epilepsy&Behavior,2017,75:213-217.
[14]Micoulaud-Franchi JA,Bartolomei F,Duncan R,et al.Evaluating quality of Life in epilepsy:The role of screening for adverse drug effects,depression,and anxiety[J].Epilepsy&Behavior,2017,75:18-24.
[15]van Os-Medendorp H,van Leent-de Wit I,de Bruin-Weller M,et al.Usage and users of online self-management programs for adult patients with atopic dermatitis and food allergy:an explorative study[J].JMIR Research Protocols,2015,4(2):e57.
[16]Wantland DJ,Portillo CJ,Holzemer WL,et al.The effectiveness of Web-based vs.non-Web-based interventions:A meta-analysis of behavioral change outcomes[J].Journal of Medical Internet Research,2004,6(4):67-84.
[17]唐婷,胡怀宁,卢娟.利用微信群为脑卒中出院患者提供延续护理[J].全国高血压防治知识推广培训班暨健康血压中国行海南海口会论文综合刊,2014,22(2):310-311.
[18]王晓庆,王婷,李列侠,等.延续护理对癫痫患者遵医依从性的影响[J].中国地方病防治杂志,2014(s1):316-317.
[19]肖淑珍.颅脑损伤患者生活质量调查研究与护理[J].现代预防医学,2012,39(18):4926-4927.
[20]徐嘉,郑重.采用综合康复模式对脑血管病患者康复效果的随机对照研究[J].现代预防医学,2015,42(14):2672-2674.
[21]周友田,康健捷,黎春镛,等.医护联合应用微信和移动医疗APP协助管理癫痫伴焦虑抑郁情绪患者的临床研究[J].中华现代护理杂志,2017,23(8):1050-1055.
[22]李莎.癫痫患者伴发焦虑抑郁研究分析[J].精神医学杂志,2012,25(2):137-138.
[23]Taft C,Sager Magnusson E,Ekstedt G,et al.Health-related quality of Life,mood,and patient satisfaction after epilepsy surgery in Sweden---a prospective controlled observational study[J].Epilepsia,2014,55(6):878-885.
[24]程玉红,孔悦,尤彩珠,等.延续护理干预对癫痫术后患者生存质量的影响[J].现代中西医结合杂志,2014,23(21):2383-2385.