微信（群）在提高颈动脉支架置入术后患者自我效能的作用观察

摘要

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。%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.