Xu Juling, Qian Xiuqun, Yuan Mengwen, Wang Caidi
School of Medicine, HuZhou University, Huzhou, Zhejiang, China.
Huzhou Central Hospital, Huzhou, Zhejiang, China.
Acta Neurol Belg. 2023 Feb;123(1):107-114. doi: 10.1007/s13760-021-01628-y. Epub 2021 Mar 16.
To explore the effects of mobile phone application (App)-based continuing nursing care on the self-efficacy (SE), quality of life (QOF), and motor function (MF) of stroke patients in the community. A total of 101 stroke patients in the community recruited in this study for retrospective analysis were divided into a control group (CG) and an observation group (OG) based on the means of intervention. In total, 50 patients in the CG received routine community health education, based on which a mobile phone App-based continuing nursing mode was applied to the 51 patients in the OG. Changes in physiological indicators, including homocysteine (Hcy), high-density lipoprotein (HDL-C), and total cholesterol (TC), were evaluated before and after intervention. Moreover, MF [determined using the Fugal-Meyer motor function assessment (FMA)], SE (determined using stroke self-efficacy questionnaire), QOF, and satisfaction toward nursing were evaluated. (1) Hcy and TC levels in the OG were lower after intervention; however, HDL-C levels were higher than those in the CG, with statistically significant differences (P < 0.05). (2) The FMA MF of the upper and lower limb (FMA-U and FMA-L) scores and the total scores in the OG after the intervention were significantly improved compared with those in the CG (P < 0.05). (3) Patients in the OG showed significantly higher SE scores than those in the CG (P < 0.05). (4) Scores of emotional health, emotional function, social function, energy, general health status, body pain, physiological function, and physiological features were significantly higher in the OG than those in the CG after the intervention (P < 0.05). (5) Patients in the OG expressed more positive satisfaction toward nursing than those in the CG, with statistically significant differences (P < 0.05). Mobile phone App-based continuing nursing care may significantly improve the SE, quality of life, and satisfaction toward nursing as well as promote the improvement of biological markers and MF of stroke patients.
探讨基于手机应用程序（App）的延续性护理对社区脑卒中患者自我效能感（SE）、生活质量（QOL）及运动功能（MF）的影响。本研究选取101例社区脑卒中患者进行回顾性分析，根据干预方式分为对照组（CG）和观察组（OG）。CG组50例患者接受常规社区健康教育，在此基础上，OG组51例患者采用基于手机App的延续性护理模式。干预前后评估生理指标变化，包括同型半胱氨酸（Hcy）、高密度脂蛋白（HDL-C）和总胆固醇（TC）。此外，评估MF[采用Fugl-Meyer运动功能评估（FMA）测定]、SE（采用脑卒中自我效能感问卷测定）、QOL及护理满意度。（1）干预后OG组Hcy和TC水平降低；然而，HDL-C水平高于CG组，差异有统计学意义（P < 0.05）。（2）干预后OG组上下肢FMA运动功能（FMA-U和FMA-L）评分及总分较CG组显著改善（P < 0.05）。（3）OG组患者SE评分显著高于CG组（P < 0.05）。（4）干预后OG组在情感健康、情感功能、社会功能、精力、总体健康状况、身体疼痛、生理功能和生理特征方面的评分显著高于CG组（P < 0.05）。（5）OG组患者对护理的满意度高于CG组，差异有统计学意义（P < 0.05）。基于手机App的延续性护理可显著提高脑卒中患者的SE、生活质量及护理满意度，并促进生物学指标和MF的改善。
