《中国康复理论与实践》

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (10): 1214-1220.doi: 10.3969/j.issn.1006-9771.2019.00.008

• 社区康复 • 上一篇    下一篇

居家脑卒中患者专业化照护APP的开发与应用

张慧霞1, 林蓓蕾1, 梅永霞1, 张永超2, 张振香1, 胡鑫3   

  1. 1.郑州大学护理学院，河南郑州市 450000;
    2.郑州市第九人民医院，河南郑州市 450053;
    3.郑州大学产业技术研究院，河南郑州市 450000
  • 出版日期:2019-10-25 发布日期:2019-10-30
  • 通讯作者: 张振香，E-mail: zhangzx6666@126.com E-mail:zhangzx6666@126.com
  • 作者简介:张慧霞(1993-)，女，汉族，河南宁陵县人，硕士研究生，主要研究方向：社区与老年学。
  • 基金资助:
    1.河南省教育厅人文社会科学研究项目(No. 2018-ZZJH-547)；2. 2018年度河南省科技攻关项目(No. 182102310198)

Development and Application of Professional Care APP for Stroke Patients at Home

ZHANG Hui-xia1, LIN Bei-lei1, MEI Yong-xia1, ZHANG Yong-chao2, ZHANG Zhen-xiang1, HU Xin3   

  1. 1.The Nursing College of Zhengzhou University, Zhengzhou, Henan 450000, China;
    2.The Ninth People’s Hospital of Zhengzhou, Zhengzhou, Henan 450053, China;
    3.Zhengzhou University Industrial Technology Research Institute, Zhengzhou, Henan 450000, China
  • Published:2019-10-25 Online:2019-10-30
  • Contact: ZHANG Zhen-xiang, E-mail: zhangzx6666@126.com E-mail:zhangzx6666@126.com
  • Supported by:
    Supported by Foundation:Henan Educational Committee Humanities and Social Sciences Research Project (No.2018-ZZJH-547), and Henan Science and Technology Research Project (No. 182102310198)

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摘要： 目的 开发专业化照护智能手机应用程序(APP)，并探讨在居家脑卒中患者中的应用效果。 方法 通过文献综述、现有APP功能分析及专家函询法，结合课题组前期专业化照护需求调查结果，开发专业化照护APP 1.0版。经10例居家脑卒中患者试用4周后，依据使用体验优化升级为APP 2.0版。专业化照护APP 2.0版包括患者端和医护端两部分，其中患者端提供健康教育、康复指导、服药提醒和在线咨询等服务。2017年12月至2018年6月便利选取郑州市某社区脑卒中患者77例，随机分为对照组(n = 39)和干预组(n = 38)，对照组接受常规社区随访，干预组进行专业化照护APP干预，共12周。 结果 12周后，干预组疾病相关知识掌握情况及服药依从性均显著优于对照组(t > 4.205, P < 0.001)，专业化照护需求得分显著低于对照组(t = -18.183, P < 0.001)。干预组对APP有用性、易学性、易用性、信任度、接受性和满意度方面评价均较好。 结论 专业化照护APP可满足患者的专业化照护需求，提高疾病知识水平和服药依从性，患者对APP评价较理想。

关键词: 脑卒中, 居家, 专业化照护, 智能手机应用程序

Abstract: Objective To develop and evaluate the effect of Professional Care APP for stroke patients at home. Methods Professional Care APP 1.0 was developed by reviewing literature, analyzing APP function and consulting expert, and combined with the findings at the early stage. And then it was upgraded to APP 2.0 after a 4-week trial in 10 stroke patients at home, which included two parts: patient-side and medical-side. The patient-side provided health education, rehabilitation guidance, medication reminder, online consultation and so on. From December, 2017 to June, 2018, 77 stroke patients in a community in Zhengzhou, China were conveniently selected and randomly divided into control group (n = 39) and intervention group (n = 38). The control group received routine community follow-up, and the intervention group received Professional Care APP 2.0, for 12 weeks. Results After a 12-week intervention, the level of knowledge and medication compliance was significantly higher in the intervention group than in the control group (t > 4.205, P < 0.001). The score of demand for professional care was significantly lower in the intervention group than in the control group (t = -18.183, P < 0.001). The intervention group made a good evaluation for APP in usefulness, ease of learning, usability, credibility, acceptability and satisfaction. Conclusion Professional Care APP can meet the professional care needs, and improve the level of knowledge on disease and medication compliance for stroke patients at home. The patients' evaluation for APP is ideal.

Key words: stroke, home, professional care, Smartphone application

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