Study On The Effect Of "Internet+Extended Care" Intervention Plan On Motor Function Rehabilitation In Stroke Patients With Hemiplegia

ObjectiveTo develop the "Internet+Extended Care" intervention plan,discuss the effect of the plan on motor function rehabilitation in stroke patients with hemiplegia and provide a basis for the extended care of stroke patients with hemiplegia,taking the "Knowledge,Attitude/Belief,Practice(KAP)" model as the theoretical foundation.MethodsIn the study,82 stroke patients with hemiplegia who meet the inclusion criteria were selected from the Neurology Department of a Grade III Class A hospital in Hunan Province.They were assigned into the control group(41 patients)and the intervention group(41 patients)according to the random number table.Patients in both groups received conventional care and early rehabilitation care in acute stage at the Neurology Department.Conventional discharge instructions were given for patients in the control group.After being discharged,the patients received telephone follow-up,home follow-up and clinical follow-up for a period of 3 months so as to provide rehabilitation instructions for patients at home;patients in the intervention group received "Internet+Extended Care" intervention for a period of 3 months in addition to the practice implemented on patients in the control group.Subjects in both groups were investigated upon discharge,6 weeks after discharge and 3 months after discharge by means of General Information Questionnaire,Motor Assessment Scale(MAS),Activity of Daily Living Scale(ADL),Self-Efficiency Scale of Chronic Diseases(SSC),Stroke Specific Quality of Life Scale(SS-QOL)and Questionnaire of Exercise Adherence(EAQ),and effect evaluation was carried out.Statistical analysis was carried out for all data with SPSS 17.0.T-test or analysis of variance(ANOVA)was adopted when the quantitative data were normally distributed;Kruskal Wallis test was adopted when the data were not normally distributed;chi-square test was adopted for the comparison of qualitative data.Multiple measuring results were analyzed by Repeated Measures and independent two-sample t-test was adopted for inter-group comparison at the same time point.Result(1)The differences in gender,age(years old),stroke type,education,marital status,medical insurance type,limb muscle strength grading,living situation and personal monthly income between patients of the two groups before intervention were not statistically significant(P> 0.05).There were no statistically significant differences(P> 0.05)in the scores of ADL,MAS,SSC,SS-QOL and EAQ.(2)The differences in MAS score,ADL score,SSC score,SS-QOL score and EAQ score of patients in the intervention group 6 weeks and 3 months after discharge were statistically significant(P < 0.001)compared with that upon discharge.Inter-group ANOVA showed that the MAS score,ADL score,SSC score,SS-QOL score and EAQ score of patients in the intervention group were significantly higher than that in the control group and the differences were statistically significant(P < 0.01).The EAQ score of patients in the control group 3 months after discharge was lower than that 6 weeks after discharge and the difference was statistically significant(P < 0.01);the EAQ score of patients in the intervention group 3 months after discharge was higher than that 6 weeks after discharge,but the increased range was smaller than the increased range of the result 6 weeks after discharge compared with the result upon discharge.The difference was statistically significant(P < 0.01).ConclusionsThe "Internet+Extended Care" intervention plan can effectively promote the motor function rehabilitation in stroke patients with hemiplegia and improve the activities of daily living,self-efficiency,quality of life and exercise adherence of the patients.