The Influence Of Distance Education Combined With Teach-Back Method On The Self-management Ability Of Discharged Stroke Patients

Objective To investigate the level of self-management behavior in discharged stroke patients;To evaluate the effectiveness of the remote education combined Teach-back method on the self-management ability of stroke patients;To improve the self-management behavior level of stroke patients discharged,and reduce unplanned readmission and complications,to provide the basis for improving the health education program of self-management behavior of stroke patients discharged.Method To select patients from department of Acupuncture and Moxibustion of Hangzhou hospital from November 2019 to July 2020,who discharge into the standard a total of 82 patients as the research objects.Subjects were randomized into exclude requirement,the control object of study by the method of routine health education,intervention group study application of combined called the remote mission-back law firm with this study of patients with general information questionnaire and self-management behavior scale for patients with cerebral apoplexy,Subjects were asked to fill out the Stroke Self-management Behavior Scale 1 and 3 months after discharge.At different time points,the intervention group and the control group were compared with each other and within the two groups,to evaluate the total score of self-management behavior and the difference of scores in each dimension,and to compare whether there were differences in the readmission rate and the incidence of complications between the two groups.Result1.The total self-management behavior of stroke patients at discharge was(144.29±10.18)points,with a score rate of 56.93%.The score rates of stroke patients’ self-management behaviors at discharge from low to high were:disease management(45.60%),rehabilitation management(50.29%),social function and interpersonal relationship management(59.83%),daily life and living management(59.90%),emotional management(65.24%),diet management(65.88%),and medication management(68.52%).2.Before intervention,there was no statistically significant difference between the two groups in general information,total score of self-management behavior and scores of all dimensions(P>0.05).3.The intra-group comparison showed that there was no significant difference in scores of diet management dimension between the intervention group before intervention(T0 time point)and the intervention one month(T1 time point)(P>0.05).The scores of other dimensions and total scores of the intervention group at T1 time point were higher than those at T0 time point,with statistical significance(P<0.05).The scores of all dimensions and total scores of the intervention group were higher than those of the intervention group at the T0 time point at 3 months(T2 time point),with statistical significance(P<0.05).Intervention group T2 time points and the T1 time diet management dimension score difference had no statistical significance(P>0.05),other dimensions of each intervention group T2 point score and total score were higher than T1 time,statistically significant differences(P<0.05),the control group T0 time points and the T1 time diet management dimension score difference had no statistical significance(P>0.05),other dimensions of the control group score and total score points higher than the T0 T1 time point in time,the difference was statistically significant(P<0.05);The scores of all dimensions and total scores of the control group at T2 time point were higher than those at T0 time point,with statistical significance(P<0.05).There was no statistically significant difference in scores of diet management dimension between the control group at T2 and T1(P>0.05),while scores of other dimensions and total scores of the control group at T2 were higher than those at T1,with statistically significant differences(P<0.05).There was no significant difference in the scores of medication management and diet management between the two groups at T1(P>0.05).The scores of other dimensions and total scores in the intervention group at T1 were higher than those in the control group,with statistical significance(P<0.05).There was no statistically significant difference in scores of diet management dimension at T2 time point between the two groups(P>0.05).The scores of other dimensions and total scores in the intervention group at T2 time point were higher than those in the control group,with statistical significance(P<0.05).4.After 3 months of intervention,the number of unplanned readmissions in the intervention group was lower than that in the control group,but the difference was not statistically significant(P>0.05).No complications occurred in the intervention group,while 2 cases occurred in the control group at 3 months,including 1 case of post-stroke shoulder and hand syndrome and 1 case of post-stroke depression.Conclusion1.The level of self-management behavior of stroke patients was low on discharge,which need to be improved further more.2.Both health education methods can improve the self-management behavior level of stroke patients after discharge.Remote education jointly called-the back method of brain stroke patients after hospital discharge self-management behavior level rise is greater than the routine health education group,verify the remote education jointly called-back method to improve the ability of self-management in patients with cerebral apoplexy health education effect is better,which reduce unplanned readmission and complications in patients with further validation.