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目的探讨采用电话、E-mail、家庭上门康复指导3种不同随访方式对脑卒中出院患者早期康复影响的效果。方法将324例脑卒中出院患者随机分为对照组80例,电话组88例,E-mail组84例和家庭上门康复指导组72例,4组患者在住院期间及出院前均进行常规健康教育,出院后在此基础上由专人分别对电话组、E-mail组和家庭上门康复指导组进行电话、E-mail和家庭上门康复指导方式的随访,时间分别是出院后1个月、3个月、6个月,1年后发放统一问卷调查表,观察患者对脑卒中相关疾病知识、早期功能锻练的掌握情况及复诊再住院率。结果电话组、E-mail组和家庭上门康复指导组患者对脑卒中相关疾病知识的掌握率和患者院外满意度明显优于对照组(P<0.05),复诊再住院率明显低于对照组(P<0.05)。结论电话组、E-mail组和家庭上门康复指导组3种随访方式均可提高脑卒中患者的日常生活能力和遵医行为,进而促进患者早期康复,其中以家庭上门康复指导效果最佳。
Objective To explore the effect of three different follow-up methods on the early rehabilitation of stroke patients by telephone, E-mail and home-based rehabilitation. Methods A total of 324 patients with stroke were randomly divided into control group (80 cases), telephone group (88 cases), E-mail group (84 cases) and home-based rehabilitation instruction group (72 cases). All 4 groups received routine health education during hospitalization and before discharge , After discharge, on the basis of which, the specialists were respectively followed up by phone, E-mail and home-based rehabilitation guidance group to the telephone group, E-mail group and home-based rehabilitation guidance group for 1 month and 3 Month, 6 months, 1 year after the issuance of a unified questionnaire to observe the patient’s knowledge about stroke-related diseases, early functional training master and referral re-hospitalization rate. Results The mastery rate of patients with stroke-related diseases and patients’ satisfaction degree in outpatients were significantly better than those in control group (P <0.05), and the rate of readmission re-hospitalization was significantly lower in telephone group, E-mail group and home-based rehabilitation instruction group than in control group P <0.05). Conclusion The three follow-up methods of telephone group, E-mail group and Home-home Rehabilitation Guidance Group all can improve the daily living ability and compliance behavior of stroke patients, and then promote the early rehabilitation of patients, and the home-based rehabilitation guidance is the best.