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多媒体教学视频在缺血性脑卒中合并糖尿病患者中预后结局的效果评价

Effect evaluation of multimedia teaching video on the prognostic outcome in patients with ischemic stroke complicated by diabetes mellitus

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目的 探讨多媒体教学视频在缺血性脑卒中合并糖尿病患者中预后结局的效果研究.方法 筛选2021年8月-2023年6月在我院神经内科住院治疗的缺血性脑卒中合并糖尿病患者140例.按随机数字表法分为对照组和观察组,各70例.对照组采用常规护理结合健康宣教,观察组在此基础上实施多媒体教学视频的健康宣教.干预3个月后,比较2组患者干预前后空腹血糖、糖化血红蛋白值,采用Morisky用药依从性量表、改良Rankin量表(modified rankin scale,MRS)、Barthel指数评分、汉密顿焦虑量表评估患者干预前后用药依从性、神经功能恢复状况、日常生活能力和焦虑症状改善情况.结果 干预3个月,观察组患者Morisky用药依从性量表,Bar-thel 指数评分量表均高于对照组,空腹血糖值,糖化血红蛋白值和 MRS评分均低于对照组,差异有统计学意义(P<0.001).汉密顿焦虑量表得分无明显变化,差异无统计学意义(P>0.05).结论 缺血性脑卒中合并糖尿病患者实施多媒体教学视频干预,能有效提高患者的用药依从性和神经功能恢复.降低患者空腹血糖值和糖化血红蛋白值,对患者的身体康复具有重要意义,但焦虑症状改善还需要更长时间强化指导.
Objective To explore the effect of multimedia teaching videos on prognostic outcome in patients with ischemic stroke complicated by diabetes mellitus.Methods A total of 140 patients with ischemic stroke complicated by diabetes mellitus admitted to in the neurology department of our hospital from August 2021 to June 2023 were en-rolled,and were randomly divided into the control group and the observation group of 70 each.The control group re-ceived routine care combined with health education,while the observation group received the health education through multimedia teaching videos in addition to routine care.After 3 months of intervention,fasting blood glucose and glycated hemoglobin values before and after the intervention were compared between 2 groups.Morisky medica-tion compliance scale,modified Rankin scale(MRS),Barthel index score,and Hamilton anxiety scale were used to evaluate medication compliance,recovery of neurological function,activity of daily living,and improvement in anxie-ty symptoms before and after the intervention.Results After 3 months of intervention,patients in the observation group had higher scores on the Morisky medication compliance scale and Barthel index compared to the control group,and also had lower fasting blood glucose levels,glycated hemoglobin levels,and MRS scores than the control group,with statistically significant differences(P<0.001),and had no significant change in scores on the Hamilton anxiety scale,with no statistically significant difference(P>0.05).Conclusion Implementing multimedia teaching video intervention in patients with ischemic stroke complicated by diabetes mellitus can effectively improve medica-tion compliance and neurological function recovery of patients.Lowering patients'fasting blood glucose levels and glycated hemoglobin levels is of great significance for the patient's physical recovery,but the improvement of anxiety symptoms requires longer-term strong guidance.

multimedia teaching videostrokeischemic strokediabetes mellitusdrug complianceblood sugarnerve function

郑耳、刘天翔、刘悦

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浙江省温州市中心医院神经内科,浙江温州 325000

多媒体教学视频 卒中 缺血性脑卒中 糖尿病 用药依从性 血糖 神经功能

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(15)