目的 探讨微信在缺血性脑卒中患者院外康复护理中的应用方法及效果。方法 87例缺血性脑卒中出院患者完成此研究,其中,能接受微信平台干预的为试验组（45例）,其余为对照组（42例）。出院后,对照组通过电话随访接受院外康复护理,试验组在电话随访的基础上通过微信平台接受院外康复护理。在干预前、干预3个月和干预6个月时,用慢性病管理自我效能量表、改良巴氏指数量表对患者进行调查,并统计试验组应用微信平台的数据。结果 干预3个月和干预6个月时,试验组慢性病管理自我效能和日常生活能力得分均高于同期对照组（P＜0.05）。微信康复指导内容阅读次数中排名前三位为疾病相关知识、恢复期和软瘫期康复训练指导。微信咨询内容中排名前三位为康复训练指导、疾病预防知识及危险因素和疾病紧急处理方案。结论 基于微信平台的院外康复护理能更好地提高缺血性脑卒中患者慢性病管理自我效能和日常生活能力。

Objective To explore the effects of WeChat on rehabilitation of patients with ischemic stroke after discharge.Methods A total of 87 patients with ischemic stroke were recruited in the study. Forty-five patients who can receive the intervention through Wechat platform were assigned to the experimental group and other 42 patients were in the control group. The control group was followed up by telephone after discharge. On the basis of telephone follow-up,the experimental group applied the WeChat platform after discharge. Patients were investigated by the Self-efficacy Scale for Chronic and the Modified Barthel Index. Besides,the platform usage was also recorded.Results At 3-month and 6-month,the scores of self-efficacy of chronic disease management and activities of daily living in the experimental group were higher than those in the control group,and the difference was statistically significant. The top three contents patients were interested in were disease-related knowledge,rehabilitation training in convalescence and flaccid paralysis period. The top three contents consulted frequently were rehabilitation training,disease prevention knowledge and risk factors,and emergency coping.Conclusion Rehabilitation after discharge based on WeChat platform improves the self-efficacy and activities of daily living for patients with ischemic stroke.