Study On The Clinical Evaluation Of Patients With Ischemic Stroke Under The Mode Of Chronic Disease Management Under The Telephone+WeChat Follow-up Mode

Objective:By conducting follow-up under chronic disease management for patients with ischemic stroke,study their impact on patients’ daily life activities and medication compliance,and further explore the characteristics of the telephone + WeChat follow-up model under chronic disease management,so as to be an ischemic stroke Provide guidance and reference for patients to guide after discharge.Methods:Patients who were admitted to the encephalopathy treatment area of the Jilin Provincial Hospital of Traditional Chinese Medicine from February 2019 to December 2019 were selected and randomly divided into an observation group and a control group,with 50 patients in each group,for a total of 100 patients.During the course of the subject,a total of7 research subjects fell off.After discharge,the control group patients were followed by outpatient visits.The observation group patients were followed by a remote follow-up model of telephone + WeChat.In the research process,individual guidance will be made for different patients,including health education,medication guidance,diet guidance,risk factor prevention and control,and secondary prevention of cerebrovascular disease.Before entering the group,record the patient’s personal information,risk factors,BI index score,Morisky medication compliance score,follow-up management and clinical observation of the patient for a period of 3 months,the patient’s BI index score and Morisky medication compliance are evaluated after the management Sex score.The data is processed by SPSS25.0 statistical software.Results:According to statistical analysis,the BI index score for patients in the observation group before management was post-management(76.63 ± 13.32),after management(82.24 ± 12.69),P <0.05;Later(81.02 ± 12.42),P <0.05,results are statistically significant,there is a significant difference between the two groups of patients before and after management,and the ability to perform daily activities after management is greater than the previous group Indicates improvement.Patients in the observation group had a compliance score(5.80±1.43)before dosing,(6.96±0.735)and P <0.05 after dosing.The control group had a pre-test score of(5.80±1.39)and a post-dose score of(6.23±1.026),P <0.05,results are statistically significant,there is a significant difference between the two groups of patients before and after management,and post-management compliance is improved compared to the previous group Indicates that The comparison of the BI index between the groups after management was P>0.05.That is,there was no significant difference between the two groups after management.The comparison of medication compliance between the groups after management was P<0.05,with a significant difference between the two groups after management,and the observation group was significantly better than the control group.Conclusion:Follow-up under the management of chronic diseases can improve the patient’s daily life activities,and plays a vital role in improving the patient’s quality of life.It provides follow-up clinical guidance for patients with ischemic stroke recovery.On the basis of outpatient follow-up,if the follow-up model of phone + WeChat is applied,the patient’s medication compliance can be more significantly improved,and the patient can be changed from passive to active,thereby reducing the number of patients who fall off,which is beneficial to the health of patients.It also provides convenience for clinical work.