Application Of Cloud Follow-up Platform In Transitional Care Of Patients With Hemiplegia During Recovery Of Ischemic Stroke

Objectives:Study the current status of self-efficacy,muscle strength and quality of life in patients with hemiplegia during stroke recovery,and explore the effect of transitional care based on"BIHUEHU"cloud follow-up platform on self-efficacy,muscle strength of upper and lower limbs and quality of life in patients with hemiplegia during stroke recovery,and to explore its clinical application value.The transitional care model for patients with hemiplegia during stroke recovery provides a more scientific and effective reference.Methods:The convenience sampling method was used to select 84 patients with hemiplegia discharged from ischemic stroke recovery period in a third-level Class A hospital in Xi’an from March 2019 to October 2019.The random number table method divided the patients into an experimental group and a control group of 42 cases each.The control group received routine discharge guidance and telephone follow-up visits every three days,one and a half months,and three months after discharge.The experimental group based on the control group based on the"BIHUEHU"cloud follow-up platform for three months of transitional care Intervention.Compare the changes in general self-efficacy scores and daily life index scores before and after discharge,one and a half months and three months after discharge,and measure the muscle strength of the upper and lower extremities of the patients before and three months after discharge,and the patient’s limb recovery was observed.Results:1.Comparison of general self-efficacy scores The score before the discharge in the experimental group of 18.17±2.18 and the control group score of 17.86±2.96.There was no significant difference in the scores between the two groups of patients（t=0.522,P=0.603）;one and a half months after discharge,three the monthly experimental group scores were 24.63±2.79,28.17±2.12,and the control group scores were 20.08±2.19,22.22±1.38,respectively.There was a statistically significant difference in scores between the two groups（t=8.050,P<0.001;t=15.699,P<0.001）.The general self-efficacy scores of the two groups of patients were processed by two-factor repeated measurement analysis of variance.It was found that with time,the general self-efficacy scores of the two groups of patients had an upward trend,and the test group scores increased significantly;three The difference in time point（time effect）was statistically significant(F_Time=408.794,P<0.001),and the difference（group effect）between the two different intervention methods was statistically significant(F_Group=67.251,P<0.001),and there were interaction effects between two different intervention methods and three different time points(F_Interaction=67.696,P<0.001).2.Comparison of changes in muscle strength Before discharge,there was no significant difference in muscle strength between the two groups of patients（Z=-0.464,P=0.643;Z=-0.463,P=0.644）.Three months after discharge,the changes in the muscle strength of the upper and lower limbs of the experimental group were improved compared with those before the discharge,and the difference was statistically significant（Z=-2.344,P=0.019;Z=-2.156,P=0.031）;The improvement of lower limb muscle strength was statistically significant（Z=-2.607,P=0.009;Z=-2.162,P=0.031）,which is comparable.3.Comparison of daily-life index scores The score of the experimental group before discharge was 43.17±3.11,and the score of the control group was 42.43±4.02.There was no significant difference in the scores between the two groups（t=0.902,P=0.370）;the scores of the experimental group were 51.95 one and a half months after discharge The scores were±3.69,67.44±8.30,and the control group scores were 48.92±4.27,60.54±5.75,respectively.The scores of the two groups were significantly different（t=3.336,P=0.001;t=4.301,P<0.001）.The daily life index scores of the two groups of patients were processed by two-factor repeated measurement analysis of variance.It was found that with the change of time,the daily life index scores of the two groups of patients had an upward trend,and the test group scores increased significantly;three times The difference in point（time effect）was statistically significant(F_Time=554.228,P<0.001),and the difference（group effect）between the two different intervention methods was statistically significant(F_Group=15.32,P<0.001),and there were interaction effects between the two different intervention methods and three different time points(F_Interaction=11.663,P<0.001).Conclusions:1.Transitional care of cloud follow-up platform model can effectively guide follow-up workers to follow-up practice.2.Transitional care of the cloud follow-up platform model can promote limb recovery in patients with hemiplegia during stroke recovery.3.Transitional care of the cloud follow-up platform model can improve the self-efficacy and improve the quality of life of patients with hemiplegia during stroke recovery.