主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2026, Vol. 26 ›› Issue (5): 717-722.doi: 10.3969/j.issn.1672-1756.2026.05.016

• 康复护理专题 • 上一篇    下一篇

基于移动医疗的脑卒中患者中西医结合居家康复护理实践

徐妍 叶梦华 倪斐琳 黄馨睿 黄路怡 徐敏   

  1. 浙江中医药大学附属第一医院(浙江省中医院)乳腺外科,310006杭州市(徐妍);血液内科(叶梦华);神经内科(倪斐琳,黄馨睿);副院长办公室(徐敏);浙江中医药大学护理学院(黄路怡)
  • 出版日期:2026-05-15 发布日期:2026-05-15
  • 通讯作者: 徐敏,博士,主任护师,博士生导师,副院长,E-mail:yudi1212@163.com
  • 作者简介:徐妍,硕士
  • 基金资助:
    2023年度浙江省“尖兵”“领雁”研发攻关计划项目(2023C03165);浙江省中医药科技计划项目(2024ZL393);浙江中医药大学青年人才项目(2023FSYYZQ04)

Practical application of home-based rehabilitation nursing integrating traditional Chinese and Western medicine for stroke patients based on mobile health care

XU Yan, YE Menghua, NI Feilin, HUANG Xinrui, HUANG Luyi, XU Min   

  1. Department of Breast Surgery, The First Affiliated Hospital of Zhejiang Chinese Medical University (Zhejiang Provincial Hospital of Traditional Chinese Medicine), Hangzhou, 310006, China
  • Online:2026-05-15 Published:2026-05-15
  • Contact: E-mail:yudi1212@163.com

摘要: 目的:评价基于移动医疗的脑卒中患者中西医结合居家康复护理的应用效果,为促进脑卒中患者的居家康复提供借鉴。方法:采用便利抽样法,选取杭州市某三级甲等医院神经内科就诊的脑卒中患者为研究对象,2024年6月—8月收治的54例患者为对照组,接受常规康复护理;2024年9月—11月收治的54例患者为干预组,接受基于移动医疗的中西医结合居家康复护理。比较两组患者的自我管理能力与生活质量,并收集干预组患者对平台的系统可用性评价。结果:干预后,干预组患者的自我管理能力、生活质量评分明显优于对照组(P<0.05)。同时,干预组中85.19%的患者认为优化版“浙里护理”平台的系统可用性达到“好”的标准。结论:基于移动医疗的中西医结合居家康复护理可有效改善脑卒中患者的自我管理能力及生活质量,且依托“浙里护理”平台作为移动医疗的载体进行干预具有可行性,可为临床护理实践提供参考。

关键词: 移动医疗;脑卒中;中西医结合;居家康复

Abstract: Objective: To evaluate the effects of a home-based rehabilitation nursing integrating traditional Chinese and Western medicine based on mobile healthcare for stroke patients to provide reference for promoting the home-based rehabilitation for those patients. Methods: Using convenience sampling, stroke patients visiting the neurology department of a tertiary grade A hospital in Hangzhou were selected as the research subjects. According to the time of visit, 54 patients admitted from June to August 2024 were assigned to the control group and received conventional rehabilitation nursing, while 54 patients admitted from September to November 2024 were assigned to the experimental group and received a home-based rehabilitation nursing integrating traditional Chinese and Western medicine based on mobile healthcare aside from routine care. The self-management ability and quality of life of the two groups were compared, and the system usability evaluation of the "ZheLi Nursing" platform was collected from the experimental group. Results: After the intervention, the self-management and quality of life scores of the experimental group were significantly better than those of the control group (P<0.05). Additionally, 85.19% of the patients in the experimental group considered the system usability of the optimized "ZheLi Nursing" platform to be "good". Conclusion: The home-based rehabilitation nursing integrating traditional Chinese and Western medicine based on mobile healthcare can effectively improve the self-management ability and life quality of stroke patients. Moreover, it is feasible to use the "ZheLi Nursing" platform as a mobile healthcare carrier for intervention to provide a reference for clinical nursing practice.

Key words: mobile health; stroke; integration of traditional Chinese and Western medicine; home rehabilitation

中图分类号:  R47;R197