Effects of mobile APP on health education in inpatients with stroke

To explore the effects of a home care mobile app on the outcomes of stoma patients who discharged from hospital. Patients with a newly formed stoma experience many difficulties after surgery. Mobile application (app) has the potential to help patients self-manage their diseases and adjust to the changes in their lives and is a convenient way to ensure the continuity of care. However, there is a lack of studies about the effects of a mobile app on the transitional care for improving discharged stoma-related health outcomes. A randomised controlled trial. A total of 203 patients with a permanent stoma in tertiary hospitals in China were randomly assigned into two groups. Patients in the control group (n=103) received routine discharge care. Patients in the intervention group (n=100) received home care via a mobile app besides routine care. The psychosocial adjustment level, self-efficacy scale and stoma complications incidence were measured in the follow-up period and compared between the two groups. Data were collected at four time points: before intervention (baseline), at 1, 3 and 6months after discharge. The psychosocial adjustment level and stoma self-efficacy score of the intervention group were significantly higher than those of the control group, respectively, at 1-, 3- and 6-month follow-up (all p<0.05). The incidence of stoma complications in the intervention group was tending to reduce at 1, 3 and 6months after discharge. The findings indicated that follow-up care at home via a mobile app can effectively improve the psychosocial adjustment level, self-efficacy scale and other related outcomes of stoma patients. The home care mobile app is an effective intervention to support the psychosocial adjustment and self-efficacy of stoma patients after discharge. It ensures the continuity of care and provides nursing guidance for the patients timely.

Objective To understand the need of stroke patients for home health education combined traditional Chinese and western medicine. Methods Self-designed questionnaire combined with domestic andforeign literature was used to investigate stroke patients in four communities of Beijing chosen by convenience sampling. Results Top three dimensions of health education with high scores in order were prevention knowledge education, home emergency disposal education and rehabilitation education. Top three dimensions of all with high scores in order were risk factors of recurrence, symptoms of recurrence and methods of living with seasons. Three dimensions with the lowest scores in order were sex education, methods of expressing emotions and regular review. Conclusions Medical staff should pay attention to the health education demand of stroke patients, formulate personalized health education plan, provide targeted education and guidance, help patients with recovery points and improve the level of overall nursing, so as to promote patients＇ recovery at an early date. Key words: Stroke; Integrated TCM and WM ; - Health e-ducation; Home; Need

Objective To explore the effects of continuous health education by telephone follow-up on activity of daily living, anxiety, life satisfaction, medication compliance and self-management behavior in empty-nested elderly patients with stroke in the countryside. Methods A total of 120 stroke inpatients with countryside household register of Neurology at Taizhou Hospital of Zhejiang Province from Taizhou Enze Medical Center were selected by convenience sampling from January 2013 to December 2015. They were randomly divided into control group (n=60, routine health education at discharge from hospital and when returning visit) and observation group (n=60, routine health education at discharge from hospital and when returning visit + continuous health education by telephone follow-up) . The activity of daily living, anxiety, life satisfaction, medication compliance and self-management behavior were evaluated with the Barthel index (BI) , hamilton anxiety scale (HAMA) , life satisfaction scale (LSIA) , Morisky questionnaire and the self-management behavior scale for stroke patients. Results After intervention, there were statistically significant differences in the scores of BI, HAMA and LSIA of patients in two groups (t=32.34, 19.77, 10.34; P<0.05) . There were also statistical significances in the scores of safe medication management, rehabilitation management, diet management, interpersonal management, emotional management, daily life management, disease management and the total score of self-management behavior of patients between two groups (t=6.56, 16.87, 15.14, 13.08, 15.30, 15.16, 12.23, 61.98; P<0.05) . The difference in the score of medication compliance of patients in two groups was significant (t=10.33, P<0.05) . Conclusions The continuous health education by telephone follow-up for empty-nested elderly patients with stroke in the countryside is simple and easy. It can remarkably enhance the activity of daily living and life satisfaction, reduce anxiety and tension, and improve the self-management behavior of stroke patients and medication compliance. Key words: Aged; Stroke; Health education; Telephone follow-up

Objective To explore the level of awareness of and needs for health education services of the stroke patients.Methods A survey of 778 stroke patients hospitalized in departmnents of neurology in several tertiary hospitals was conducted using self-designed questionnaires.All the questionnaires were validated by reliability and validity tests before the survey.Results It was found that the patients had poor awareness of the risk factors,and common symptoms at onset of stroke,leading to poor command of knowledge of stroke prevention.It was also found that the main source of the knowledge about stroke was from the patients' relatives and friends (51.31％),only 7.59％ and 7.85％ of the patients indicated that their knowledge were from doctors' instruction and and formal health education activities,respectively.The percentages of patients who wanted to learn stroke-related knowledge by doctor's instruction or expert lectures were 68.68％ or 42.86％,respectively.Conclusions The awareness level of stroke patients of the stroke-related knowledge was generally low; health education in this regard should be well planned and strengthened. Key words: Stroke; Awareness; Sources of knowledge; Needs

Objective The nursing health education module is an extension of the hospital information system associated with the public relations service platform for short message service (SMS) Gateway. The construction of the intelligent information system centered by patient service can make up for the traditional single education model and promote patient-centered health information sharing at a lower cost. Methods The information-based nursing health education system was designed to include information binding module, admission education module, special examination module, preoperative education module and discharge education module. It has been applied in the Hepatobiliary and Pancreatic Surgery Department of Ningbo First Hospital (61 confirmed beds and 22 nurses) since March, 2017. The 506 patients who received the routine nursing education before the establishment of the information-based nursing health education system were assigned into the control group. The 482 patients who received the short message health education nursing module on the basis of the routine nursing education were put into the observation group. The two groups were evaluated in terms of the nursing satisfaction degree by using the Satisfaction Questionnaire Scale. Results After the setup of the health education nursing module, the observation group achieved higher score in the satisfaction degree of hospital notification, examination notification, operation notification, discharge notification and medical evaluation, confidentiality protection and medical staff comments than the control group with statistical difference (P 0.05) . Conclusions The clinical application of the nursing health education module based on short message platform can improve the effect of education and patients' satisfaction. Key words: Hepatobiliary and pancreatic surgery; Health education; Short message; Informationization; Satisfaction; Education

Objective To explore the effects of increasing inspiring contents on health education in stroke patients. Methods According to a random number table, 363 stroke patients who were hospitalized in 2015 were randomly assigned to the experimental group and the control group. The control group received conventional health education while the experimental group received the education with increasing inspiring contents. To compare patients' awareness of the risk factors for stroke and the compliance of medication and rehabilitation between the two groups. Results Patients in the experimental group had a significantly higher awareness of risk factors and compliance compared with patients in the control group [ (8.95±0.30) vs (5.05±0.40) for the awareness of risk factors; (9.35±0.35) vs (6.45±0.40) for medication compliance; (9.05±0.30) vs (5.70±0.45) for rehabilitation compliance] (t=79.20, 58.89, 68.03; P<0.01) . Conclusions Health education with increasing inspiring contents can effectively improve the awareness of disease and compliance of medication and rehabilitation in stroke patients. Key words: Stroke; Health education; Increasing inspiring contents; Compliance

Objective To discuss the effect of super early rehabilitation care on daily life ability for patients with cerebral apoplexy .Methods A total of 120 cases of stroke patients were randomly divided into the control group and the experimental group with 60 cases in each group .The control group was given routine nursing, and the experimental group was given super early rehabilitation care .Using self-designed questionnaire , patients’ knowledge of health education and satisfaction towards nursing quality were evaluated , by internationally accepted Modified Barthel Index （MBI） and simplified Fugl-Meyer Assessment（FMA） to evaluate the patient’s motion function and daily living skills .Results The comparison of the two groups in stroke health education knowledge and patient’s satisfaction has a significant difference （90.0%vs 63.33%;95.0%vs 81.67%;χ2 =10.253,9.677,respectively;P＆lt;0.05）;after four weeks, the patients in experimental group FMA score and MBI score were significantly higher than those in control group [（55.2 ±5.1） vs （36.5 ±4.2）;（62.9 ±9.8） vs （42.3 ±10.6）;t=3.25,3.17,respectively;P＆lt;0.05）].Conclusions Super early comprehensive rehabilitation nursing can reduce disability in patients with cerebral apoplexy , shorten the course of the disease , significantly improve stroke patients with hemiplegia limb function and ADL ability , and reduce morbidity . Key words: Stroke; Functional rehabilitation; Nursing

Objective To observe the influence of nursing intervention based on International Classification of Functioning, Disability and Health (ICF) in the course of dysphagia for stroke patients. Methods A total of 60 stroke patients were chosen with dysphagia in the Second Affiliated Hospital of Xi'an Jiaotong University for the study. These patients were randomly divided into the control group and the intervention group with 30 cases in each group, two groups were directly treated with routine training, oral care, menthol popsicle stimulation, balloon dilatation treatment, swallowing electrical stimulation, basic training of swallowing and health education. The intervention group was assessed and intervened based on 34-item dysphagia ICF core project which Dongyi refined in addition to conventinal nursing. The grade was measured by the Kubota Toshio′s drinking test, and the Surface Electromyography (sEMG) was performed to compare the swallowing duration and maximum amplitude in the masseter, the orbicularis oris, submental, and the lower hyoid muscles before intervention, after 4 weeks and after 8 weeks. Results The average grade in Kubota Toshio′s drinking test before intervention, after 4 weeks and after 8 weeks in the control group and the intervention group were 4.12±0.23, 3.34±0.57, 2.76±0.46 and 4.29±0.25,2.82±0.39,1.81±0.41, intra group comparison was statistically significant (F=67.19, 368.56, P<0.01). Comparison between two groups in 4 weeks, 8 weeks after intervention was statistically significant (t=4.81, 7.22, P<0.01). In the control group, intra group comparison of swallowing duration in the masseter, the orbicularis oris, submental, and the lower hyoid muscles before intervention, after 4 weeks and after 8 weeks was statistically significant (F=18.40-34.65, P<0.01). In the intervention group, intra group comparison of swallowing duration in the masseter, the orbicularis oris, submental, and the lower hyoid muscles before intervention, after 4 weeks and after 8 weeks was statistically significant (F=127.82-174.93, P<0.01) . There were significant differences in swallowing duration in the masseter, the orbicularis oris, submental, and the lower hyoid muscles in 4 weeks, 8 weeks after intervention between the two groups (t=-5.32-10.14, P<0.01) .In the control group, intra group comparison of maximum amplitude in the masseter, the orbicularis oris, submental, and the lower hyoid muscles before intervention, after 4 weeks and after 8 weeks was statistically significant (F=28.11-90.54, P<0.01) . In the intervention group, intra group comparison of the maximum amplitude in the masseter, the orbicularis oris, submental, and the lower hyoid muscles before intervention, after 4 weeks and after 8 weeks was statistically significant (F=60.91-178.31, P<0.01) . There were significant differences in the maximum amplitude in 4 weeks, 8 weeks after intervention between the two groups(t=-8.82--4.06, P<0.01) . Conclusions Nursing intervention based on ICF has obvious curative effect on stroke patients with dysphagia. Key words: International classification of functioning, disability and health; Nursing care; Intervention; Dysphagia

Objective To explore the effects of health education based on behavioral change wheel theory on functional exercise compliance of stroke patients. Methods Using convenience sampling method, we selected 70 stroke patients hospitalized in Beijing Shijitan Hospital from June 2018 to April 2019 as the research object, and divided them into control group and observation group according to the odd and even number of hospitalization, with 35 cases in each. Finally, 30 cases were included in the control group and 32 cases in the observation group. The control group was given routine health education and routine follow-up after discharge. The observation group was given health education based on the theory of behavioral change wheel. Three months after discharge, exercise compliance and satisfaction with nursing were compared between the two groups. Results Before intervention, there was no significant difference in the scores of each dimension and total score of functional exercise compliance between the two groups (P>0.05) .After intervention, the scores of each dimension and total score of functional exercise compliance in the observation group were higher than those in the control group, and the difference was statistically significant (P<0.05) . There were 8 very satisfied cases, 18 satisfied cases and 4 unsatisfied cases in the control group, and the satisfied rate was 86.7%. There were 22 very satisfied cases and10 satisfied cases in the observation group, and the satisfied rate was100%. The difference was statistically significant (P<0.05) . Conclusions Health education based on behavioral change wheel theory can improve functional exercise compliance and nursing satisfaction of stroke patients, and is conducive to functional rehabilitation of patients, which is worthy of clinical promotion. Key words: Stroke; Functional exercise; Compliance; Behavior change wheel

Overweight and obesity have become a public health issue. Lifestyle modifications delivered through mobile devices, especially mobile phones, present an opportunity to support weight loss efforts. However, evidence regarding the effects of mobile apps on other outcomes, such as blood pressure and physical activity (PA), remains limited. Recent studies on this topic require a systematic review and updating, and the active elements that promote behavior change remain unclear. The meta-analysis aimed to explore the effects of mobile phone apps on weight-related outcomes (weight, BMI, waist circumference [WC], fat mass, fat mass percentage), behavioral outcomes (moderate-to-vigorous physical activity [MVPA], energy intake), and metabolic outcomes (systolic blood pressure [SBP], diastolic blood pressure [DBP], triglycerides, hemoglobin A1c [HbA1c]) among adults with overweight and obesity. Behavior change techniques (BCTs), the smallest replicable intervention elements, were also identified to clarify the components used in current studies, along with associated resources, including facilitating, boosting, and nudging. In addition, factors influencing the effectiveness of these interventions were explored. Six databases (PubMed, Embase, CENTRAL, Web of Science, PsycINFO, and CINAHL) were searched for relevant randomized controlled trials (RCTs) published in English from inception to May 20, 2024. Two independent authors conducted study selection, data extraction, and quality assessment. The effect size of interventions was calculated using the mean difference (MD), and a random-effects model was applied for data analysis. Subgroup and sensitivity analyses were conducted to explore potential influencing factors and identify possible sources of heterogeneity. A total of 29 studies were included. The results indicated that mobile phone app interventions significantly reduced weight (MD=-1.45 kg, 95% CI -2.01 to -0.89; P<.001), BMI (MD=-0.35 kg/m2, 95% CI -0.57 to -0.13; P=.002), WC (MD=-1.98 cm, 95% CI -3.42 to -0.55; P=.007), fat mass (MD=-1.32 kg, 95% CI -1.94 to -0.69; P<.001), DBP (MD=-1.76 mm Hg, 95% CI -3.47 to -0.04; P=.04), and HbA1c (MD=-0.13%, 95% CI -0.22 to -0.04; P=.005). However, nonsignificant effects were observed for other outcomes. The most frequently used BCTs included 2.3 "self-monitoring of behavior" (n=25), 4.1 "instruction on how to perform the behavior" (n=24), 2.2 "feedback on behavior" (n=20), 1.1 "goal setting (behavior)" (n=19), and 1.4 "action planning" (n=15). Fifty-nine percent of included studies used 3 resource types (ie, facilitating, boosting, and nudging). Subgroup analyses identified combined diet and PA interventions, medium-term intervention duration, and the use of ≥8 BCTs as potential reference interventions for improving outcomes. This meta-analysis demonstrates that mobile phone app interventions significantly reduce weight, BMI, WC, fat mass, DBP, and HbA1c in adults with overweight and obesity. However, future studies should explore ways to optimize app interventions by incorporating behavior change strategies and resources to further enhance their overall effectiveness.

Objective To probe into the effect of health education pathway in stoke unit,and provide evidence for formulating an effective health education programs of stroke unit.Methods A total of 265 stroke patients were divided into intervention group and control group randomly.Patients of control group were given conventional health education while those in the intervention group received conventional health education.Results The 3-month and 1-year follow-up rate were 96.96％ and 82.71％ respectively in intervention group,There were statistically significant differences between the two groups(x2 =20.267,9.546;P ＜0.01 ).the knowledge level and service satisfaction were 90.91％ and 9.4.70％ respectively in intervention group,There were statistically significant differences between the two groups( x2 =15.481,11.362;P ＜ 0.01 ).Conclusions The health education pathway in stroke unit could enhance satisfaction degree of patients,create high quality nursing service and promote the full rehabilitation of patients.It' s worth of clinical generalization. Key words: Health education path; Clinical pathway; Stroke; Nursing

Objective To study the health education demand cognitions of both nurses and patients, to discuss the health education needs of gynecological cancer patients during chemotherapy, to provide data support and improve the quality of their health education. Methods From April 1, 2013 to May 31, a total of 49 nurses working in Chemotherapy Ward in the tertiary A hospital of Chengdu (divided into nurse group) and 115 inpatients with gynecological tumors during the same time in the same hospital treated by chemotherapy (divided into patient group) were included in the study. A self-designed Questionnaire Regarding Demand of Health Education duration Chemotherapy, Questionnaire for short was used to investigate the health education demand cognitions of nurses and patients. The health education modes, education contents and score of each item were analyzed. The study protocol was approved by the Ethical Review Board of Investigation in Human Being of the tertiary A hospital of Chengdu. Informed consent was obtained from each participant. There were no significant differences between two groups among on student ratio gender, age, degree of education (P>0.05). Results ①Among in 8 kinds of education modes in Questionnaire, scores of modes of health education bedside hospital bed education, departmental propagandistic column, pamphlet, collective lectures in department, and telecourse in nurse group were much higher than those in patient group, there were significant differences between two groups (P 0.05). ③Among 40 items of health education content in Questionnaire, patients during chemotherapy were most in need of health education content of the performance of the leakage of chemotherapy drugs, chemotherapy drug leakage emergency treatment, and vomit and waste treatment were the opinion of nurses. While patients were most in need of health education content for specific diseases, medical treatment insurance reimbursement, and the prognosis of disease, there were significant differences (P<0.05). Conclusions The nurses should integrate use of a variety of health education to provide individualized health education. The health education content during chemotherapy should be provided according to the patient's needs as the core, using the multidisciplinary collaboration, such as medical, nursing and administrative way. On the basis of providing chemotherapy nursing knowledge, increase medical treatment such as specific chemotherapy regimens, and administrative expenses such as medical insurance fee and other related content. Key words: Health education; Genital neoplasms, female; Antineoplastic combined chemotherapy protocols; Patients; Nurses

Objective To evaluate the effects of family integrated health education in inpatients with stroke in neurology department. Methods A total of 80 patients with stroke, who were admitted in Renmin Hospital of Wuhan University from September 2016 to April 2017 were selected by convenience sampling method and divided into observation group and control group by random number table method, with 40 cases in each. The patients in the control group received routine neurological health education, while the patients in the observation group received family integrated health education. The patients' drug compliance, rehabilitation adherence as well as satisfaction on admission and discharge were compared between two groups. Results The rehabilitation exercise adherence and the satisfaction of patients and their family of the observation group were significantly better than those of control group, and the difference was statistically significant (P 0.05). Conclusions The effects of family integrated health education in patients with stroke is decent, and is worthy of clinical promotion. Key words: Stroke; Health education; Medication adherence; Patient satisfaction; Family integrated model

Objective To evaluate the benefits of step-by-step interactional health education model in improving the home care quality in tube feeding patients after stroke.Methods Totals of 60 main home care givers of patients who received tube feeding after stroke were randomly divided into 2 groups.The test group was given step-by-step interactional health education model,which main home care givers received the health education about the relevant knowledge and demonstration operation process in the 1st ～5th day,operation notes and exercise in 6th-10th day,demonstrated the notes and finished the operation under the help of nurses in 11th ～15th day; while the control group was given standard health education model.Then,the skill of tube feeding,overall nursing knowledge,and patients' satisfaction on the nursing of two groups were observed on the 15th day,and the situation of tube indwelling was observed during 28 days after discharge by phone.Results The scores of nursing knowledge and tube feeding skills of test group were ( 8.23 ± 1.0l ) and( 38.07 ± 2.63 ),and those of the control group were ( 5.73 ± 0.98 ) and ( 24.53 ±3.40 ),and the difference was statistically significant ( t=9.75,17.25,respectively; P ＜ 0.01 ).The situation of tube indwelling of test group during 28 days after discharge by phone was significantly better than that of control group ( P＜ 0.01 ).Conclusions The step-by-step interactional health education model can improve the quality of home care in tube feeding patients after stroke,promote the patients satisfaction of nursing skills and procedures. Key words: Stroke; Step-by-step interactional health education; Tube feeding; Home care

Objective To understand patients' needs of health education and explore the information nursing health education model through investigation of the inpatients' health education need.Methods Inpatients in department of neurology were investigated by a self-designed questionnaire that involved 21 items.171 copies of effective questionnaires were collected and went through analysis.Results 61.99 percent of patients pointed out that nurses didn't understand their need for health knowledge.47.95 percent of nurses had never asked patients how they felt about hospitalization before health education.Television was the main channel to get knowledge about health for patients,but the patients believed that the health knowledge from healthcare workers was the most reliable way.Conclusions To carry out targeted and information nursing health education integrated with psychological nursing can promote health education work. Key words: Health education; High-quality nursing; Information nursing; Health education model