Objective: To explore the influence of WeChat-based home rehabilitation guidance on the rehabilitation effect of patients with stroke after discharge.

Methods: From August 2018 to March 2019, 89 patients with stroke were randomly divided into WeChat-based intervention group (45 cases) and the control group (44 cases). Before discharge, patients in both groups received treatment for stroke, health education and rehabilitation training guidance. After discharge, the patients in the control group received self-rehabilitation training without any intervention; patients in WeChat-based intervention group received rehabilitation training guidance and supervision through WeChat. The modified Fugl-Meyer Assessment Scale score and the activities of daily living (modified Barthel Index) were evaluated and compared before discharge, and three months and six months after discharge.

Results: There were no significant differences in the modified Fugl-Meyer Assessment Scale score and modified Barthel Index between the two groups before discharge (P > 0.05). Three and six months after discharge, the modified Fugl-Meyer Assessment Scale score and modified Barthel Index of WeChat-based intervention group were higher than those of the control group, and the difference was statistically significant at six months after discharge (P < 0.05).

Conclusion: WeChat-based home rehabilitation guidance can improve the motor function and activities of daily living of patients with stroke after discharge.