家庭跟进式护理对脑卒中吞咽功能障碍预防及生活质量的影响

目的:探讨家庭跟进服务模式对脑卒中吞咽功能障碍预防及生活质量的影响.方法:选取收治的120例脑卒中病人为研究对象,根据随机数字表将病人分为观察组(n=60)及对照组(n=60),对照组出院时进行常规出院指导,观察组出院时应用家庭跟进服务模式实施干预,2组干预时间为6个月,比较2组病人吞咽功能及生活质量改善情况.结果:观察组吞咽功能障碍发生率、吸入性肺炎、营养不良发生率均低于对照组,而病人吞咽功能锻炼依从性、满意率均高于对照组(P<0.05～P<0.01).干预后,各组心理维度、生理维度、社会适应性及生存质量总评分均高于干预前(P<0.01),观察组心理维度、生理维度、社会适应性及生存质量总评分均高于对照组(P<0.01).结论:家庭跟进式护理能有效促进脑卒中吞咽功能障碍病人康复,提高病人生活质量.

Effect of family follow-up care mode on the prevention of swallowing disorder and quality of life in stroke patients

Objective:To investigate the effects of family follow-up care mode on the prevention of swallowing disorder and quality of life in stroke patients.Methods:One hundred and twenty stroke patients were divided into the observation group(n=60)and control group(n=60)according to random number table.The control group and observation group were treated with routine guidance and family follow-up care at discharge,respectively.Two groups were intervened for 6 months.The swallowing function and quality of life improvement between two groups were compared.Results:The incidence rates of swallowing dysfunction,aspiration pneumonia,malnutrition in observation group were lower than those in control group,while the compliance of swallowing function training and satisfaction in observation group were higher than those in control group(P<0.05 to P<0.01).The scores of psychological dimension,physiological dimension,social adaptability and quality of life in two groups after intervention were higher than those in before intervention(P<0.01).The scores of psychological dimension,physiological dimension,social adaptability and quality of life in observation group were significantly higher than those in control group(P<0.01).Conclusions:Family follow-up care mode can effectively promote the rehabilitation of swallowing dysfunction and improve the quality of life of stroke patients.