远程护理干预在脑卒中吞咽功能障碍出院病人中的应用

Application of remote nursing intervention for discharged stroke patients with dysphagia

[目的]探讨远程护理干预在脑卒中吞咽功能障碍出院病人中的应用效果。[方法]将80例脑卒中吞咽功能障碍居家鼻饲病人随机分为对照组和干预组,对照组接受常规护理随诊,干预组在此基础上应用电话、邮件和QQ方式对病人实施远程护理干预,比较两组病人出院后的生活质量、鼻饲并发症发生率和吞咽功能的改善情况。[结果]出院6个月后两组病人生活质量评分均较出院时提高,且干预组改善的幅度较对照组更明显;干预组鼻饲并发症的发生率低于对照组,吞咽功能改善的总有效率高于对照组,差异均有统计学意义(P<0.05)。[结论]远程护理干预能有效降低出院脑卒中吞咽障碍病人并发症的发生率,改善病人的吞咽功能,提高病人的生活质量。

Objective：To study the application effect of remote nursing intervention for discharged stroke patients with dysphagia.Methods：A total of 80 stroke patients with dysphagia who received the home nasal feeding were randomly divided into control group and intervention group,40 cases in each.The patients in control group received routine nursing care.The patients in intervention group received the remote nursing intervention by telephone,mail and QQ styles on the basis of routine nursing follow-up.The quality of life,the incidence of complications of nasal feeding and improvement of swallowing function were compared between both groups.Results：The quality of life score of patients in both groups were improved after 6months.And the improvement range in intervention group was more obvious than that in control group.The incidence of complication of nasal feeding in intervention group was lower than that in control group.The improvement of swallowing function in intervention group was higher than that in control group,and the difference was statistically significant（P〈0.05）.Conclusion：Remote nursing intervention could effectively reduce the incidence of complications in patients with dysphagia after stroke,improve the patients＇ swallowing function and their quality of life.