健康管理小组对居家脑卒中吞咽障碍患者管理的效果评价

Evaluation of the effect of health management team in the management of patients with dysphagia after stroke at home

目的:探讨健康管理小组在居家脑卒中吞咽障碍患者管理中的应用效果。方法:选取符合纳入标准的100例居家脑卒中吞咽障碍患者为研究对象,使用随机数字表法分为管理组与对照组,各50例。对照组平均年龄(59.11±10.92)岁,其中男性30例,女性20例;管理组平均年龄(60.48±11.75)岁,其中男性32例,女性18例。对照组采用常规门诊随访管理,管理组采用健康管理小组进行管理,评价两组患者的洼田饮水试验评分、自我护理能力、生活质量和焦虑状况。结果:两组患者在管理前的各项指标差异无统计学意义(P>0.05)。管理组患者在管理第1个月、第3个月、第6个月的洼田饮水试验评分和焦虑状况评分均低于对照组(P<0.05),自我护理能力评分和生活质量评分均高于对照组(P<0.05)。结论:应用健康管理小组可有效改善脑卒中患者的吞咽障碍症状和焦虑状况,显著提高患者的自我护理能力和生活质量。

Objective:To explore the application effect of health management team in the management of patients with dysphagia after stroke at home.Methods:One hundred home-based stroke patients with dysphagia who met the inclusion criteria were selected as the research objects,and divided into a management group and s control group with 50 cases in each using random number table method.The average age of the control group was(59.11±10.92)years,including 30 males and 20 females;the average age of the management group was(60.48±11.75)years,including 32 males and 18 females.The control group received routine outpatient follow-up management,and the management team adopted the health management team for management,and the scores of the water swallow test,self-care ability,quality of life and anxiety were evaluated in the two groups.Results:There was no significant difference in the indicators between the two groups before management(P>0.05).In the first month,third month,and sixth month of management,the scores of water swallow test and anxiety status of the patients in the management group were lower than those in the control group(P<0.05).The scores of self-care ability and quality of life in the management group were higher than those in the control group(P<0.05).Conclusion:Application of health management team can effectively improve the symptoms of dysphagia and anxiety in stroke patients,and significantly improve patients’self-care ability and quality of life.