基于家庭的多学科协作模式在脑卒中后吞咽障碍患者管理中的应用

Application of family-based multidisciplinary collaboration model in the management of patients with dysphagia after stroke

目的探讨基于家庭的多学科协作模式在脑卒中后吞咽障碍管理中的应用对患者干预效果以及情绪状况、生存质量的影响。方法选取2021年12月至2023年6月广东省人民医院赣州医院(赣州市立医院)康复医学科收治的110例脑卒中后吞咽障碍患者作为研究对象,按照随机数字表法分为干预组(n=55)和对照组(n=55)。对照组开展常规康复治疗,并实施健康宣教干预,干预组实施基于家庭的多学科协作管理模式。比较两组患者干预效果、吞咽功能评分、生存质量及情绪状况。结果干预组干预总有效率高于对照组,差异有统计学意义(P<0.05)。干预组干预后标准吞咽功能评价量表(SSA)低于对照组,吞咽生命质量量表(SWAL-QOL)评分高于对照组,汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)评分均低于对照组,差异有统计学意义(P<0.05)。结论基于家庭的多学科协作模式可有效提升脑卒中吞咽障碍患者的干预效果,并改善情绪状况及生存质量。

Objective To explore the effects of the application of family-based multidisciplinary collaborative model in the management of swallowing disorders after stroke on the intervention effect,emotional status and quality of life of patients.Methods A total of 110 patients with dysphagia after stroke admitted to the Department of Rehabilitation Medicine of Guangdong Provincial People's Hospital Ganzhou Hospital(Ganzhou Municipal Hospital)from December 2021 to June 2023 were selected as the study subjects,and they were divided into intervention group(n=55)and control group(n=55)according to random number table method.The control group carried out routine rehabilitation treatment,and implemented health education intervention,and the intervention group implemented family-based multidisciplinary collaborative model.The intervention effect,swallowing function score,quality of life and emotional status of the two groups were compared.Results The total effective rate of intervention group was higher than that of control group,the difference was statistically significant(P<0.05).After intervention,the standardized swallowing assessment(SSA)score of the intervention group was lower than that of the control group,the swallowing-quality of life(SWAL-QOL)score was higher than that of the control group,and the scores of the Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)were lower than those of the control group,with statistical significances(P<0.05).Conclusion The family-based multidisciplinary collaboration model can effectively improve the intervention effect of stroke patients with dysphagia,and improve the emotional status and quality of life.