|
|
|
| Influence of immediate family involvement nursing on prognosis and psychological status of patients with dysphagia after stroke |
| LI Yi |
| Department of neurology, Beijing Tiantan Hospital, Copital Medical University, Beijing 100050, China |
|
|
|
|
Abstract Objective To explore the influence of participation in immediate family care on the prognosis, quality and psychological status of patients with dysphagia after stroke. Methods From January 2015 to December 2016, 100 patients with dysphagia after stroke in Beijing Tiantan Hospital were divided into observation and control group by envelope method. The control group was treated with conventional care intervention, while the observation group was treated with the participation of the immediate family nursing intervention. Before and after treatment, the patients were assessed by Watian drinking water test, and the curative effect was compared. Before and after nursing, the patient′s physical ability was assessed by mini Fugl-Meyer Integral, the patient′s life ability was evaluated by the Barthel index method, the psychological status of patients were assessed by SAS and SDS, the quality of life of patients was assessed by SS-QOL. Results The effect of the observation group was significantly higher than that of the control group (P < 0.01). The scores in the observation group were significantly better than those in the control group (P < 0.05). After nursing, the scores of Watian drinking, Barthel, Fugl-Meyer, SAS, SDS and SS-QOL in the observation group were significantly better than those in the control group (P < 0.05). The levels of total protein, albumin and hemoglobin in the observation group were significantly higher than those of the control group (P < 0.01). Conclusion The adoption of immediate relatives participation nursing mode can effectively improve the prognosis quality and psychological status of patients with dysphagia after stroke.
|
|
|
|
|
|
[1] 赵一莎，周郁秋，吕雨梅.脑卒中健康管理模式的研究进展[J].中国全科医学，2016，19（22）：2724-2728.
[2] 王传凤，车手梅，闫璐璐，等.愉悦因子输入对急性脑梗死患者负性情绪和生活质量的干预效果观察[J].实用临床医药杂志，2015，19（8）：111-112.
[3] 唐运兰，陈明翠，刘家骥，等.病情和家庭情况对脑卒中患者心理状态的影响及对症心理护理干预研究[J].国际精神病学杂志，2017，44（2）：315-317.
[4] 郭刚，张璐璐.156例脑卒中住院患者心理障碍的研究和对策[J].医学综述，2015，21（5）：923-925.
[5] 孟德娥，宋文.脑卒中吞咽障碍患者的早期康复护理[J].中国现代医生，2016，54（13）：150-152
[6] 张国栋，肖飞，吕昕.急性缺血性脑卒中后吞咽功能障碍发生率及危险因素的分析[J].中西医结合心脑血管病杂志，2016，14（8）：910-912.
[7] 曾新华，肖宁，王姣，等.移情护理对改善脑卒中患者负性情绪、睡眠质量的作用[J].中国医药导报，2015，12（29）：126-129.
[8] 强荧艳，陈维艳.基于家庭的延伸康复护理对脑卒中患者日常活动能力及神经功能的影响[J].护士进修杂志，2016，31（17）：1555-1557.
[9] 甄莉，李雅男，周艳，等.洼田饮水试验在甲状腺癌术后早期吞咽功能评估中的应用[J].实用医学杂志，2016，32（10）：1699-1700.
[10] 林艳.运动疗法联合Fugl-Meyer量表对大面积脑梗死功能预后评估[J].贵州医药，2016，40（11）：1208-1210.
[11] 贾宝，韩怀志.降纤酶对急性脑梗死患者血清超敏C反应蛋白、D-二聚体及NIHSS评分和Barthel指数的影响[J].海南医学，2016，27（18）：2945-2948.
[12] 张桂燕.优质护理联合心理干预对血液透析患者焦虑自评量表及抑郁自评量表指标情况的影响研究[J].山西医药杂志，2016，45（8）：970-973.
[13] 王敬斋，张树荣. Zung焦虑抑郁自评量表对消化内科门诊患者焦虑抑郁的测评[J].临床消化病杂志，2016， 28（3）：150-153.
[14] 冯雨桐，李建军，刘惠林，等.脑卒中患者抑郁状态与生活质量水平相关性的研究[J].中国康复理论与实践，2015， 21（12）：1433-1437.
[15] Anandavadivelan P，Lagergren P. Cachexia in patients with oesophageal cancer [J]. Nat Rev Clin Oncol，2015，13（3）：185.
[16] 杨巧婷，莫衬嫦，郑惠琴，等.上门指导护理对社区脑卒中后遗症患者康复效果影响[J].中国医药科学，2016，6（12）：128-130.
[17] Toscano M，Cecconi E，Capiluppi E，et al. Neuroanatomical，clinical and cognitive correlates of post-stroke dysphagia [J]. Eur J Neurol，2015，74（3-4）：171.
[18] 曹湾，陈启波，李荣祝，等.病房-家庭式运动想象康复训练技术对脑卒中大脑可塑性影响[J].中国康复医学杂志，2016，31（4）：471-474.
[19] 辜敏.功能训练结合神经肌肉电刺激治疗脑卒中后神经源性吞咽功能障碍[J].临床和实验医学杂志，2015，5（6）：474-477.
[20] 洪彩霞.运用棉棒涂擦刺激法护理对脑卒中早期吞咽困难的影响[J].中国医药科学，2016，6（1）：127-129.
[21] 刘颖，李翔宇，汤宇，等.中医康复护理对脑卒中患者65例吞咽障碍的影响[J].山西医药杂志，2016，45（11）：1351-1353.
[22] Verma V，Liu J，Eschen L，et al. Pre-radiotherapy feeding tube identifies a poor prognostic subset of postoperative p16 positive oropharyngeal carcinoma patients [J]. Radiat Oncol，2015，10（1）：8. |
|
|
|
