文章摘要
曾令丹,尹雪,贺权威,卫敏.基于吞咽障碍指数问卷的信息化延续护理在神经内科吞咽障碍患者中的应用[J].中国康复,2021,36(7):418-422
基于吞咽障碍指数问卷的信息化延续护理在神经内科吞咽障碍患者中的应用
Application of information-based continuous care based on Dysphagia Handicap Index in patients with dysphagia in neurology department
  
DOI:
中文关键词: 吞咽障碍  吞咽障碍指数问卷  延续护理  微信平台  信息化
英文关键词: dysphagia  dysphagia handicap index  continuous care  WeChat  information-based
基金项目:
作者单位
曾令丹 华中科技大学同济医学院附属协和医院神经内科武汉 430022 
尹雪 华中科技大学同济医学院附属协和医院神经内科武汉 430022 
贺权威 华中科技大学同济医学院附属协和医院神经内科武汉 430022 
卫敏 华中科技大学同济医学院附属协和医院神经内科武汉 430022 
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中文摘要:
      目的:出院前根据吞咽障碍指数问卷(DHI)的评估,吞咽障碍延续护理小组成员为神经内科吞咽障碍患者制订个体化的延续护理措施,并依托微信平台开展信息化的延续性护理。方法:采取目的抽样法,选取2019年1~12月神经内科出院的102例存在吞咽障碍的患者,随机分为观察组和对照组各51例。对照组采取神经内科常规延续护理,观察组在常规延续护理基础上实施基于DHI评估的信息化延续护理。于干预1周、1个月后分别采用DHI、体重指数(BMI)比较2组的吞咽功能、心理障碍、营养状况,干预1个月后采用患者满意度评分表对护理服务进行评分。结果:观察组出院后1周、1个月的DHI总分及3个维度得分均低于对照组,体重指数评分高于对照组,差异具有统计学意义(P<0.05);出院1个月后,观察组患者满意度明显高于对照组(P<0.05)。结论:基于DHI评估的信息化延续护理能够改善神经内科吞咽障碍患者康复及营养状况,改善患者心理障碍,并能提高患者对医护人员满意度,促进医患关系和谐,值得进一步的推广和应用。
英文摘要:
      Objective: Before discharge, according to the assessment of the Dysphagia Index Questionnaire (DHI), individualized continuous care measures were developed for patients with dysphagia in neurology department, and information-based continuous care was carried out on the WeChat platform. Methods: The purpose sampling method was used to select 102 patients with dysphagia that were discharged from the Department of Neurology from January to December 2019, and were divided into an observation group and a control group (n=51 each) according to the random number table method. The control group took neurology routine extended care, and the observation group implemented information-based extended care based on DHI assessment on the basis of routine extended care. One week and one month after the intervention, DHI and body mass index (BMI) were used to compare the swallowing function and nutritional status of the two groups. One month after the intervention, the continuous nursing service was scored using the patient satisfaction scale. Results: The total score of DHI and the scores of three dimensions in the observation group at 1st week and 1st month after discharge were lower than those in the control group, and the BMI and patient satisfaction score were significantly higher than in the control group (P<0.05). Conclusion: Information-based continuing care based on DHI evaluation can improve the rehabilitation and nutritional status of patients with dysphagia in neurology department, and can improve the satisfaction of patients with medical staff, promote the harmonious relationship between doctors and patients, and deserves further promotion and application.
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