| Objective: To construct and evaluate the home care mode of stroke patients with dysphagia. Methods: Seventy eight stroke patients with dysphagia who visited our hospital from July 2017 to May 2018 were selected as subjects. Using computer generated random sequence method, the patients were randomly divide into experimental group and control group, 39 cases in each group， General health education would be taken to the control group and a door to door home care, which is on the basis of general health education, would be taken to the experimental group at the same time. At the week 12 of the intervention, the swallowing disorder, neurological deficit, nutrition risk, self care ability, daily activities, psychological status and rehabilitation compliance were evaluated and compared between the two groups before and after intervention. Results: After treatment, swallowing dysfunction of the two groups was significantly improved as compared with that before treatment (P<0.05), more significant in the observation group than in the control group (P<0.05). After 12 weeks of intervention, the scores of neurological deficit, nutrition risk and depression in the experimental group were significantly lower than those before intervention and in the control group (P<0.05). The scores of self care ability, daily activity ability and compliance in the experimental group were significantly higher than those before intervention and in the control group (P<0.05). Before and after the intervention, all the indicators in the control group had statistically significant differences except for nutritional risk and depression score (P<0.05). Conclusion: Home care for stroke patients with dysphagia has higher practica value, and it plays an important role in improving the swallowing condition of stroke patients with dysphagia, improving the quality of life of patients, promoting the rehabilitation of patients, and realizing the uninterrupted long term care service of hospital community family. |
