| 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. |
