Family Members Participated Nursing In The Application Of Swallowing Disorder In Patients With Cerebral Apoplexy Is Eating

ObjectiveTo investigate the effect of caregivers' guidance of safely feed on swallowing disorder in patients with cerebral apoplexy through the experimental method.MethodsThis research adopted the types of experimental research. Selected 80 cases of swallowing disorder in patients with cerebral apoplexy by the convenience sampling method in neurology in one of the top three hospitals in Zhengzhou from June to November in 2016. In order to prevent the mutual influence between the two groups, the patients were sequenced by admitted to hospital in order, grouped by ward, a ward (40 cases) for the intervention group,2 units (40 cases) for the control group.Intervention methods:The patients in two groups were accepted conventional treatment of neurology. The control group:accepted regular feeding guidance, Intervention group:on the basis of the control group increased caregivers' guidance of safely feed.Data collection (including name, gender, age, occupation, marital status, number of admission, the cultural level, monthly income per person, health care type, etc.), standard of swallowing function arbitroid (SSA), symptom self-assessment scale(SCL -90) and scale of quality of life questionnaire (SF-36))were collected by the team members through specialized training. Patients completed general information questionnaire according to the principle of informed consent in hospitalized patients on the second day after admitted to hospital and one month after nursing intervention.Statistical processing:application of medical statistics software SPSS13.0 statistical analysis, statistical description adopted to the comparison constituted to the sample data, attribute data adopted to X2 test, two independent samples t test compared among groups.Resultsl.The comparison of baseline:there was no difference in gender, age, educational level, occupation, number of admitted to hospital, monthly income per person, the types of health care (P>0.05). The baseline had no difference between the two groups,which had good compatibility.2.The comparison of swallowing function arbitroid (SSA):The difference between the two groups had statistical significance (P<0.05),The improvement of swallowing function in the experimental group was better than that of control group.3.The comparison of SCL-90:there was no difference in force, interpersonal relationship, terror, paranoia after nursing intervention between the two groups (P>0.05).The difference between the two groups had statistical significance (P<0.05) in positive item, somatization, depression, anxiety and hostility (P<0.05), stated better than the control group.4.The comparison of SF-36:there was no difference in physiological function, physiological functions, physical pain after nursing intervention between the two groups (P>0.05).The difference between the two groups had statistical significance (P<0.05) in social function, emotional function, vitality, mental health and overall health (P<0.05), stated better than the control group.Conclusion1.The effect of caregivers' guidance of safely feed had obvious improvement on swallowing disorder in patients with cerebral apoplexy in the intervention group, which was better than the control group.2.The effect of caregivers' guidance of safely feed had obvious improvement on the anxiety and depression of swallowing disorder in patients with cerebral apoplexy in the intervention group, which better promoted mental health patients than the control group.3.The effect of caregivers' guidance of safely feed had obvious promotion on the physical health, mental health, emotional and social skills of swallowing disorder in patients with cerebral apoplexy in the intervention group, which better improved the quality of life significantly than the control group.