| ObjectiveTo observe the influence of discharge planning on quality-of-life, aspiration incidence, self-care agency, the compliance to doctor and activities of daily living of stroke patients with dysphagia.MethodsSixty stroke patients with dysphagia in neurology of Quanzhou First Hospital of Fujian Province during the period from May 2015 to February 2016 were randomly assigned into intervention group (30 samples) and control group (30 samples). The patients in control group received neurology conventional treatment and rehabilitation nursing. The patients in intervention group accepted discharge planning service from hospitalization until three months after discharge besides neurology conventional treatment and rehabilitation nursing. The data of two groups were collected and assessed including aspiration incidence of hospitalization, self-care agency and activities of daily living at discharge, quality-of-life, aspiration incidence, self-care agency, the compliance to doctor and activities of daily living after 1 and 3 months discharge.Results1. Quality-of-life related to swallowingThe assessment of quality-of-life related to swallowing indicated that verbal communication after 1 month of discharge was not significant between two group patients (P>0.05), but there was significant difference in eating desire, food selection, phobia, sociality and sleep (P＜0.05), and the difference of psychological burden, diet time, symptom frequency, psychological health, and fatigue degree passed the statistical significance level (P＜0.01).The assessment of quality-of-life related to swallowing showed that verbal communication after 3 months of discharge was not significant between two group patients (P>0.05), but there was significant difference in psychological burden, eating desire, symptom frequency, food selection, phobia and sleep passed the statistical significance level (P＜0.05), and the difference of diet time, psychological health, sociality and fatigue degree passed the statistical significance level (P＜0.01).2. Aspiration incidenceThe difference of aspiration incidence in hospital between two group patients was not significant (P>0.05), but the aspiration incidence of intervention group was lower than control group after 1 month and 3 months of discharge, the difference passed the statistical significance level (P＜0.05).3. Self-care agencyThere was significant difference in self-care agency between two group patients at discharge (P>0.05). No statistical significance was found in self-care skill and health knowledge level (P>0.05), but there was significant difference in self-consciousness, self-responsibility (P＜0.05). The difference of self-care agency passed the statistical significance level after 1 month of discharge (P<0.01), self-consciousness, self-responsibility self-care skill and health knowledge level passed the statistical significance level (P<0.01). After 3 months of discharge, the difference of self-care agency passed the statistical significance level between two groups (P＜0.01), there was significant difference in self-consciousness (P<0.05), and the difference of self-responsibility, self-care skill and health knowledge level passed the statistical significance level (P<0.01).4. Compliance to doctorThe difference of compliance assessment including rational diet, cigarette and alcohol control after 1 month of discharge between two group patients was not significant (P>0.05), but there was significant difference in taking medicine on time, rehabilitation training, self-monitoring, re-examination on time (P<0.05). No significant difference was found in compliance assessment including rational diet, cigarette and alcohol control after 3 months of discharge between two group patients (P>0.05), but there was significant difference in taking medicine on time, rehabilitation training, self-monitoring, re-examination on time (P<0.05).5. Activities of daily livingNo significant difference was found in the activities of daily living between two group patients at discharge and after 1 month (P>0.05), but after 3 months of discharge, the activities of daily living of intervention group was superior to control group, and the difference passed the statistical significant level (P＜0.05).Conclusion1. Discharge planning can improve the self-care agency and quality-of-life of patients and help further them recovery and resocialize to a greater extent.2. Discharge planning is helpful to decrease the aspiration incidence for stroke patients with dysphagia.3. Discharge planning improves the compliance to doctor of stroke patients with dysphagia. The compliance to doctor of taking medicine on time, rehabilitation training, self-monitoring, re-examination is more obvious in intervention group than control group.4. Discharge planning is helpful to improve the activities of daily living for stroke patients with dysphagia. The effect gets better with time extending. |
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