| Objective:To understand the rehabilitation status and influencing factors of dysphagia patients with cerebral infarction in Weihai region,to analyzes the influence of continuous nursing on the daily living ability,swallowing function and medication compliance of patients with cerebral infarction deglutition disorder,and to clarify the application effect of continuous nursing on patients with cerebral infarction during the rehabilitation period,so as to provide reference for the hospital to formulate continuous nursing measures for patients with cerebral infarction during the rehabilitation period in the future.Methods:This study belongs to the control study before and after the unequal control group in the quasi-experimental study.Using stratified sampling method,according to the inclusion criteria and exclusion criteria,208 dysphagia patients with cerebral infarction who were discharged from hospital after receiving inpatient treatment in a tertiary hospital in Weihai area from December 2018 to May 2019 were selected as the research subjects.Patients discharged from December 2018 to February 2019 were set as the control group,and patients discharged from March to May 2019 were set as the intervention group.Patients in the control group only received routine discharge guidance when discharged,and patients in the intervention group were guided by a 12-week continuous nursing model.SPSS20.0 software was used for statistical analysis of the intervention effect,and non-normal distribution data were represented by M(Q).Differences among two groups in Watian drinking water test score,mRS score,NIHSS score,BI index score and medication compliance were compared by using the rank sum test.Results:(1)general and disease status of the studied subjects A total of 208 patients were included in this study,among them,there was no significant difference between the intervention group and the control group through the general data homogeneity test(P>0.05),which was comparable.In this study,the average age of the patients was(57±9.5)years,male patients were more than female patients(63.5%VS36.5%);According to the classification of infarct area,99 cases of brain stem infarction,accounting for 47.6%;in terms of the age distribution,the proportion of patients aged 45 to 60 was the highest,with 112 cases,accounting for 53.8%;From the analysis of disease risk factors,smoking patients accounted for 87.0%,patients with hypertension accounted for 66.3%,patients with alcohol consumption accounted for 63.9%,patients with diabetes accounted for 55.3%.(2)Comparison of neurological deficit scores After intervention,the difference between the intervention group and the control group was statistically significant(P<0.01)throug a nonparametric test,with the Z-value of the intervention group and the control group was 2.824.(3)Comparison of mRS scores After intervention,the Z-value of the mRS score of the intervention group and the control group was 2.588 by nonparametric test,and the difference was statistically significant(P<0.05).(4)Comparison of swallowing function grading The Z-value of the score of swallowing function in the intervention group and the control group after intervention was 2.356 by nonparametric test,the difference between the intervention group and the control group was statistically significant(P<0.05).(5)BI index comparisonThe Z-value of the BI index score of the intervention group and the control group after intervention was 5.416 by non-parametric test,the difference was statistically significant(P<0.01).(6)Comparison of medication complianceAfter intervention,the Z-value of the medication compliance of the intervention group and the control group through the non-parametric test was 9.102,the difference was statistically significant(P<0.01).Conclusions:(1)Continuous nursing can obviously improve the rehabilitation of nerve function and swallowing function in patients with cerebral infarction;(2)Continuous nursing can effectively improve patients’ ability of daily life;(3)Continuous nursing can improve medication compliance and promote recovery in patients with dysphagia due to cerebral infarction. |
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