Application effect of team nursing model on hospital nursing and continuing nursing in stroke patients with deglutition dysfunction
10.3760/cma.j.issn.1674-2907.2017.03.016
- VernacularTitle:团队护理模式在脑卒中吞咽功能障碍患者住院护理及延续性护理中的应用效果
- Author:
Xiao LI
1
,
2
;
Yingying WANG
;
Jinfeng WANG
;
Zunke GONG
Author Information
1. 21009江苏省徐州市中心医院康复科
2. 21009江苏省徐州市康复医院
- Keywords:
Team nursing model;
Deglutition dysfunction;
Continuing nursing
- From:
Chinese Journal of Modern Nursing
2017;23(3):358-361
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application of the model of team nursing in hospital nursing and continuing nursing in stroke patients with deglutition dysfunction.Methods A total of 78 stroke inpatients with deglutition dysfunction of department of rehabilitation from November 2014 to June 2015 were randomly divided into the intervention group and the control group. Patients in the control group received routine nursing method,while patients in the intervention group received team nursing method. The water-swallowing test and the investigation with Hamilton anxiety scale (HAMA) were carried out before admission and at discharge. The results of patients were compared between two groups. The changes of classification of water-swallowing test were compared between two groups 6 and 12 months after discharge.Results At discharge,the improvement rate of deglutition dysfunction in the intervention group (66.7%) was higher than that in the control group (35.9%) with a significant difference (P<0.05);the score of HAMA in the intervention group was better than that in the control group with a significant difference (P<0.05). There was no statistically significant difference in the classification of water-swallowing test and the improvement rate between two groups 6 months after discharge (P>0.05). There were significant differences in the classification of water-swallowing test and the improvement rate (the deterioration rate of the intervention group was lower than that of the control group) between two groups 12 months after discharge (P<0.05).Conclusions The application of team nursing model in stroke patients with deglutition dysfunction can strengthen the rehabilitation training effect and can improve the quality of life of patients after discharge.