摘要
目的:探究1M3S护理管理模式联合优质护理在脑卒中后吞咽功能障碍患者中的应用效果。方法:选取2020年5月-2022年5月于惠州市中心人民医院进行诊治的120例脑卒中后吞咽功能障碍患者作为研究对象。按照随机数表法分为试验组与对照组,各60例。对照组给予优质护理干预,试验组在对照组基础上给予1M3S护理管理模式干预。对比两组干预效果、营养状况[血清前白蛋白(PA)、白蛋白(ALB)]、心理状态[焦虑自评量表(SAS)及抑郁自评量表(SDS)]及生活质量[健康调查简表(SF-36)]的变化。结果:试验组总有效率为96.67%,高于对照组的83.33%,差异有统计学意义(P<0.05)。试验组干预后PA、ALB水平及SF-36各维度评分明显高于对照组,SDS评分、SAS评分明显低于对照组,差异有统计学意义(P<0.05)。结论:1M3S护理管理模式联合优质护理对提高脑卒中后吞咽功能障碍患者干预效果具有积极的影响,可有效改善吞咽功能和心理状态,提高营养状况和生活质量。
Objective:To explore the application effect of 1M3S care management model combined with quality care in patients with post-stroke swallowing dysfunction.Method:A total of 120 patients with post-stroke swallowing dysfunction who treated in Huizhou Central People's Hospital from May 2020 to May 2022 were selected as the study subjects.According to the random number table method,they were divided into the experimental group and the control group,60 cases in each group.The control group was given quality care intervention,and the experimental group was given 1M3S care management model on the basis of the control group.The intervention effect,nutritional status[serum prealbumin(PA),albumin(ALB)],psychological status[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)]and quality of life[the MOS item short from health survey(SF-36)]were compared between two groups.Result:The total effective rate of the experimental group was 96.67%,which was higher than 83.33%of the control group,the difference was statistically significant(P<0.05).After intervention,the levels of PA,ALB and SF-36 scores of each dimension in the experimental group were significantly higher than those in the control group,and the scores of SDS and SAS were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:1M3S care management model combined with quality care has a positive effect on improving the intervention effect of patients with post-stroke swallowing dysfunction,which can effectively improve swallowing function and psychological state,and improve the nutritional status and quality of life.
作者
梁志平
LIANG Zhiping(Huizhou Central People's Hospital,Huizhou 516001,China)
出处
《中外医学研究》
2023年第24期88-91,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
惠州市科技局科技项目(2021WC0106430)。
