微信小程序作业法在脑卒中吞咽障碍患者居家延续护理中的应用  

Application of work method by WeChat mini program in home extended care for patients with dysphagia after stroke

作　　者：高岩[1,2] 王诗尧[1,2] 姜李[1,2] 高雪媚 王楠[1,2] 刘乃全[1,2] Gao Yan;Wang Shiyao;Jiang Li;Gao Xuemei;Wang Nan;Liu Naiquan(Rehabilitation Medicine Center,Shengjing Hospital of China Medical University,Shenyang 110004,China)

机构地区：[1]中国医科大学附属盛京医院康复医学中心,辽宁沈阳110004 [2]中国医科大学附属盛京医院肾脏内科,辽宁沈阳110004

出　　处：《护理学杂志》2023年第10期1-4,共4页Journal of Nursing Science

摘　　要：目的探讨微信小程序作业法在脑卒中吞咽障碍患者居家延续护理中的应用效果,为慢性病患者居家延续护理提供参考。方法将2021年1~6月入院治疗的43例脑卒中吞咽障碍康复期患者设为对照组,2021年7~12月入院治疗的46例患者设为观察组。对照组采用常规出院后随访,观察组实施微信小程序作业法随访。比较出院后1个月内两组患者居家进食并发症发生率及康复锻练依从性;同时分别于入院及出院后1个月对两组患者的吞咽功能进行评估。结果两组患者均顺利完成随访;观察组作业完成达标率为82.61%;两组出院1个月后患者康复锻炼依从性、居家进食并发症发生率、吞咽功能比较,差异有统计学意义(均P<0.05)。结论微信小程序作业法运用于脑卒中吞咽障碍患者居家延续护理,可明显改善患者的吞咽功能,减少居家进食并发症发生率,提高患者康复锻炼依从性。Objective To explore the application effect of work method by WeChat mini program in the home extended care of patients with dysphagia after stroke,and to provide new ideas and methods for the home extended care of patients with chronic diseases.Methods Forty-three patients with dysphagia after stroke admitted to hospital from January to June in 2021 were set as the control group,and 46 patients admitted to hospital from July to December in 2021 were set as the observation group.The control group was followed up after discharge,while the observation group was followed up by WeChat app.The incidence of complications of eating at home,and the compliance of rehabilitation exercise in the two groups within one month after discharge were compared,and the swallowing function of the patients in the two groups was evaluated one month after admission and discharge.Results The difference of SSA scores between the two groups 1 month after discharge was statistically significant(P<0.05);the incidence of complications of home eating between the two groups within 1 month after discharge was statistically significant(P<0.05);the scores of 3 dimensions of the rehabilitation exercise compliance scale in the observation group were higher than those in the control group within 1 month after discharge,and the difference was statistically significant(P<0.05).Conclusion The application of work method by WeChat mini program in home extended care for patients with dysphagia after stroke can significantly improve the swallowing function of patients,reduce the incidence of complications of home eating,and improve the compliance of patients participating in rehabilitation therapy.

关 键 词：脑卒中 吞咽障碍 微信小程序 布置作业 延续护理 居家 康复 

分 类 号：R473.2[医药卫生—护理学]