院家结合护理模式在多发性硬化症患者中的应用

Application of hospital-home integrated nursing model in patients with multiple sclerosis

  • 摘要:
    目的 探讨院家结合护理模式干预在多发性硬化症(MS)患者中的应用效果。
    方法 选取MS言语及吞咽障碍患者90例,采用随机数字表法分为研究组(n=45)和对照组(n=45)。对照组给予常规护理模式干预,研究组在对照组基础上给予院家结合护理模式干预, 2组均干预2个月。比较2组患者吞咽功能标准吞咽功能评价量表(SSA)、功能性经口摄食量表(FOIS)、吞咽内视镜检查评分(VESS)、言语功能言语研究功能评定量表(VHI)、中文版言语障碍筛查测试(CLAST)、日常生活交流能力评定法(CADL)、日常生活质量多发性硬化生活质量评分量表(MSQOL-54)、日常生活自理能力量表(ADL)、心理状态疲劳量表-14(FS-14)、状态-特质焦虑问卷(STAI)、汉密尔顿抑郁量表(HAMD)。
    结果 干预2个月后, 2组SSA、VHI、FS-14、STAI、HAMD评分低于干预前,且研究组低于对照组,差异有统计学意义(P < 0.05); 2组患者FOIS、VESS、MSQOL-54、ADL评分高于干预前,且研究组高于对照组,差异有统计学意义(P < 0.05)。
    结论 院家结合护理模式可有效改善MS言语及吞咽障碍患者的吞咽能力、心理状态,提高其日常交流能力、自理能力以及生活质量。

     

    Abstract:
    Objective To explore the effect of hospital-home integrated nursing model intervention in patients with multiple sclerosis (MS).
    Methods Ninety patients with MS with speech and swallowing disorders were selected and divided into study group (n=45) and control group (n=45) by random number table method. The control group received routine nursing mode intervention, while the study group received hospital-home integrated nursing model intervention based on the control group. Both groups were intervened for 2 months. Swallowing function Swallowing Severity Assessment (SSA), Functional Oral Intake Scale (FOIS) and Videofluoroscopic Swallowing Study (VESS), speech function Voice Handicap Index (VHI), Chinese Version of the Language Screening Test (CLAST) and Communication Abilities Daily Living Assessment (CADL), quality of daily lifeMultiple Sclerosis Quality of Life-54 (MSQOL-54) and Activities of Daily Living (ADL), and psychological status Fatigue Severity Scale-14 (FS-14), State-Trait Anxiety Inventory (STAI) and Hamilton Depression Rating Scale (HAMD) of the patients in both groups were compared.
    Results After 2 months of intervention, the SSA, VHI, FS-14, STAI and HAMD scores of both groups were lower than before the intervention, and the study group was lower than the control group (P < 0.05). The FOIS, VESS, MSQOL-54 and ADL scores of both groups were higher than before the intervention, and the study group was higher than the control group (P < 0.05).
    Conclusion The hospital-home combined nursing model can effectively improve the swallowing ability and psychological status of patients with MS with speech and swallowing disorders, and enhance their daily communication abilities, self-care abilities and quality of life.

     

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