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

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.