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| Effect of rehabilitation training and diet nursing intervention in patients with moderate dysphagia after stroke |
| YU Hong1 CUI Hong2 WANG Xiao-xi |
1.Department of Rehabilitation, Dalian Port Hospital, Liaoning Province, Dalian 116000, China;
2.Department of Emergency, Dalian Port Hospital, Liaoning Province, Dalian 116000, China;
3.Department of Cardiology, the Second Affiliated Hospital of Shenyang Medical College, Liaoning Province, Shenyang 110002, China |
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Abstract Objective To investigate the effect of rehabilitation training and diet nursing intervention in patients with moderate dysphagia after stroke.Methods A total of 94 patients with moderate dysphagia after stroke admitted to Dalian Port Hospital from May 2018 to May 2020 were selected as the research objects.According to the random lottery method, they were divided into the reference group (47 cases) and the experimental group (47 cases).The patients in the reference group were treated with stroke rehabilitation and routine nursing, including enteral nutrition and simple education of dietary medication.The patients in the experimental group were treated with rehabilitation training and diet nursing intervention on the basis of symptomatic rehabilitation treatment and routine nursing of stroke, both groups were treated for 8 weeks.The improvement of dysphagia in the two groups were compared, and the nutritional indexes such as albumin and hemoglobin in the two groups were measured.The complications such as aspiration pneumonia,abdominal distension, diarrhea and gastroesophageal reflux in the two groups were analyzed.Results There was no significant difference in dysphagia score between the two groups before intervention (P＞0.05).The dysphagia scores in the two groups after intervention decreased, and the differences were statistically significant (P＜0.05).The score of dysphagia in the experimental group was lower than that in the reference group, and the difference was statistically significant(P ＜0.05).Albumin, hemoglobin and other nutritional indicators before intervention were compared between the two groups, there were no significant differences (P＞0.05).The nutritional indicators such as albumin and hemoglobin after intervention were higher than those before intervention in the two groups, and the differences were statistically significant(P＜0.05).The nutritional indicators such as albumin and hemoglobin in the experimental group were higher than those in the reference group, and the differences were statistically significant (P＜0.05).The total incidence rate of complications in the experimental group were lower than those in the reference group, and the differences were statistically significant (P＜0.05).Conclusion The application of rehabilitation training and diet nursing intervention has a good effect on patients with moderate dysphagia after stroke, which is helpful to improve dysphagia and improve the nutritional status of patients.
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