Abstract:

Objective: To explore the effect of discharge preparation plan on patients with indwelling nasogastric tube after stroke. Methods: 65 patients with nasogastric tube after stroke who met inclusion criteria were divided into control group(n=32) and observation group(n=33) according to the order of admission time.The control group received routine nursing care, and the observation group implemented discharge preparation plan. The time of indwelling nasal feeding tube, the incidence of aspiration pneumonia and swallowing related quality of life (SWAL-QOL) scores were compared between the two groups. Results: The time of indwelling nasal feeding tube in the observation group was shorter than that in the control group at 1 month and 3 months after discharge, and the incidence of aspiration pneumonia in the observation group was lower than that in the control group.Among the SWAL-QOL scores of the observation group after 3 months of discharge, the scores of eating time, eating desire, symptom frequency, food selection, language communication, fear, social communication, sleep and fatigue in the observation group were higher than those in the control group (P<0.05). Conclusion:Discharge preparation plan can reduce the time of indwelling nasogastric tube, reduce the incidence of complications such as aspiration pneumonia, and effectively improve the quality of life of patients with dysphagia after stroke.

Key words:

Discharge preparation plan, Stroke, Indwelling nasogastric tube, Quality of life

摘要： 目的：探讨出院准备计划对脑卒中后留置鼻饲管患者的影响。方法：将脑卒中后留置鼻饲管的患者65例，按入院时间的先后顺序分为对照组32例和观察组33例。对照组行常规的脑卒中后留置鼻饲管患者的护理，观察组实施出院准备计划。比较两组患者留置鼻饲管的时间、吸入性肺炎的发生率、吞咽相关生存质量（SWAL-QOL）得分。结果：出院后1个月、3个月，观察组留置鼻饲管的时间短于对照组，观察组吸入性肺炎发生率低于对照组，出院3个月观察组的SWAL-QOL得分中进食时间、进食欲望、症状频率、选择食物、语言交流、恐惧、社会交往、睡眠和疲劳程度9个维度得分高于对照组，差异具有统计学意义（P<0．05）。结论：出院准备计划能够减少脑卒中后患者留置鼻饲管的时间，减少吸入性肺炎等并发症的发生，有效提高脑卒中后吞咽障碍患者的生存质量。

关键词:

出院准备计划, 脑卒中, 留置鼻饲管, 生存质量