Objective To develop a self-directed learning feedback system for patients with post-stroke dysphagia(PSD)and analyze its effectiveness.Methods From November 2022 to July 2023,convenience sampling was used to select 108 PSD patients from the Neurological Disease Center of Taiyuan Central Hospital as the research subject.The patients were divided into a control group and an experimental group using a random number table method,with 54 cases in each group.The control group received routine nursing upon discharge,while the experimental group was treated intervention measures through the self-directed learning feedback system.The self-efficacy,quality of life,swallowing function,and psychological status of two groups of patients were compared before intervention and one and three months after intervention,respectively.Results A total of 52 patients in the experimental group and 50 patients in the control group completed the study.Repeated measures analysis of variance showed that the self-efficacy and quality of life scores of both groups improved with the extension of intervention time,and the self-efficacy and quality of life scores of the experimental group were higher than those of the control group at one and three months after intervention,with statistical differences(P＜0.01).After one and three months of intervention,the severity scores of dysphagia in the experimental group were lower than those in the control group,and the differences were statistically significant(P＜0.01).As the intervention time extended,the psychological status scores of the experimental group were lower than those of the control group at different time periods,and the differences were statistically significant(P＜0.05).Conclusions The application of self-directed learning feedback system in the rehabilitation of PSD patients at home can improve their self-efficacy,quality of life and swallowing function,and relieve negative emotions,which is worthy of further promotion.
关键词
卒中/吞咽障碍/自我效能/生活质量/康复护理/移动医疗
Key words
Stroke/Deglutition disorders/Self-efficacy/Quality of life/Rehabilitation nursing/Telemedicine
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