{"title":"FOCUS-PDCA下无缝护理管理对急性脑梗死合并吞咽困难患者的疗效及对营养状况和神经功能的影响","authors":"Yue Niu, Luoxia Zhang, Xianghui Sun","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy of seamless care management under FOCUS-PDCA for patients with acute cerebral infarction (ACI) complicated with dysphagia and its influence on nutrition status and neurological functions.</p><p><strong>Methods: </strong>A total of 98 patients with acute cerebral infarction complicated with dysphagia admitted to our hospital from March 2019 to December 2022 were selected and divided into two groups with equal numbers. The control group received routine nursing management. The study group implemented seamless nursing management under FOCUS-PDCA based on the control group. The therapeutic effect, nutritional status, and neurological function of the two groups were compared before and after intervention. Patients in both groups were intervened for 1 month.</p><p><strong>Results: </strong>(1) After the intervention, the Water Drinking Test (WDT) Grade I and Grade II of the study group increased from 0.00% before the intervention to 32.65%, and the control group also increased from 0.00% before the intervention to 14.29% and 22.45%. , while the number of Grade III, Grade IV, and Grade V decreased in both the control group and the study group. That is, the WDT level test of both groups after the intervention was better than before the intervention, and the research group was better than the control group, and the difference was statistically significant (Z=2.732, P = .006). (2) There was no statistical significance in the GUSS score and SWAL-QOL of the two groups before the intervention (P > .05); after the intervention, the GUSS score of the control group (16.32±4.26) was lower than that of the study group (18.52±4.85) (P < .001) , the SWAL-QOL score of the control group (116.48±31.05) was lower than that of the study group (143.08±33.85) (P < .001), and the GUSS scores and SWAL-QOL of the two groups after the intervention were higher than before the intervention (P < .001). (3) Compared with the nutritional status of the two groups, there was no statistical significance in PA, ALB, and Hb before intervention (P > .05); after intervention, PA, ALB, and Hb in the control group were (218.15±27.15) and (38.67±5.84) respectively. (120.85±31.05), all lower than the study group (261.15±22.52), (42.84±6.32), (134.18±30.47) (P < .01), and the PA, ALB and Hb of the two groups after intervention were all higher than before intervention (P < .001). (4) Comparing TSF and MAMC between the two groups, there was no statistical significance in TSF and MAMC before intervention (P > .05); after intervention, TSF and MAMC in the control group were (13.84±6.38) and (28.61±4.15) respectively, both of which were low. Compared with the study group (16.94±6.69), (33.15±3.84) (P < .001), and the TSF and MAMC of the two groups after the intervention were higher than before the intervention (P < .001). (5) Comparing the neurological function and limb function between the two groups, there was no statistical significance in NIHSS and FMA before intervention (P > .05); after intervention, NIHSS and FMA in the control group were (19.64±3.52) and (48.15±4.85) respectively. The NIHSS was higher than that of the study group (16.52±3.85), and the FMA was lower than that of the study group (58.84±5.63) (P < .001). The NIHSS and FMA of both groups after the intervention were better than those before the intervention (P < .001). (6) The incidence rate of complications in the study group was 4.08%, which was lower than 18.37% in the control group (P < .05).</p><p><strong>Conclusion: </strong>Seamless nursing management for patients with ACI and dysphagia under the FOCUS-PDCA model has obvious effects. It can effectively improve the patient's swallowing function, reduce the degree of neurological deficit, improve their nutritional status and quality of life, and has fewer complications. It can be used clinically Promote within the application.</p>","PeriodicalId":7571,"journal":{"name":"Alternative therapies in health and medicine","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Efficacy of Seamless Care Management Under FOCUS-PDCA for Patients with Acute Cerebral Infarction Complicated with Dysphagia and its Influence on Nutritional Status and Neurological Functions.\",\"authors\":\"Yue Niu, Luoxia Zhang, Xianghui Sun\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To evaluate the efficacy of seamless care management under FOCUS-PDCA for patients with acute cerebral infarction (ACI) complicated with dysphagia and its influence on nutrition status and neurological functions.</p><p><strong>Methods: </strong>A total of 98 patients with acute cerebral infarction complicated with dysphagia admitted to our hospital from March 2019 to December 2022 were selected and divided into two groups with equal numbers. The control group received routine nursing management. The study group implemented seamless nursing management under FOCUS-PDCA based on the control group. The therapeutic effect, nutritional status, and neurological function of the two groups were compared before and after intervention. Patients in both groups were intervened for 1 month.</p><p><strong>Results: </strong>(1) After the intervention, the Water Drinking Test (WDT) Grade I and Grade II of the study group increased from 0.00% before the intervention to 32.65%, and the control group also increased from 0.00% before the intervention to 14.29% and 22.45%. , while the number of Grade III, Grade IV, and Grade V decreased in both the control group and the study group. That is, the WDT level test of both groups after the intervention was better than before the intervention, and the research group was better than the control group, and the difference was statistically significant (Z=2.732, P = .006). (2) There was no statistical significance in the GUSS score and SWAL-QOL of the two groups before the intervention (P > .05); after the intervention, the GUSS score of the control group (16.32±4.26) was lower than that of the study group (18.52±4.85) (P < .001) , the SWAL-QOL score of the control group (116.48±31.05) was lower than that of the study group (143.08±33.85) (P < .001), and the GUSS scores and SWAL-QOL of the two groups after the intervention were higher than before the intervention (P < .001). (3) Compared with the nutritional status of the two groups, there was no statistical significance in PA, ALB, and Hb before intervention (P > .05); after intervention, PA, ALB, and Hb in the control group were (218.15±27.15) and (38.67±5.84) respectively. (120.85±31.05), all lower than the study group (261.15±22.52), (42.84±6.32), (134.18±30.47) (P < .01), and the PA, ALB and Hb of the two groups after intervention were all higher than before intervention (P < .001). (4) Comparing TSF and MAMC between the two groups, there was no statistical significance in TSF and MAMC before intervention (P > .05); after intervention, TSF and MAMC in the control group were (13.84±6.38) and (28.61±4.15) respectively, both of which were low. Compared with the study group (16.94±6.69), (33.15±3.84) (P < .001), and the TSF and MAMC of the two groups after the intervention were higher than before the intervention (P < .001). (5) Comparing the neurological function and limb function between the two groups, there was no statistical significance in NIHSS and FMA before intervention (P > .05); after intervention, NIHSS and FMA in the control group were (19.64±3.52) and (48.15±4.85) respectively. The NIHSS was higher than that of the study group (16.52±3.85), and the FMA was lower than that of the study group (58.84±5.63) (P < .001). The NIHSS and FMA of both groups after the intervention were better than those before the intervention (P < .001). (6) The incidence rate of complications in the study group was 4.08%, which was lower than 18.37% in the control group (P < .05).</p><p><strong>Conclusion: </strong>Seamless nursing management for patients with ACI and dysphagia under the FOCUS-PDCA model has obvious effects. It can effectively improve the patient's swallowing function, reduce the degree of neurological deficit, improve their nutritional status and quality of life, and has fewer complications. It can be used clinically Promote within the application.</p>\",\"PeriodicalId\":7571,\"journal\":{\"name\":\"Alternative therapies in health and medicine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Alternative therapies in health and medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"INTEGRATIVE & COMPLEMENTARY MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Alternative therapies in health and medicine","FirstCategoryId":"3","ListUrlMain":"","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INTEGRATIVE & COMPLEMENTARY MEDICINE","Score":null,"Total":0}
Efficacy of Seamless Care Management Under FOCUS-PDCA for Patients with Acute Cerebral Infarction Complicated with Dysphagia and its Influence on Nutritional Status and Neurological Functions.
Objective: To evaluate the efficacy of seamless care management under FOCUS-PDCA for patients with acute cerebral infarction (ACI) complicated with dysphagia and its influence on nutrition status and neurological functions.
Methods: A total of 98 patients with acute cerebral infarction complicated with dysphagia admitted to our hospital from March 2019 to December 2022 were selected and divided into two groups with equal numbers. The control group received routine nursing management. The study group implemented seamless nursing management under FOCUS-PDCA based on the control group. The therapeutic effect, nutritional status, and neurological function of the two groups were compared before and after intervention. Patients in both groups were intervened for 1 month.
Results: (1) After the intervention, the Water Drinking Test (WDT) Grade I and Grade II of the study group increased from 0.00% before the intervention to 32.65%, and the control group also increased from 0.00% before the intervention to 14.29% and 22.45%. , while the number of Grade III, Grade IV, and Grade V decreased in both the control group and the study group. That is, the WDT level test of both groups after the intervention was better than before the intervention, and the research group was better than the control group, and the difference was statistically significant (Z=2.732, P = .006). (2) There was no statistical significance in the GUSS score and SWAL-QOL of the two groups before the intervention (P > .05); after the intervention, the GUSS score of the control group (16.32±4.26) was lower than that of the study group (18.52±4.85) (P < .001) , the SWAL-QOL score of the control group (116.48±31.05) was lower than that of the study group (143.08±33.85) (P < .001), and the GUSS scores and SWAL-QOL of the two groups after the intervention were higher than before the intervention (P < .001). (3) Compared with the nutritional status of the two groups, there was no statistical significance in PA, ALB, and Hb before intervention (P > .05); after intervention, PA, ALB, and Hb in the control group were (218.15±27.15) and (38.67±5.84) respectively. (120.85±31.05), all lower than the study group (261.15±22.52), (42.84±6.32), (134.18±30.47) (P < .01), and the PA, ALB and Hb of the two groups after intervention were all higher than before intervention (P < .001). (4) Comparing TSF and MAMC between the two groups, there was no statistical significance in TSF and MAMC before intervention (P > .05); after intervention, TSF and MAMC in the control group were (13.84±6.38) and (28.61±4.15) respectively, both of which were low. Compared with the study group (16.94±6.69), (33.15±3.84) (P < .001), and the TSF and MAMC of the two groups after the intervention were higher than before the intervention (P < .001). (5) Comparing the neurological function and limb function between the two groups, there was no statistical significance in NIHSS and FMA before intervention (P > .05); after intervention, NIHSS and FMA in the control group were (19.64±3.52) and (48.15±4.85) respectively. The NIHSS was higher than that of the study group (16.52±3.85), and the FMA was lower than that of the study group (58.84±5.63) (P < .001). The NIHSS and FMA of both groups after the intervention were better than those before the intervention (P < .001). (6) The incidence rate of complications in the study group was 4.08%, which was lower than 18.37% in the control group (P < .05).
Conclusion: Seamless nursing management for patients with ACI and dysphagia under the FOCUS-PDCA model has obvious effects. It can effectively improve the patient's swallowing function, reduce the degree of neurological deficit, improve their nutritional status and quality of life, and has fewer complications. It can be used clinically Promote within the application.
期刊介绍：
Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field.
Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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