Design and Implementation of Internet+ Rehabilitation Nursing Platform for Stroke Patients with Dysphagia Based on Multiple Disciplinary Team(MDT)

Abstract

Abstract: Objective To design and construct an “Internet+MDT” rehabilitation care platform for stroke dysphagia, and to explore the application effect of the platform. Methods According to the nursing needs of stroke patients with dysphagia at home and the current situation of “Internet+nursing services”, a multidisciplinary collaborative home nursing platform for stroke patients with dysphagia was designed based on the J2EE layered idea; From July 2020 to June 2021, 80 stroke patients with dysphagia were randomly selected from China Resources WISCO general hospital and applied the platform. Results After using this platform to receive home rehabilitation care, the Wada drinking water test rating and the stroke specific quality of life score of patients in the intervention group were better than those in the control group (P<0.05). Conclusion The home care platform of stroke swallowing disorder based on “Internet+ MDT” can give full play to the advantages of Internet technology, significantly improve the swallowing rehabilitation effect of patients, and improve their quality of life after stroke.

Key words: stroke, dysphagia, internet+nursing, rehabilitation nursing, platform design

CLC Number:

R473.2

MA Ling, ZHANG Qi, YE Jiao, WANG Jun-ling, SI Wei-jia. Design and Implementation of Internet+ Rehabilitation Nursing Platform for Stroke Patients with Dysphagia Based on Multiple Disciplinary Team(MDT)[J]. ZHONGHUA YANGSHENG BAOJIAN, 2023, 41(10): 8-11.

References

[1] 张先卓,吕萌,罗旭飞,等.脑卒中康复临床实践指南推荐意见研究[J].中国康复理论与实践,2020,26(2):170-180.
[2] 中国卒中吞咽障碍与营养管理共识专家组,中国卒中学会,国家神经系统疾病临床医学研究中心,等.中国卒中吞咽障碍与营养管理手册[J].中国卒中杂志,2019,14(11):1153-1169.
[3] 汪洁. 脑卒中后吞咽困难的康复治疗[J].中国临床康复,2002,6(11):1553-1555.
[4] 王家祥,苟建军,赵菁.综合医院多学科协作在疾病诊治中的实践与作用[J].医学与哲学,2015,36(18):1-4.
[5] 张雅丽. 建立医院优势学科群的思考[J].中国临床研究,2010,23(5):433-434.
[6] 许俊,朱云龙,黄峰,等.急诊科主导多学科协作模式对急性缺血性脑卒中患者静脉溶栓影响的临床观察[J].临床急诊杂志,2018,19(6):374-378.
[7] 张彤,王高玲,王玉芳,等.基于“互联网+”视角我国移动医疗现状与监管对策分析[J].中国医疗设备,2016,31(12):161-163,168.
[8] 陈静,于清,齐芮宁.“互联网+护理服务”在北京地区的实践与思考.中国护理管理,2019,19(7):964-967.
[9] 曹茂诚,戴利,陈旭.基于微信平台等互联网技术的“互联网+护理服务”平台设计与应用[J].微型电脑应用,2020,36(7):34-37.
[10] 中国康复医学会康复护理专业委员会.吞咽障碍康复护理专家共识[J].护理学杂志,2021,36(15):1-4.
[11] MILLER E L, MURRAY L, RICHARDS L, et al.Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke patient: a scientific statement from the American Heart Association[J]. Stroke, 2010, 41(10):2402.
[12] 中国老年保健医学研究会老龄健康服务与标准化分会,《中国老年保健医学》杂志编辑委员会,北京小汤山康复医院. 中国社区吞咽功能障碍康复护理与照护专家共识[J]. 中国老年保健医学,2019,17(4):7-15.
[13] DALLAL YORK J, LEONARD K, ANDERSON A, et al.Discriminant Ability of the 3-Ounce Water Swallow Test to Detect Aspiration in Acute Postoperative Cardiac Surgical Patients. Dysphagia[J]. 2022, 37(4):831-838.
[14] YOON S, KIM S R, KIM H Y, et al.The Reliability and Validity of the Korean Short Version of the Stroke-Specific Quality of Life Scale[J]. Rehabilitation Nursing Journal, 2020, 45(4):218-224.
[15] 黄棋,余思萍,黄麒榕,等.“互联网+护理服务”背景下护士多点执业的可行性分析[J].护理学杂志,2019,34(17):14-17.
[16] 杨鸿雁,袁菲,解红文.“互联网+”持续性营养管理模式在脑梗死吞咽障碍患者家庭肠内营养中的应用研究[J].解放军护理杂志,2021,38(6):9-12.
[17] 王清,陈雁,夏冬云,等.南京市某医院“互联网+护理服务”信息平台的构建[J].中国护理管理,2020,20(9):1396-1399.
[18] 王岩,白艳杰,张铭.基于Android系统的卒中后认知障碍训练APP的开发[J].中国医疗设备,2022,37(2):98-102.
[19] 莫雯琪,徐菊玲,袁静,等.“互联网+”在失能老人延续性护理中应用的研究进展[J].护士进修杂志,2020,35(15):1393-1397.
[20] 金奕,徐旭东.脑卒中患者康复护理现状与展望[J].中国护理管理,2018,18(6):726-729.