中西医结合护理 (Jan 2024)
Application effect of marketing theory of 4Cs of dietary guidance in patients with dysphagia after first-ever stroke (基于市场营销4C理论在首发脑卒中后吞咽障碍患者饮食指导中的应用效果)
Abstract
Objective To explore the effect of dietary guidance based on marketing theory of 4Cs in patients with dysphagia after first-ever stroke. Methods A total of 100 patients with dysphagia after first-ever stroke admitted to the Department of Neurology of Hechi Hospital of Traditional Chinese Medicine from January 2021 to June 2022 were selected as the study objects, and were randomly divided into control group (50 cases) and observation group (50 cases) according to the digital table method. The control group received routine dietary care for post-stroke dysphagia. In the observation group, dietary guidelines based on the marketing theory of 4Cs were constructed, and the intervention lasted for 6 months. The swallowing function and quality of life of patients in the two groups were observed and compared before and after intervention for 6 months. The effect of interventions was evaluated, and the incidence of complications during intervention was observed. Results After 6 months of intervention, observation group had a better outcome of Water-swallowing test compared with that in the control group(P<0. 05). The curative effect of the observation group was higher than that of the control group(P<0. 05). The incidence of complications in observation group was lower than that in control group (P<0. 05). The Swallowing Quality of Life (SWAL-QOL) score of the observation group was higher than that of the control group (P<0. 01). Conclusion The establishment of dietary guidance based on the marketing theory of 4Cs can meet the needs of patients with dysphagia after first-ever stroke and their families for dietary guidance, promote the rehabilitation of swallowing function and improve the quality of life of patients. (目的 探讨基于市场营销4C理论在首发脑卒中后吞咽障碍患者饮食指导的应用效果。方法 选取2021年1月—2022年6月河池市中医医院脑病科收治的首发脑卒中后吞咽障碍患者100例为研究对象, 按数字表法随机分为对照组(n=50)与观察组(n=50)。对照组采用常规的脑卒中后吞咽障碍饮食护理, 观察组构建基于市场营销4C理论的脑卒中后吞咽障碍患者饮食指导方案, 实施为期6个月的干预。比较两组患者吞咽功能、生活质量, 评价干预6个月后吞咽障碍疗效, 统计干预期间并发症发生情况。结果 干预6个月后, 观察组患者洼田饮水试验分级优于对照组, 差异有统计学意义(P＜0. 05); 观察组总有效率高于对照组, 差异有统计学意义(P＜0. 05); 观察组并发症发生率低于对照组, 差异有统计学意义(P＜0. 05); 观察组吞咽生活质量量表(SWAL-QOL)评分高于对照组, 差异有统计学意义(P＜0. 01)。结论 基于市场营销4C理论构建脑卒中后吞咽障碍患者饮食指导, 能满足患者及家属对饮食指导的需求, 促进患者吞咽功能康复, 提高生活质量。)
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