Objective To develop a rehabilitation nursing program incorporating oral-lingual-pharyngeal exercises for post-stroke patients with dysphagia and dysarthria, and to evaluate its clinical effectiveness. Methods The program was developed through literature review and two rounds of Delphi expert consultation.From January to December 2025, a convenience sample of 60 post-stroke patients with dysphagia and dysarthria were assigned to either a control group (n=30) or an intervention group (n=30) according to their admission period.Both groups received electromyographic biofeedback therapy and routine nursing care, and the intervention group additionally received oral-lingual-pharyngeal exercise rehabilitation.Data on swallowing function, articulatory ability, anxiety and depression, and quality of life were collected at baseline, 1 week post-intervention, and 1 month post-discharge for both groups. Results At 1 month post-discharge, the intervention group demonstrated significantly better outcomes in swallowing function, articulatory ability, anxiety and depression, and quality of life compared with the control group (all P＜0.05).No statistically significant difference was found in the rate of communication impairment between the two groups (P＞0.05). Conclusion Electromyographic biofeedback combined with oral-lingual-pharyngeal rehabilitation exercises can improve swallowing function, articulatory ability, mental status, and quality of life in post-stroke patients with dysphagia and dysarthria.