连续护理干预对脑卒中吞咽障碍患者吞咽功能恢复的影响
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摘要
目的探讨连续护理干预对脑卒中吞咽障碍患者吞咽功能恢复的影响。方法 86例脑卒中吞咽障碍患者,随机分为两组各43例。对照组接受常规护理,研究组在常规护理基础上接受连续护理干预,比较两组的治疗效果、生活质量以及并发症。结果研究组的治疗总有效率为88.37%,显著高于对照组的69.77%(P <0.05)。研究组的精神健康、情感职能、社会功能、躯体疼痛、生理功能、总体健康评分均显著优于对照组(P <0.05)。研究组的并发症发生率为4.65%,显著低于对照组的18.60%(P <0.05)。结论连续护理干预应用于脑卒中吞咽障碍患者中,可显著提升治疗效果,降低并发症发生率,提高患者生活质量。
Objective To explore the impact of continuous nursing intervention on recovery of swallowing function in patients with dysphagia caused by stroke. Methods 86 cases of patients with dysphagia caused by stroke were randomly divided into two groups, with 43 cases in each group. The control group received routine nursing, while the study group received continuous nursing intervention on the basis of routine nursing. The curative effect, quality of life and complications were compared between the two groups. Results The total effective rate of treatment of study group was 88.37%, significantly higher than 69.77% of control group(P <0.05). The scores of mental health,emotional function, social function, physical pain, physiological function and general health of study group were significantly better than those of control group(P <0.05). The incidence of complications of study group was 4.65%, significantly lower than 18.60% of control group(P <0.05). Conclusions Continuous nursing intervention applied in patients with dysphagia caused by stroke can obviously improve the curative effect, reduce the incidence of complications and improve the quality of life of patients.
Objective To explore the impact of continuous nursing intervention on recovery of swallowing function in patients with dysphagia caused by stroke. Methods 86 cases of patients with dysphagia caused by stroke were randomly divided into two groups, with 43 cases in each group. The control group received routine nursing, while the study group received continuous nursing intervention on the basis of routine nursing. The curative effect, quality of life and complications were compared between the two groups. Results The total effective rate of treatment of study group was 88.37%, significantly higher than 69.77% of control group(P <0.05). The scores of mental health,emotional function, social function, physical pain, physiological function and general health of study group were significantly better than those of control group(P <0.05). The incidence of complications of study group was 4.65%, significantly lower than 18.60% of control group(P <0.05). Conclusions Continuous nursing intervention applied in patients with dysphagia caused by stroke can obviously improve the curative effect, reduce the incidence of complications and improve the quality of life of patients.
引文
[1]潘海燕,刘柳清,钟燕华.连续护理干预模式对长期鼻饲患者吸入性肺炎发生率的影响[J].国际护理学杂志, 2014, 33(2):361-363.
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[8]张秋实,张振香,赵燕利,等.脑卒中连续性照护对患者日常生活活动能力和抑郁状况干预效果的系统评价[J].中国康复医学杂志,2014, 29(1):62-64.
[2]甘红霞,吴英.连续护理干预对老年脑卒中患者负性情绪及睡眠障碍的影响[J].蚌埠医学院学报, 2016, 41(6):833-835.
[3]蒋永会,尹建华,张莲花,等.自护理论下连续护理干预对改善脑卒中患者精神障碍的效果研究[J].河北医药, 2016, 38(7):1115-1118.
[4]李瑞,王翔,顾则娟,等.基于功能状态的护理方案在恢复期偏瘫患者中的应用研究[J].护理学杂志, 2014, 29(3):72-75.
[5]李国文,陈建平,罗文辉,等.脑卒中社区康复直通车———从化模式探析[J].现代医院, 2017, 17(11):96-98, 103.
[6]邵红娟,黄钰东,戚红艳.开展延续护理服务对脑卒中康复患者生存质量的影响[J].中华物理医学与康复杂志, 2014, 36(6):453-454.
[7]杨启英.脑卒中吞咽障碍患者采用延伸护理干预对吞咽功能的影响观察[J].右江民族医学院学报, 2014, 36(1):150-152.
[8]张秋实,张振香,赵燕利,等.脑卒中连续性照护对患者日常生活活动能力和抑郁状况干预效果的系统评价[J].中国康复医学杂志,2014, 29(1):62-64.