首页|延续性护理对脑卒中后吞咽障碍患者吞咽功能恢复的影响研究

延续性护理对脑卒中后吞咽障碍患者吞咽功能恢复的影响研究

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目的 探讨对脑卒中后吞咽障碍患者进行延续性护理对吞咽功能恢复的影响.方法 随机选取2021年3月—2022年3月南京市溧水区人民医院收治的80例脑卒中后吞咽障碍患者为研究对象,以随机数表法分为两组,每组40例.对照组接受常规随访护理,观察组接受延续性护理.对比两组吞咽状态、吞咽功能障碍评分、营养评分、生活质量评分.结果 干预后,观察组吞咽状态评分为(1.42±0.22)分,低于对照组的(2.29±0.41)分,观察组吞咽功能障碍评分为(21.47±1.22)分,低于对照组的(25.34±2.19)分,差异有统计学意义(t=11.825,9.764,P均<0.001).干预前,两组营养评分比较,差异无统计学意义(P>0.05);干预后,两组营养评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05).观察组生活质量各维度评分高于对照组,差异有统计学意义(P均<0.05).结论 对脑卒中后吞咽障碍患者进行延续性护理可促进吞咽功能恢复,改善营养状况,提升生活质量.
Effect of Continuous Nursing on the Recovery of Swallowing Function in Patients with Dysphagia after Stroke
Objective To investigate the effect of continuous nursing on swallowing function recovery of patients with dysphagia after stroke.Methods A total of 80 patients with dysphagia after stroke admitted to Lishui District People's Hospital in Nanjing from March 2021 to March 2022 were randomly selected as the research subjects.They were ran-domly divided into two groups using random number table method,with 40 cases in each group.The control group re-ceived routine follow-up nursing,while the observation group received continuous nursing.The swallowing status,swallowing dysfunction score,nutritional score,and quality of life score between two groups were compared.Results After intervention,the scores of swallowing status of the observation group was(1.42±0.22)points,lower than the con-trol group's(2.29±0.41)points,and the scores of swallowing dysfunction of the observation group was(21.47±1.22)points,lower than the control group's(25.34±2.19)points,and the differences were statistically significant(t=11.825,9.764,both P<0.001).Before intervention,there was no statistically significant difference in nutritional scores between the two groups(P>0.05).After intervention,the nutritional scores of both groups were higher than before intervention,and the scores of observation group was higher than that of the control group,and the difference was statistically sig-nificant(P<0.05).The scores of various dimensions of quality of life in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Continuous nursing for pa-tients with swallowing disorder after stroke can promote the recovery of swallowing function,improve the nutritional status and enhance the quality of life.

Stroke dysphagiaContinuous nursingRecovery of swallowing function

苏芳、徐澄澄、章莉

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南京市溧水区人民医院神经内科,江苏南京 211200

脑卒中吞咽障碍 延续性护理 吞咽功能恢复

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(8)
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