首页|吞咽康复训练联合正性激励护理对脑梗死后吞咽障碍患者的影响

吞咽康复训练联合正性激励护理对脑梗死后吞咽障碍患者的影响

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目的:分析吞咽康复训练联合正性激励护理在脑梗死后吞咽障碍患者中的应用效果。方法:选取南开大学附属北辰医院 2022年 1月—2023年 12月收治的 82例脑梗死后吞咽障碍患者为研究对象,随机将其分为对照组和观察组,各 41例。对照组采用吞咽康复训练干预,观察组在对照组基础上联合正性激励护理干预,比较两组护理效果、病耻感、吞咽功能、经口进食能力、生活质量。结果:观察组护理总有效率为 97。56%,高于对照组的 82。93%,差异有统计学意义(P<0。05)。护理后,观察组慢性病病耻感量表、标准吞咽功能评定量表评分均低于对照组,才藤氏吞咽功能分级优于对照组,差异均有统计学意义(P<0。05)。护理后,观察组脑卒中影响量表中各维度评分均高于对照组,差异均有统计学意义(P<0。05)。。结论:吞咽康复训练联合正性激励护理应用于脑梗死后吞咽障碍患者中护理效果显著,在减轻患者病耻感的同时能够改善吞咽功能及经口进食能力,提高生活质量。
Influence of Swallowing Rehabilitation Training Combined with Positive Incentive Nursing on Patients with Swallowing Disorder after Cerebral Infarction
Objective:To analyze the effect of swallowing rehabilitation training combined with positive incentive nursing in patients with dysphagia after cerebral infarction.Methods:A total of 82 patients with dysphagia after cerebral infarction admitted to Beichen Hospitalfrom January 2022 to December 2023 were selected as the study objects,and randomly divided into a control group and an observation group,with 41 cases in each group.The control group received swallowing rehabilitation training intervention,and the observation group was combined with positive incentive nursing intervention on the basis of the control group.The nursing effect,stigma,swallowing function,oral eating ability and quality of life of the two groups were compared.Results:The total effective rate of the observation group was 97.56%,which was higher than 82.93%of the control group,the difference were statistically significant(P<0.05).After nursing,the scores of chronic disease stigma scale and standard swallowing function rating scale in the observation group were lower than those in the control group,and the Saito's rating scale grade was higher than that of the control group,with statistical significance(P<0.05).After nursing,the stroke impact scale in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After nursing,all dimensions of Stroke Impact Scale scores in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Swallowing rehabilitation training combined with positive incentive nursing is effective in patients with dysphagia after cerebral infarction,which can reduce the stigma of patients,improve the swallowing function and oral eating ability,and improve the quality of life.

Cerebral infarctionDysphagiaSwallowing rehabilitation trainingPositive incentive nursingSwallowing function

厐娜

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天津市北辰医院神经内科,天津 300400

脑梗死 吞咽障碍 吞咽康复训练 正性激励护理 吞咽功能

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(14)