首页|延续护理联合吞咽功能分级护理在急性脑梗死后吞咽障碍患者中的应用效果

延续护理联合吞咽功能分级护理在急性脑梗死后吞咽障碍患者中的应用效果

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目的:观察延续护理联合吞咽功能分级护理在急性脑梗死后吞咽障碍患者中的应用效果.方法:选取 2021 年 6 月至2022 年 6 月该院收治的 306 例急性脑梗死后吞咽障碍患者进行前瞻性研究,按照随机数字表法将其分为A组、B组、C组各 102 例.A组采用常规护理,B组在A组基础上采用吞咽功能分级护理,C组在B组基础上采用延续护理,比较三组洼田饮水试验分级情况、改良Barthel指数评定量表(MBI)评分、卒中专用生命质量量表(SS-QOL)评分、并发症发生率.结果:护理后,C组洼田饮水试验分级情况优于A组、B组,且B组优于A组,差异均有统计学意义(P<0.05);护理后,三组MBI、SS-QOL评分高于护理前,且C组高于A组、B组,B组高于A组,差异均有统计学意义(P<0.05);C组并发症发生率低于A组、B组,且B组低于A组,差异均有统计学意义(P<0.05).结论:常规护理基础上采用延续护理联合吞咽功能分级护理可改善急性脑梗死后吞咽障碍患者洼田饮水试验分级情况,提高其MBI、SS-QOL评分,降低其并发症发生率,效果优于单纯常规护理或常规护理联合吞咽功能分级护理.
Application effects of continuous nursing combined with swallowing function grading nursing in patients with dysphagia after acute cerebral infarction
Objective:To observe application effects of continuous nursing combined with swallowing function grading nursing in patients with dysphagia after acute cerebral infarction.Methods:A prospective study was conducted on 306 patients with dysphagia after acute cerebral infarction admitted to this hospital from June 2021 to June 2022.According to the random number table method,they were divided into group A,group B and group C,102 cases in each group.Group A was treated with routine nursing,group B was treated with swallowing function grading nursing on the basis of that of group A,and group C was treated with continuous nursing on the basis of that of group B.The classification of water drinking test,the modified Barthel index(MBI)score,the stroke specific quality of life scale(SS-QOL)score and complication rate were compared among the three groups.Results:After the nursing,the classification of water drinking test in group C was better than that in group A and group B,that in group B was better than that in group A,and the differences were statistically significant(P<0.05).After the nursing,the MBI and SS-QOL scores of the three groups were higher than those before the nursing,those in group C were higher than those in group A and group B,those in group B were higher than those in group A,and the differences were statistically significant(P<0.05).Further,the incidence of complications in group C was lower than that in group A and group B,that in group B was lower than that in group A,and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the continuous nursing combined with the swallowing function grading nursing can improve the classification of water drinking test in the patients with dysphagia after acute cerebral infarction,improve their MBI and SS-QOL scores,and reduce the incidence of complications.Moreover,it is superior to simple routine nursing or routine nursing combined with swallowing function grading nursing.

Acute cerebral infarctionDysphagiaSwallowing function grading nursingContinuous nursingComplication

樊玉霞

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郑州市第七人民医院神经内科,河南 郑州 450000

急性脑梗死 吞咽障碍 吞咽功能分级护理 延续护理 并发症

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(20)