首页|护理专案在心脏外科术后获得性吞咽障碍患者中的应用效果

护理专案在心脏外科术后获得性吞咽障碍患者中的应用效果

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目的 探讨护理专案在心脏外科术后获得性吞咽障碍患者行吞咽康复训练中的应用效果.方法 采用便利抽样法,选取2021年7月—2023年6月在厦门大学附属心血管病医院住院的60例心脏外科术后发生获得性吞咽障碍患者为研究对象.将实施护理专案前的30例患者设为对照组;将给予护理专案后的另外30例患者设为观察组.比较2组患者康复训练执行率、鼻饲管平均留置天数及吞咽障碍并发症(主要为显性误吸及吸入性肺炎)发生率.结果 观察组吞咽障碍康复训练执行率为90.00%,高于对照组的20.00%,差异有统计学意义(P＜0.05);观察组鼻饲管平均留置天数短于对照组,吞咽障碍并发症总发生率低于对照组,差异有统计学意义(P＜0.05).结论 护理专案可提高护理人员吞咽障碍康复执行率,降低患者鼻饲管平均留置天数,有效促进心脏外科术后吞咽障碍患者康复进程,改善患者预后.
Application Effect of Nursing Project Management in Patients With Acquired Swallowing Disorders After Cardiac Surgery
Objective To explore the application effect of nursing project management in postoperative cardiac surgery patients with acquired swallowing disorders undergoing swallowing rehabilitation training.Methods A total of 60 patients with acquired dysphagia after cardiac surgery who were hospitalized in Xiamen Cardiovascular Hospital,Xiamen University from July 2021 to June 2023 were selected as the study objects by convenience sampling method.A total of 30 patients before the implementation of the nursing project management were set as the control group,and the other 30 patients after the nursing project management were set as the observation group.The rate of execution of rehabilitation training,the time of retention of nasogastric feeding tubes,and the incidence rate of complications of swallowing disorder(mainly overt aspiration and aspiration pneumonia)were compared between 2 groups.Results The implementation rate of rehabilitation training for swallowing disorder in the observation group was 90.00%,which was higher than that in the control group(20.00%),and the difference was statistically significant(P<0.05).The time of retention of nasogastric feeding tubes in the observation group was shorter than that in the control group,and the total incidence of complications of swallowing disorder was lower than that in control group,and the differences were statistically significant(P<0.05).Conclusion Nursing project management can improve the implementation rate of rehabilitation for swallowing disorders,reduce the average retention days of patients with nasal feeding tube,effectively promote the rehabilitation process of patients with swallowing disorders after cardiac surgery,and improve the prognosis of patients.

nursing project managementpostoperative cardiac surgeryswallowing disordersrehabilitation trainingtime of retention of nasogastric feeding tubescomplication

方秋月、郑薇亮、孙丽军、陈媛

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厦门大学附属心血管病医院结构性心脏病科,福建厦门 361004

厦门大学附属心血管病医院重症监护病房,福建厦门 361004

厦门大学附属心血管病医院护理部,福建 厦门 361004

护理专案 心脏外科术后 吞咽障碍 康复训练 鼻饲管留置时间 并发症

福建省省级临床重点专科建设项目(2022)厦门市医疗卫生指导性项目

闽卫医政函[2022]884号3502Z20224ZD1189

2024

10.3969/j.issn.1674-9316.2024.10.042

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子：1.374
ISSN：1674-9316
年,卷(期)：2024.15(10)
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