护士主导的吞咽障碍分级管理在神经内科脑卒中患者中的应用

Effect of nurse-led grading management of dysphagia on patients with stroke in neurology department

目的:分析护士主导的吞咽障碍分级管理在神经内科脑卒中患者中的应用效果。方法:将脑卒中患者分为对照组和观察组,观察组在对照组常规入院护理评估的基础上实施由护士主导的吞咽障碍分级管理及多学科团队成员干预。结果:①观察组吞咽功能恢复的总有效率(87.96%)高于对照组(73.76%)(P<0.05);②观察组平均留置胃管时间[(9.86±1.48)d]和留置胃管率(22.80%)均低于对照组[(12.18±2.13)d,32.30%](P<0.05);③观察组对护理工作的满意度(97.6%)高于对照组(93.1%)(P<0.05)。结论:在神经内科开展由护士主导的脑卒中吞咽障碍分级管理,可以在早期及时识别吞咽障碍高危患者,进而给予及时有效的干预,可以避免不必要的留置胃管,提升患者吞咽功能及满意度。

Objective:To explore the effect of nurse-led grading management of dysphagia on stroke patients in neurology department.Methods:Stroke patients recruited were divided into the control group and the observation group.Aside from routine nursing as offered to the control group,the grade management of dysphagia led by nurses was carried out in the observation group.And finally a multi-disciplinary team was introduced to provide grading nursing intervention to patients in accordance with their conditions.Results:The total effective rate of swallowing function recovery in the observation group(87.96%)was higher than that of the control group(73.76%)(P<0.05).Compared with the control group(12.18±2.13 days/32.30%),the average time and rate of indwelling gastric tube in the observation group were lower(9.86±1.48 days/22.80%)(P<0.05).The satisfaction degree of the observation group(97.6%)was higher than that of the control group(93.1%)(P<0.05).Conclusion:The grading management of swallowing disorders over stroke patients led by nurses in neurology department can help identify high-risk patients in an early stage,thus timely and effective intervention will be offered to avoid unnecessary indwelling of gastric tube and improve the swallowing function as well as satisfaction of patients.