循证护理在脑卒中患者吞咽障碍康复中的应用

Appilication of Evidence-based Nursing in Dysphagia Rehabilitation for Stroke Patients

目的应用循证护理理念,探讨康复护理对脑卒中后吞咽障碍的疗效。方法选择2007年9月至2008年12月住院的60例脑卒中后吞咽障碍的患者,按病历单双号分成循证护理康复组和对照组,每组30例。治疗前后分别用吞咽障碍评分进行评定。结果经过2周的康复护理,循证护理康复组患者吞咽功能恢复总有效率为91.3%,对照组总有效率为72%,差异有统计学意义(P<0.05)。结论应用循证护理方法,可促进脑卒中后吞咽障碍的康复,提高患者日常生活能力。

Objective To observe the curative effects of dysphagia rehabilitation after stroke with the evidence-based nursing concept. Methods Sixty patients with dysphagia after stroke from Set. 2007 to Dec. 2008 were equally divided into to the rehabilitation group treated with evidence- based nursing and the control group according to odd or even number of the records. Each group had 30 patients. The functions of deglutition were assessed by the dysphagia scale before and after the treatment. Results After two weeks of rehabilitation nursing, the swallowing function was compared with that before the treatment. The total effective rates of evidence-based nursing group and the control group were 91. 3% and 72. 0%, respectively. The difference between the two groups was significant （P〈0.05）. Conclusion Evidence-based nursing was effective in rehabilitation of swallowing function after stroke and could improve the quality of life.