脑卒中吞咽障碍患者系统化护理干预的效果

Effect of systematized nursing intervention on stroke patients with dysphagia

目的探讨脑卒中吞咽障碍患者的系统化护理干预方法及效果。方法将80例脑卒中吞咽障碍患者按随机方法分成实验组和对照组各40例，对照组给予脑卒中吞咽障碍的常规护理。实验组除常规护理外，由专职主管护师进行系统的吞咽障碍护理干预（即口腔操、呼吸功能训练、强化意念运动训练、摄食训练、认知干预及心理指导等），分别在干预前及干预后采用日本洼田俊夫饮水实验标准评价两组患者吞咽障碍恢复情况及自我护理能力。结果实验组患者吞咽障碍恢复明显高于对照组，两者比较差异有统计学意义（P〈0．01）；自我护理能力比较除自我责任感外，差异有统计学意义（P〈0．01）。结论系统护理干预能改善脑卒中吞咽障碍患者的吞咽功能，提高自护能力。

Objective To explore the effect of systematized nursing intervention on stroke patients with dysphagia. Methods 80 patients with dysphagia were randomly divided into experimental group and eantrol group, 40 cases in each group. Control group was given routine nursing of the stroke swallowed barrier, experimental group was carried on system swallowed barrier nursing invention by professional manager （oral cavity exercise, breath faeuhy training, strengthened thought movement training, feeding training, cognition intervention and psychological instruction and so on） , to access the recovering situation and self-nursing ability of two group before and after intervention by experimental standard of drinking water in Japan Tianjun Fu. Results The swallowed barrier of experimental group recovered obviously better than control group, the difference was significant （P 〈 0. 01 ）. The difference of self-care ability except self-responsibility was significant （P 〈 0. 01 ）. Conclusions Systematic nursing intervention can improve swallowing funetion of stroke swallowed barrier patients and self-care ability.