循证护理对脑卒中后吞咽困难的康复效果分析

Rehabilitation Effect Analysis of Evidence-Based Nursing for Stroke after Difficulty Swallowing

目的:探讨循证护理对脑卒中后吞咽困难的康复效果及临床意义。方法:选取我院自2008年1月～2011年10月收治的确诊为脑卒中的患者128例,分为循征护理组和常规护理组各64例,比较治疗前后康复效果差异。结果:治疗前吞咽障碍评估分级,循征护理组:0级6.25%,Ⅰ级20.31%,Ⅱ级39.06%,Ⅲ级28.13%,Ⅳ级6.25%;对照组:吞咽障碍评估分级0级7.81%,Ⅰ级21.88%,Ⅱ级42.19%,Ⅲ级23.44%,Ⅳ级4.68%,两组比较差异无统计学意义(P>0.05)。治疗后吞咽障碍评估分级,循征护理组:0级0%,Ⅰ级7.81%,Ⅱ级10.93%,Ⅲ级14.06%,Ⅳ级67.18%;对照组:吞咽障碍评估分级0级4.68%,Ⅰ级12.50%,Ⅱ级26.56%,Ⅲ级31.25%,Ⅳ级25%,两组比较差异具有统计学意义(P<0.05)。结论:科学有效的循证护理对脑卒中后吞咽困难的康复效果显著。

Objective：To investigate the evidence-based care for dysphagia after stroke rehabilitation outcome and clinical significance.Methods：In our hospital from January 2008-October 2011 confirmed stroke admitted 128 patients,divided into evidence-care group and usual care group of 64 patients,before and after treatment rehabilitation effect differences.Results：Before treatment of dysphagia assessment grade,evidence-care group： 0 grade 6.25%,Ⅰ grade 20.31%,Ⅱ grade 39.06%,Ⅲ grade 28.13%,Ⅳ grade 6.25%;the control group： 0 grade 7.81%,Ⅰ grade 21.88%,Ⅱ grade 42.19%,Ⅲ grade 23.44%,Ⅳ grade 4.68%,the difference was not statistically significant（P〈0.05）.Treatment of dysphagia assessment grade,evidence-care： 0 grade 0%,Ⅰ grade 7.81%,Ⅱ grade 10.93%,Ⅲ grade 14.06%,Ⅳ grade 67.18%;the control group： Dysphagia Assessment Rating 0 grade 4.68%,Ⅰ grade 12.50%,Ⅱ grade 26.56%,Ⅲ grade 31.25%,Ⅳ grade 25%,the difference was statistically significant（P〈0.05）.Conclusion：A scientific and effective evidence-based care for dysphagia after stroke rehabilitation outcome significantly.