家庭护理干预在合并吞咽障碍的脑出血患者中的应用及效果

Application and effects on cerebral hemorrhage patients with dysphagia by family nursing intervention

目的探讨家庭护理干预对合并吞咽障碍的脑出血患者健康信念和生活质量的影响。方法选择浙江省衢化医院神经内科2010年6月~2012年6月收治的112例合并吞咽障碍的脑出血患者为研究对象,运用随机数字表法将患者分为常规护理组和家庭护理干预组,常规护理组患者住院期间仅接受常规护理模式指导下的护理干预措施,家庭护理干预组患者则在上述护理的基础上加用家庭随访干预,观察并比较两组患者临床疗效和健康信念。结果家庭护理干预组患者临床疗效（95.35%比81.40%）和健康信念水平均明显优于常规护理组患者的,差异有统计学意义（P〈0.05）。结论家庭护理干预能够明显提高合并吞咽障碍的脑出血患者采取相应健康行为的信念,提高患者的临床疗效,值得进一步推广。

Objective To investigate the application and effects on cerebral hemorrhage patients with dysphagia by family nursing intervention. Methods One hundred and twelve cerebral hemorrhage patients with dysphagia who were treated in the department of neurosurgery in Quhua Hospital in Zhejiang Province from June 2010 to June 2012 were chosen as the research objects, then they were divided into the conventional care group and the family nursing intervention group, the conventional care group were given nursing intervention measures under the guidance of conventional nursing mode, but the family nursing intervention group were given family nursing intervention under the guidance of nursing intervention measures, the clinical efficacy and health beliefs was compared. Results The clinical efficacy （95.35% vs 81.40%） and health beliefs in the family nursing intervention group were obviously higher than that in the conventional care group （P 〈 0.05）. Conclusion Family nursing intervention are conducive to improve the health belief and improve the cerebral hemorrhage patients with dysphagia quality, as a result, it is worthy to be pouularized.