家属参与型护理在脑卒中吞咽功能障碍患者中的应用

Application of nursing care with family involvement to stroke patients with dysphagia

目的:探讨家属参与型护理在脑卒中吞咽障碍患者功能训练中的应用效果。方法:将80例急性脑卒中吞咽功能障碍患者随机分为观察组和对照组各40例,观察组家属参与吞咽康复训练全过程,对照组由康复护士进行常规康复训练,对两组实施效果、并发症发生情况、患者满意度等进行比较。结果:两组实施效果比较差异无统计学意义(P>0.05),但观察组呛咳及误吸发生减少(P<0.05),家属对患者吞咽障碍训练及并发症预防知识了解度明显高于对照组(P<0.05),患者对护理工作满意度提高(P<0.05)。结论:家属参与康复训练能减少急性脑卒中吞咽功能障碍患者并发症,促进吞咽功能恢复,提高护理满意度。

Objective：To investigate the application effect of nursing care with family involvement in stroke patients with dysphagia . Methods：80 acute stroke patients with dysphagia were randomly divided into the observation group and the control group （40 cases in each group） .The family members participated in the whole training process of swallowing function rehabilitation in the observation group ;the conventional rehabilitation training was implemented by rehabilitation nurses in the control group .The efficacy of the training ,the occur-rence of complications and patient satisfaction were compared between the two groups .Results：The difference in the comparison of training efficacy was not statistically significant between the two groups （P〉0.05）;the occurrence of bucking and aspiration was less in the ob-servation group than the control group （P〈0.05）;the understanding of family members on swallowing function training and the knowl-edge of complication prevention was better in the observation group than the control group （ P〈0.05）;The rate of patient satisfaction with nursing service was higher in the observation group than the control group （P〈0.05）.Conclusion：The nursing care with family involve-ment can reduce the occurrence of complications in acute stroke patients with dysphagia and it can promote the recovery of swallowing func -tion of the patients and improve their satisfaction with nursing care .