综合护理干预对脑卒中后吞咽障碍患者的影响

Effect of comprehensive nursing intervention on patients with dysphagia after stroke

目的:探讨综合护理干预对脑卒中后吞咽障碍患者的影响。方法:将脑卒中后并发吞咽障碍患者120例随机分为综合护理组和常规护理组各60例,常规护理组给予常规治疗和护理,综合护理组在常规护理基础上实施综合护理干预,比较两组治疗效果、满意度以及不良预后发生率。结果:综合护理组治疗总有效率、护理满意度均高于常规护理组(P<0.05),综合护理组误吸率、感染率、病死率均低于常规护理组(P<0.05)。结论:实施综合护理干预有助于改善脑卒中后吞咽障碍患者吞咽功能及预后,值得进一步推广应用。

Objective： To investigate the effect of comprehensive nursing intervention on patients with dysphagia after stroke. Methods：120 patients with dysphagia after stroke were randomly divided into the comprehensive nursing group and the routine nursing group（ 60 cases in each group）. The patients in the routine nursing group were given routine treatment and nursing care and the patients in the comprehensive nursing group were additionally given comprehensive nursing intervention. The treatment effect,satisfaction rate of nursing care and incidence of adverse prognosis were compared between the two groups. Results： The total effective rate of treatment and satisfaction rate of nursing care were higher in the comprehensive nursing group than those in the routine nursing group（ P 0. 05）; the rate of aspiration,infection and mortality was lower in the comprehensive nursing group than the routine nursing group（ P 0. 05）. Conclusion： Implementation of comprehensive nursing intervention can improve the swallowing function and prognosis of patients with dysphagia after stroke.