连续护理干预对脑卒中伴吞咽障碍患者康复效果的影响

Influence of continuous nursing intervention on rehabilitation effect of stroke patients with dysphagia

目的探讨连续护理干预对脑卒中伴吞咽障碍患者康复效果的影响。方法选取2015年3月-2016年1月第三军医大学大坪医院收治的脑卒中伴吞咽障碍患者共112例，采用数字表法随机分为试验组及对照组，每组56例。两组患者均给予常规治疗方案，试验组患者辅以连续强化吞咽功能训练，比较两组患者的治疗效果、吞咽功能评分、并发症发生情况及满意度等指标。结果试验组治疗总有效率89．29％，对照组总有效率94．69％，差异无有统计学意义（χ^2=1．087，P〉0.05）；两组患者吞咽功能评分治疗后均高于治疗前，且试验组患者吞咽功能评分高于对照组，差异有统计学意义（P〈0．05）；治疗后，试验组患者误吸发生率低于对照组，差异有统计学意义（P〈0.05）；对患者进行满意度调查发现，试验组患者满意度优于对照组，差异有统计学意义（P〈0.05）。结论连续护理干预能够改善脑卒中伴吞咽障碍患者的吞咽功能．降低呛咳、误吸的发牛率．提高患者满意度。

Objective To explore influence of continuous nursing intervention on rehabilitation effect of stroke patients with dysphagia.Methods 112 cases of stroke patients with dysphagia hospitalized in Daping Hospital, Third＇Military Medical University from March 2015 to January 2016 were selected and divided according to random number table method into experimental group and control group, each with 56 cases. Patients in the two groups were treated by conventional therapy, yet patients in the experimental group were treated with extra continuous training to strengthen swallowing function. Therapeutic effects, scores of swallowing function, incidence of complications and satisfaction in the two groups were compared. Results Total effective rate in the experimental group was 89.29%, and in the control group, 94.69% （χ^2= 1.087, P〉0.05）. After treatment, swallowing function of patients in the two groups were all higher than those before the treatment, and scores of patients in the experimental group were higher than those in the control group （ P 〈 0.050 ） ; after treatment, occurrence rate of aspiration in the experimental group was lower than that in the control group （ P〈 0.05 ） ; it was revealed in survey that patients＇ satisfaction in the experimental group was higher than that in the control group （P〈0.05）. Conclusions For stroke patients with dysphagia, continuous nursing intervention can help to improve their swallowing function, reduce choking-cough and aspiration, and upgrade their satisfaction.