标准吞咽功能评估及预见性护理在脑卒中吞咽障碍患者康复中的应用效果

Evaluation of Standard Swallowing Function and Predictive Nursing in Patients with Dysphagia after Stroke

目的:探讨标准吞咽功能评估及预见性护理在脑卒中吞咽障碍患者康复中的应用效果。方法:对照组80例脑卒中患者在入院后的2 h内仅进行常规护理评估和单纯的康复训练;观察组80例脑卒中患者在入院后的2 h内不仅进行上述常规评估与护理,同时还进行了标准吞咽功能评估(Standardized Swallowing Assessment,SSA)评估和早期的预见性护理干预、早期吞咽功能康复训练观察指标。结果:观察组患者的整体治疗有效率为98.75%(79/80),高于对照组患者整体有效率87.50%(70/80)(P<0.05);观察组吸入性肺炎的发生率为8.75%(7/80),低于对照组23.75%(19/80)的发生率(P<0.05)。结论:对脑卒中吞咽障碍患者开展标准吞咽功能评估并结合评估结果进行针对性的预见性护理干预,对于提高患者的康复率有着较好的效果。

Objective： To evaluate the effect of standard swallowing function and predictive nursing on rehabilitation of patients with dysphagia after stroke. Methods： The 80 patients in the control group only received routine nursing assessment and rehabilitation training within 2 hours after admission while the 80 patients in the observation group received not only the routine evaluation and nursing within 2 hours after admission, but also SSA assessment and early predictive nursing Intervention. Results： The overall effective rate in the observation group （98.75 % ） （79/80） was higher than that in the control group （87.50 % ） （70/80） （ P 〈 0.05 ）~ The incidence of aspiration pneumonia in the observation group （ 8.75 % ） （7/80） was lower than that in the control group （ 23.75 % ） （19/80） （ P 〈 0.05 ）. Conclusion： Evaluation of standard swallowing function of patients with dysphagia after stroke, combined with the evaluation results of targeted preventive nursing intervention is very effective in improving the patient＇s rehabilitation rate.