家属接受进食指导对脑卒中伴吞咽障碍鼻饲患者摄食功能的影响

The Influence of Family Members Receiving Feeding Instruction on Feeding Function of Dysphagia Patients with Nasal Feeding

目的:探讨家属接受进食指导对脑卒中伴吞咽障碍鼻饲患者摄食功能的影响。方法:将26例脑卒中伴吞咽障碍鼻饲患者随机分为家属组和护工组各13例,在接受相同吞咽障碍治疗基础上,家属组由家属接受进食指导,护工组则由护工接受进食指导,观察两组临床疗效。结果:治疗后,家属组摄食-吞咽障碍评分改善程度显著优于对照组(P<0.01);家属组总有效率为92.30%,显著高于护工组的76.92%(P<0.01)。结论:家属接受进食指导更有利于提高脑卒中伴吞咽障碍鼻饲患者摄食能力、改善吞咽能力。

Objective： To investigate the influence of family members receiving feeding instruction on the feeding function of dysphagia patients with nasal feeding. Methods： 26 cases of dysphagia patients with nasal feeding after stroke were randomly divided into family members group （13 cases） and nursing workers group （13 cases）, on the basis of the same treatment for dysphagia, family members group received feeding instruction by family members while nursing workers group by nursing workers, observed the efficacy of two groups. Results： After treatment, the improvement of inges- tion-dysphagia score of family members group was significantly better than that of nursing workers group （P〈0.01）; the overall response rate of family members group was 92.30%, which was significantly higher than 76.92 that of nursing workers group （P〈0.01）. Conclusion： Family members receiving feeding instruction is more conducive to improve the feeding function and swallowing ability of dysphagia patients with nasal feeding.