护士主导的吞咽管理门诊在帕金森病吞咽障碍患者中的实践

Practice of nurse-led clinic for management of swallowing disorders in patients with Parkinson′s disease

目的探讨护士主导的吞咽管理门诊在帕金森病吞咽障碍患者中实施的可行性和效果。方法将217例门诊就诊的帕金森病吞咽障碍患者按门诊ID号奇偶数分为对照组100例和观察组117例。对照组按照常规由门诊医生给予吞咽障碍康复指导,观察组接受护士主导的吞咽管理门诊系统管理。干预6个月后评价效果。结果观察组吞咽障碍康复有效率显著高于对照组,误吸发生率显著低于对照组(均P<0.01)。结论护士主导的吞咽管理门诊可有效促进帕金森病患者吞咽功能恢复,降低误吸的发生。

Objective To explore the feasibility and effect of nurse-led clinic for management of swallowing disorders in patients with Parkinson′s disease（PD）.Methods Totally,217 PD patients with dysphagia were assigned into a control group of 100 and an intervention group of 117 according to their odd or even ID number.The control group was given routine rehabilitation guidance by physicians in PD outpatient clinic,while the intervention group received systematic dysphagia management in nurse-led clinic.The effect was measured after 6 months of intervention.Results The effective rate was significantly higher,whereas the aspiration rate was significantly lower in the intervention group compared with the control group（P〈0.01 for both）.Conclusion Nurse-led clinic for management of dysphagia in PD patients facilitates recovery of swallowing function and reduces incidence of aspiration.