基于早期评估与分级管理的康复护理在脑卒中后吞咽功能障碍患者中的应用效果

Effect of rehabilitation nursing intervention based on early assessment andgrading management in patients with swallowing dysfunction after stroke

目的观察脑卒中后吞咽功能障碍患者实施基于早期评估与分级管理的康复护理干预效果。方法选取2018年1月至2019年1月我院接收并诊治的50例脑卒中后吞咽功能障碍患者为研究对象,采用随机数字法将其分为参照组(25例)和康复护理干预组(25例)。参照组给予常规护理,康复护理干预组给予基于早期评估与分级管理的康复护理干预。比较两组Gugging吞咽功能评估量表(GUS)、吞咽障碍生活质量量表(SWAL-QOL)评分及并发症发生情况。结果干预1个月后,两组GUS、SWAL-QOL评分均明显升高,且康复护理干预组高于参照组,差异具有统计学意义(P<0.05)。康复护理干预组并发症总发生率明显低于参照组,差异具有统计学意义(P<0.05)。结论脑卒中后吞咽功能障碍患者实施基于早期评估与分级管理的康复护理干预的效果显著,可推广应用。

Objective To observe the effect of rehabilitation nursing intervention based on early assessment and grading management in patients with swallowing dysfunction after stroke.Methods From January 2018 to January 2019,50 patients with swallowing dysfunction after stroke received and treated in our hospital were selected as study objects.The patients were divided into reference group(25 cases)and rehabilitation nursing intervention group(25 cases)by random number method.The reference group was given routine nursing,and the rehabilitation nursing intervention group was given rehabilitation nursing intervention based on early assessment and grading management.The scores of Gugging swallowing function assessment scale(GUS),swallowing disorder life quality scale(SWAL-QOL)and complications were compared between the two groups.Results After one month of intervention,the scores of GUS and SWAL-QOL in the two groups increased significantly,and those of the rehabilitation nursing intervention group were higher than the reference group(P<0.05).The total incidence of complications in the rehabilitation nursing intervention group was significantly lower than that in the reference group,the difference was statistically significant(P<0.05).Conclusion The rehabilitation nursing intervention based on early assessment and grading management has significant effect in patients with swallowing dysfunction after stroke,it can be promoted and applied.