综合护理模式对脑卒中后吞咽障碍患者吞咽功能与营养状态的临床影响

Clinical Effect of Comprehensive Nursing Model on Swallowing Function and Nutritional Status of Patients with Dysphagia After Stroke

目的探讨综合护理模式对脑卒中后吞咽障碍患者吞咽功能与营养状态的临床影响。方法回顾性分析医院2017年9月—2018年11月期间诊治的108例脑卒中后吞咽障碍患者临床资料,并按护理模式不同进行分组:将采取常规护理模式者设为对照组(n=54),将采取综合护理模式者设为研究组(n=54),就两组患者护理前后吞咽功能、营养状态变化进行统计学分析。结果①研究组患者的吞咽功能恢复优良率(94.44%)高于对照组(77.78%)(χ^2=6.271,P=0.012);②护理后,研究组血浆前白蛋白、血红蛋白、白蛋白水平[(222.67±11.58)pg/dL、(128.97±4.15)mg/dL、(43.47±3.15)mg/dL],均高于对照组[(167.48±12.39)pg/dL、(113.17±4.48)mg/dL、(34.22±2.08)mg/dL](t=23.914、19.013、18.007,P<0.05)。结论综合护理模式对脑卒中后吞咽障碍患者吞咽功能与营养状态有正性影响。

Objective To explore the clinical effect of comprehensive nursing model on swallowing function and nutritional status of patients with dysphagia after stroke.Methods Retrospectively analyze the clinical data of 108 patients with dysphagia after stroke in the hospital from September 2017 to November 2018,and group them according to different modes of care:the patients who took the routine care mode were set as the control group(n=54),the person who adopts the comprehensive care model was set as the research group(n=54),and the statistical analysis of the changes in swallowing function and nutritional status of the two groups of patients before and after care.Results 1.The excellent rate of recovery of swallowing function in the study group(94.44%)was higher than that in the control group(77.78%)(χ^2=6.271,P=0.012);2.After care,the levels of plasma prealbumin,hemoglobin,and albumin in the study group[(222.67±11.58)pg/dL,(128.97±4.15)mg/dL,(43.47±3.15)mg/dL],both higher than the control group[(167.48±12.39)pg/dL,(113.17±4.48)mg/dL,(34.22±2.08)mg/dL](t=23.914,19.013,18.007,P<0.05).Conclusion The comprehensive nursing model has a positive effect on the swallowing function and nutritional status of patients with dysphagia after stroke.