针对性护理在鼻饲反流误吸的老年脑梗死吞咽困难患者的应用效果探讨

Application Effect of Targeted Nursing in Elderly Patients with Dysphagia Due to Nasal Feeding Reflux Aspiration

目的研究在鼻饲反流误吸的老年脑梗死吞咽困难患者护理过程中通过针对性护理的应用效果。方法方便抽取该院于2017年9月-2019年9月收治的在鼻饲反流误吸的老年脑梗死吞咽困难患者66例,将全部患者遵照随机抽签法划分为参照组(33例,采用常规护理干预方式)与研究组(33例,在常规护理的基础上加上针对性护理)。观察比较护理干预效果,如患者的临床有效率、并发症发生率、复发率、相关临床指标等。结果相较于参照组,研究组老年脑梗死吞咽困难患者的误吸控制时间时长、吞咽功能恢复时长与治疗总时间更短(P<0.05);相较于参照组81.82%,研究组患者的总有效率96.97%更高,差异有统计学意义(χ^2=3.995,P=0.046),研究组患者的并发症发生率、复发率更低,针对性护理的实施效果更佳(P<0.05)。结论针对性护理在该次研究中比仅行常规护理的作用更佳,对于降低患者的鼻饲反流误吸发生风险,促进吞咽困难恢复等具有重要意义。

Objective To study the application of targeted nursing in the nursing process of elderly patients with dysphagia due to nasal feeding reflux aspiration.Methods From September 2017 to September 2019,66 patients with dysphagia in elderly patients with cerebral infarction who were treated with nasal feeding and reflux aspiration were convenienty selected,and all patients were divided into reference groups according to the random drawing method(33 cases,using conventional nursing intervention)and the research group(33 cases,plus targeted nursing on the basis of routine nursing).Observe and compare the effects of nursing interventions,such as patients'clinical effectiveness,incidence of complications,recurrence rate,and related clinical indicators.Results Compared with the reference group,the duration of aspiration control time,recovery time of swallowing function and the total treatment time of elderly patients with dysphagia in the study group were shorter(P<0.05).Compared with the reference group 81.82%,the total effectiveness of the patients in the study group 96.97%was higher,and the difference was statistically significant(χ^2=3.995,P=0.046),the incidence of complications and recurrence of patients in the study group was lower,and the effect of targeted care was better(P<0.05).Conclusion Targeted care has a better effect in this study than routine care alone,and is of great significance for reducing the risk of patients with nasal feeding reflux aspiration and promoting recovery from dysphagia.