基于“3S2E”模式的护理干预在脑卒中后吞咽功能障碍患者中的应用效果

Application effect of nursing intervention based on"3S2E"model in patients with swallowing dysfunction after stroke

目的探讨基于“3S2E”模式的护理干预在脑卒中后吞咽功能障碍患者中的应用效果。方法选取2018年1月至2020年1月收治的200例脑卒中后吞咽功能障碍患者作为研究对象,将其随机分为对照组和观察组,各100例。对照组采用常规护理干预,观察组在对照组基础上采用基于“3S2E”模式的护理干预。比较两组的干预效果。结果干预后,观察组的ALB、TP、Hb水平均高于对照组(P<0.05)。干预后,观察组的GUSS评分高于对照组,洼田饮水试验评分低于对照组(P<0.05)。干预后,观察组的吞咽症状、进食意愿、进食时间及食物选择评分均高于对照组,差异具有统计学意义(P<0.05)。结论将基于“3S2E”模式的护理干预应用于脑卒中后吞咽功能障碍患者,有助于改善患者的营养状态、吞咽功能,提高其生存质量。

Objective To explore the application effect of nursing intervention based on"3S2E"model in patients with swallowing dysfunction after stroke.Methods A total of 200 patients with swallowing dysphagia after stroke admitted from January 2018 to January 2020 were selected as the research objects,and the patients were randomly divided into control group and observation group,with 100 cases in each group.The control group was given routine nursing intervention,and the observation group was given nursing intervention based on"3S2E"mode on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the levels of ALB,TP and Hb in the observation group were higher than those in the control group(P<0.05).After intervention,GUSS score in the observation group was higher than that in the control group,and water swallow test score was lower than that in the control group(P<0.05).After intervention,the scores of swallowing symptoms,eating intention,eating time and food choice in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion Nursing intervention based on"3S2E"model applied to patients with swallowing dysfunction after stroke is helpful to improve the nutritional status,swallowing function and quality of life of patients.