中医特色护理干预在脑卒中后吞咽障碍患者V-VST结合间歇性管饲中的护理效果

Nursing Effects of TCM-featured Nursing Intervention on V-VST Combined with Intermittent Tube Feeding in Patients with Dysphagia after Stroke

目的:探讨中医特色护理干预在脑卒中后吞咽障碍患者容积-黏度吞咽测试(volume viscos-ity screening test,V-VST)结合间歇性管饲中的护理效果及对功能恢复的影响。方法:选择脑卒中后吞咽障碍患者60例,按照随机数字表法分为对照组和观察组,每组30例。对照组给予常规护理,观察组在对照组的基础上给予中医特色护理。观察两组患者的护理质量、格拉斯哥昏迷评分(Glasgow coma scale,GCS)、日常生活能力评分(activity of daily living,ADL)、住院时间、并发症发生率和功能恢复率、吞咽功能评分、焦虑评分、抑郁评分。结果:观察组护理质量评分显著优于对照组(P<0.05);观察组GCS评分和ADL评分明显高于对照组(P<0.05);观察组功能恢复率显著高于对照组(P<0.05),且术后患者住院时间、并发症发生率明显低于对照组(P<0.05);观察组吞咽功能评分显著高于对照组(P<0.05);观察组焦虑、抑郁评分显著低于对照组(P<0.05)。结论:中医特色护理干预在脑卒中后吞咽障碍患者V-VST结合间歇性管饲中的护理效果显著,可促进患者功能恢复,改善患者焦虑抑郁状态,进而提高患者生活质量。

Objective:To explore the influence of TCM-featured nursing intervention on V-VST combined with intermittent tube feeding in patients with dysphagia after stroke and its influence on functional recovery.Methods:Sixty patients were chosen and divided into the control group and the observation group according to random number table method,30 cases in each group.The control group accepted conventional care,and the observation group TCM-featured nursing intervention based on conventional care.To observe nursing quality,GCS,ADL,hospital stay,the incidence of the complications,functional recovery rate,swallowing function scores,SAS and SDS between both groups.Results:Nursing quality scores of the observation group were superior to these of the control group(P<0.05);GCS scores and ADL scores of the observation group were notably higher than these of the control group(P<0.05);functional recovery rate of the observation group was higher than that of the control group significantly(P<0.05),hospital stay and the incidence of the complications of the patients in the observation group were lower than these of the control group after the operation(P<0.05);the observation group was higher than the control group in swallowing function scores apparently(P<0.05);SAS and SDS of the observation group were lower than these of the control group(P<0.05).Conclusion:TCM-featured nursing intervention could obtain notable nursing effects in V-VST and intermittent tube feeding for patients with dysphagia after stroke,promote functional recovery,improve the anxiety and depression states,and then raise quality of life.