脑卒中患者的早期吞咽功能分级评估及康复护理体会

Early swallowing function grading evaluation and rehabilitation nursing experience of stroke patients

目的:探讨早期吞咽功能分级评估及康复护理在脑卒中患者护理中的使用价值,为临床治疗提供理论依据。方法:选取2018年12月~2019年10月武汉市汉口医院收治的脑卒中患者104例随机分为观察组和对照组各52例,对照组患者实施常规护理干预,给予观察组患者基于早期评估与分级管理的康复护理干预。采用Gugging吞咽功能评估量表(GUS)评估患者干预前与干预1个月后吞咽功能,对比两组患者并发症发生情况。结果:干预1个月后,观察组患者GUS评分(16.29±3.13)分明显高于对照组患者的(13.24±3.12)分,差异有统计学意义(P<0.05)。观察组并发症总发生率1.92%明显低于对照组患者的13.46%,差异有统计学意义(P<0.05)。结论:对脑卒中患者实施基于早期评估与分级管理的康复护理干预能有效改善患者吞咽功能,减少并发症发生,值得临床推广使用。

Objective To explored the value of early swallowing function grading evaluation and rehabilitation nursing in cerebral pawn nursing,provided theoretical basis for clinical treatment.Method From December 2018 to October 2019,104 stroke patients in our hospital were selected,used the random number table method,divided into observation group and control group,each with 52 cases.The control group received routine nursing intervention,patients in the observation group were given rehabilitation nursing intervention based on early assessment and graded management,the Gugging Swallowing Function Assessment Scale(Guggingswallowing screen,GUS)was used to evaluate the swallowing function of patients before the intervention and 1 month after the intervention,compared the occurrence of complications between the two groups.Results One month after intervention,the gus score(16.19±3.13)of the observation group was significantly higher than(13.24±3.12)of the control group,the difference was statistically significant(P<0.05).The total incidence of complications in the observation group was significantly lower than that in the control group(1.92%vs13.46%),the difference was statistically significant(P<0.05).Conclusion Rehabilitation nursing intervention based on early assessment and graded management for stroke patients can effectively improve the swallowing function of patients,reduce complications,it is worthy of clinical application.