基于循证构建脑卒中后吞咽障碍的康复管理流程

Construction of rehabilitation management process for dysphagia after stroke based on evidence

目的:探讨脑卒中后吞咽障碍康复管理流程构建。方法;结合循证证据检索和专家咨询,构建脑卒中患者后吞咽障碍康复管理流程。选取医院收治的200例脑卒中后吞咽障碍患者,采取随机数表法,将其分为两组。一组作为对照组,采用常规康复护理流程,一组作为干预组,采用脑卒中后吞咽障碍康复管理流程,包括吞咽障碍筛查等。结果:干预组患者的康复介入时间,明显短于对照组。且干预组患者接受康复管理1个月后,吞咽障碍严重程度明显低于对照组,生活质量评分明显高于对照组。结论:对脑卒中后吞咽障碍患者采取脑卒中后吞咽障碍康复管理流程,能够有效缩短康复介入时间,明显改善患者吞咽情况,有效提高患者的生活质量。

Objective:To construct the rehabilitation management process of dysphagia after stroke on this basis.Methods:Combined with evidence-based evidence retrieval and expert consultation,the rehabilitation management process of stroke patients with dysphagia was constructed.A total of 200 patients with dysphagia after stroke were randomly divided into two groups.One group was used as the control group,and the other group was used as the intervention group,and the rehabilitation management process of dysphagia after stroke was adopted,including the screening of dysphagia.Results:The time of rehabilitation intervention was shorter than that of control group.In addition,after 1 month of rehabilitation management,the severity of swallowing disorder in the intervention group was significantly lower than that in the control group,and the quality of life score was significantly higher than that in the control group.Conclusion:To adopt the rehabilitation management procedure of swallowing disorder after stroke can effectively shorten the time of rehabilitation intervention,obviously improve the swallowing condition of patients,and effectively improve the quality of life of patients.