脑梗死后吞咽功能障碍康复期患者应用3S2E管理服务模式的临床观察

Clinical Observation of 3S2E Management Service Model in Patients with Sw allowing Dysfunction after Cerebral Infarction

目的:观察脑梗死后吞咽功能障碍康复期患者应用3S2E管理服务模式的临床效果。方法:选取2019年4月—2020年10月在封丘县人民医院接受诊疗的118例脑梗死后吞咽功能障碍康复期患者作为研究对象,根据随机数字表法分为对照组与观察组,每组各59例,对照组应用常规护理管理,观察组应用3S2E管理服务模式,对比两组吞咽功能恢复情况。结果:治疗半个月、一个月后,两组标准吞咽功能评价量表(SSA)评分均降低,观察组SSA评分明显低于对照组,差异均有统计学意义(t=0.080、2.577、7.434,P<0.05)。治疗后,两组血红蛋白(Hb)、血清白蛋白(ALB)、身体质量指数(BMI)指标均明显升高,观察组Hb、ALB、BMI指标明显高于对照组,观察组总不良事件发生率明显低于对照组,差异均有统计学意义(t=3.906、8.726、4.574,P<0.05;χ^(2)=4.196,P<0.05)。结论:3S2E管理服务模式可进一步改善脑梗死后吞咽功能障碍康复期患者吞咽功能,提高机体营养水平,安全可靠性更高。

Objective:To observe the clinical effect of 3S2E management service model in patients with swallowing dysfunction during rehabilitation after cerebral infarction.Methods:118 patients who were diagnosed and treated in the hospital from April 2019 to October 2020 were selected.According to the random number table method,they were divided into control group and ob-servation group,with 59 cases in each group.The control group used routine nursing management,and the observation group used 3S2E management service model.The recovery of swallowing function between the two groups was compared.Results:After half a month and one month of treatment,the standard swallowing function assessment scale(SSA)scores of the two groups decreased.The SSA score of the observation group was significantly lower than that of the control group,and the difference was statistically significant(t=0.080,2.577,7.434,P<0.05).After treatment,the hemoglobin(Hb),serum albumin(ALB),and body mass index(BMI)indexes of the two groups significantly increased.The Hb,ALB,and BMI indexes of the observation group were significantly higher than those of the control group.The incidence of total adverse events in the observation group was significantly lower than that in the control group,and the difference was statistically significant(t=3.906,8.726,4.574,P<0.05,χ^(2)=4.196,P<0.05).Conclusion:The 3S2E management service model can further improve the swallowing function of patients with swallowing dysfunc-tion after cerebral infarction,improve the body's nutritional level,and have higher safety and reliability.