基于智慧护理的“吞咽操”康复护理训练对阿尔茨海默病轻度痴呆伴吞咽障碍患者的应用效果

Application Effect of “Swallowing Exercise” Rehabilitation Nursing Training Based on Wisdom Nursing on Alzheimer’s Disease Mild Dementia with Dysphagia

目的:分析基于智慧护理的“吞咽操”康复护理训练对阿尔茨海默病轻度痴呆伴吞咽障碍患者的应用效果。方法:以2018年10月-2021年1月在广东医科大学东莞市厚街医院接受治疗的106例阿尔茨海默病轻度痴呆伴吞咽障碍患者为对象,根据随机数字表法将其分作两组。对照组53例予以常规护理,试验组53例予以基于智慧护理的“吞咽操”康复护理训练。对比两组吞咽功能、神经功能、运动功能及生活质量。结果:护理4周后,试验组洼田饮水试验评分比对照组低,而吞咽功能量表(GUSS)评分比对照组高(P<0.05);护理4周后,试验组神经功能缺损量表(NIHSS)评分比对照组低,而Fugl-Meyer运动功能量表评分比对照组高(P<0.05);护理4周后,试验组吞咽障碍生活质量量表(SWAI-QOL)评分为(178.86±23.28)分,比对照组的(147.96±21.22)分高(P<0.05)。结论:基于智慧护理的“吞咽操”康复护理训练在阿尔茨海默病轻度痴呆伴吞咽障碍患者中的应用效果显著,有助于改善患者吞咽功能、神经功能、运动功能,并提升其生活质量。

Objective:To analyze the effect of rehabilitation nursing training of “swallowing exercises” based on wisdom nursing in patients with Alzheimer’s disease mild dementia and dysphagia.Method:A total of 106 Alzheimer’s disease mild dementia with dysphagia patients who were treated in Dongguan Houjie Hospital Affiliated to Guangdong Medical University from October 2018 to January 2021 were selected as subjects,they were randomly divided into two groups according to the random number table method,53 cases in the control group were given given routine nursing,53 cases in the experimental group were given “swallowing exercises” rehabilitation nursing training based on wisdom nursing.The swallowing function,nerve function,motor function and quality of life were compared between the two groups.Result:After nursing of 4 weeks,in the experimental group,the score of water swallow test was lower than the control group,while the Gugging swallowing screen (GUSS) score was higher than the control group (P<0.05).After nursing of 4 weeks,in the experimental group,the National Institutes of Health stroke scale (NIHSS) score after nursing was lower than the control group,and the Fugl-Meyer motor function score was higher than the control group (P<0.05).After nursing of 4 weeks,in the experimental group,the swallowing quality of life (SWAI-QOL) score after nursing was (178.86±23.28) points,which was higher than (147.96±21.22) points of the control group (P<0.05).Conclusion:The application of “swallowing exercises” rehabilitation nursing training based on wisdom nursing in patients with Alzheimer’s disease mild dementia and dysphagia is significant,which can help to improve patients’ swallowing function,nerve function and motor function,as well as improve their quality of life.