延续性护理配合体位指导应用于脑卒中后吞咽障碍患者的效果研究

Effect of Continuous Nursing Combined with Postural Guidance on Patients with Dysphagia After Stroke

目的探讨延续性护理配合体位指导对脑卒中后吞咽障碍患者的影响。方法选取2019年10月至2021年10月郑州市第九人民医院收治的83例脑卒中后吞咽障碍患者进行研究,以入院顺序编号分组,对照组41例采取常规院外护理,观察组42例采取延续性护理配合体位指导。比较两组患者干预前后吞咽功能、吞咽障碍相关并发症、生活质量、家属照顾负担。结果干预后观察组标准吞咽功能评定量表(SSA)评分低于对照组,差异有统计学意义(P<0.05);观察组吞咽障碍相关并发症发生率低于对照组,差异有统计学意义(P<0.05);干预后观察组吞咽障碍特异性生活质量量表(SWAL-QOL)评分高于对照组,差异有统计学意义(P<0.05);干预后观察组角色负担评分、个人负担评分低于对照组,差异有统计学意义(P<0.05)。结论脑卒中后吞咽障碍患者实施延续性护理配合体位指导能有效预防肺部感染等并发症,同时能改善患者吞咽功能和生活质量,减轻家属的照顾负担。

Objective To investigate the effect of continuous nursing combined with postural guidance on patients with dysphagia after stroke.Methods A total of 83 patients with post-stroke dysphagia in our hospital from October 2019 to October 2021 were selected for research and grouped according to the order of admission.The control group(N=41)received routine out-of-hospital nursing,while the observation group(N=42)received continuous nursing and posture guidance.The swallowing function,swallowing disorder-related complications,quality of life,and family care burden were compared between the two groups before and after intervention.Results After intervention,the standard Swallowing Function Rating Scale(SSA)score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications related to dysphagia in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the score of SWAL-QOL in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After intervention,the role burden score and personal burden score of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion The implementation of continuous nursing combined with posture guidance for patients with dysphagia after stroke can effectively prevent complications such as pulmonary infection,improve patients'swallowing function and quality of life,and reduce the burden of family care.