因时护理模式联合针灸电刺激康复治疗对脑梗死合并吞咽障碍病人依从性与洼田饮水评分的影响

Effect of Time-Dependent Nursing Mode Combined with Acupuncture and Electrical Stimulation Rehabilitation on Compliance and Drinking Water Score of Patients with Cerebral Infarction Complicated with Dysphagia

目的以脑梗死合并吞咽障碍患者为研究对象,分析因时护理模式联合针灸电刺干预效果。方法选取2020年1月至2022年1月在本院就诊的脑梗死合并吞咽障碍患者80例,采用随机数字表法分组,即对照组、观察组,均40例。对照组针灸电刺激,观察组在对照组的基础上增加因时护理模式。统计两组治疗依从性、洼田饮水试验评分、藤岛分级法、NIHSS评分、SF-36评分、满意度。结果观察组康复训练、针灸、电刺激治疗依从性(95.00%、97.50%、95.00%)均高于对照组,P<0.05。干预前,两组洼田饮水评分等级比较,P>0.05,干预后,两组洼田饮水评分等级Ⅰ级+Ⅱ级+Ⅲ级明显提高,Ⅳ级+Ⅴ级明显下降,组间比较,观察组Ⅰ级+Ⅱ级+Ⅲ级更高,Ⅳ级+Ⅴ级更低,P<0.05。干预前,两组藤岛分级法、洼田饮水试验评分比较,P>0.05,干预后,两组藤岛分级法评分明显上升,洼田饮水试验评分明显下降,组间比较,观察组藤岛分级法评分高于对照组,洼田饮水试验评分低于对照组,P<0.05。干预前,两组NIHSS评分、SF-36评分比较,P>0.05,干预后,两组NIHSS评分明显上升,SF-36评分明显下降,组间比较,观察组NIHSS评分高于对照组,SF-36评分低于对照组,P<0.05。与对照组比较,观察组护理满意度更高,P<0.05。结论因时护理模式联合针灸电刺激康复治疗脑梗死合并吞咽障碍,可提高患者依从性,改善神经功能和吞咽功能障碍,提高生存质量。

Objective To analyze the effect of time-dependent nursing mode combined with acupuncture and electroacupuncture in patients with cerebral infarction complicated with dysphagia.Methods A total of 80 patients with cerebral infarction complicated with dysphagia were selected from our hospital from January 2020 to January 2022.They were divided by random number table method,i.e.,control group and observation group,with 40 cases in both.The control group received acupuncture and electrical stimulation,and the observation group received timely nursing mode based on the control group.Treatment compliance,scores of the depression drinking water test,Fujima grading method,NIHSS score,SF-36 score and satisfaction of the two groups were analyzed.Results The compliance of rehabilitation training,acupuncture and electrical stimulation in observation group(95.00%,97.50%,95.00%)was higher than that in control group,P<0.05.Before intervention,the drinking water scores of the two groups were compared,P>0.05;after intervention,the drinking water scores of the two groups were significantly increased in gradeⅠ+Ⅱ+Ⅲ,and significantly decreased in gradeⅣ+Ⅴ.Compared between groups,the observation group was higher in gradeⅠ+Ⅱ+Ⅲ,and lower in gradeⅣ+Ⅴ,P<0.05.Before intervention,scores of Fujima grading method and lowa drinking water test were compared between the two groups,P>0.05;after intervention,scores of Fujima grading method were significantly increased between the two groups,while scores of lowa drinking water test were significantly decreased.Compared between groups,scores of Fujima grading method in the observation group were higher than those in the control group,scores of Lowa drinking water test were lower than those in the control group,P<0.05.Before intervention,NIHSS score and SF-36 score of the two groups were compared,P>0.05.After intervention,NIHSS score of the two groups was significantly increased,while SF-36 score was significantly decreased.Compared between groups,NIHSS score of the observation group was higher than that of the control group,and SF-36 score was lower than that of the control group,P<0.05.Compared with the control group,the nursing satisfaction of the observation group was higher,P<0.05.Conclusion Time-dependent nursing mode combined with acupuncture and electrical stimulation for rehabilitation of cerebral infarction complicated with dysphagia can improve patients'compliance,improve neurological function and dysphagia dysfunction,and improve quality of life.