循证护理结合根因分析在卒中后吞咽障碍患者中的应用效果

Application effect of evidence-based nursing combined with root cause analysis in patients with dysphagia after stroke

目的分析循证护理结合根因分析在卒中后吞咽障碍患者中的应用效果。方法选取2020年6月至2021年12月接受康复治疗的100例卒中后吞咽障碍患者为研究对象,按照随机数字表法将其分为对照组和研究组,各50例。对照组实施常规护理干预,研究组在对照组基础上实施循证护理结合根因分析干预。比较两组的干预效果。结果干预后,研究组的自我护理能力量表(ESCA)各维度评分高于对照组(P<0.05)。干预后,研究组的洼田饮水试验(WST)、标准吞咽功能评定量表(SSA)评分低于对照组(P<0.05)。干预后,研究组的Barthel指数、吞咽障碍特异性生存质量量表(SWAL-QOL)评分高于对照组(P<0.05)。干预后,研究组的总蛋白(TP)、血红蛋白(HB)及白蛋白(ALB)水平高于对照组(P<0.05)。研究组的护理总有效率高于对照组(P<0.05)。结论循证护理结合根因分析用于卒中后吞咽障碍患者康复过程中的效果理想,可有效改善患者的吞咽功能及机体营养状况,提升其自护能力、日常生活能力及生活质量。

Objective To analyze the application effect of evidence-based nursing combined with root cause analysis in patients with dysphagia after stroke.Methods A total of 100 patients with dysphagia after stroke who received rehabilitation treatment from June 2020 to December 2021 were selected as the research objects and divided into control group and study group according to the random number table method,with 50 cases in each group.The control group was given routine nursing intervention,and the study group was given evidence-based nursing combined with root cause analysis intervention on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of each dimension of Exercise of Self Care Agency Scale(ESCA)in the study group were higher than those in the control group(P<0.05).After intervention,the scores of Water Swallowing Test(WST)and Standardized Swallowing Assessment(SSA)in the study group were lower than those in the control group(P<0.05).After intervention,the Barthel index and Swallowing Quality of Life Questionnaire(SWAL-QOL)scores of the study group were higher than those of the control group(P<0.05).After intervention,the levels of total protein(TP),hemoglobin(HB)and albumin(ALB)in the study group were higher than those in the control group(P<0.05).The total effective rate of nursing in the study group was higher than that in the control group(P<0.05).Conclusion Evidence-based nursing combined with root cause analysis is effective in the rehabilitation of patients with dysphagia after stroke,which can effectively ameliorate the swallowing function and nutritional status of patients,and improve their self-care ability,daily living ability and quality of life.