脑梗死后吞咽障碍患者护理中应用时间康复护理的效果探讨

Study on the Effect of Time Rehabilitation Nursing in the Nursing of Patients with Dysphagia after Cerebral Infarction

目的探讨对脑梗死后吞咽障碍患者采用时间康复护理方式展开对应干预后获得的临床效果。方法回顾性选取2020年10月—2023年10月深圳市罗湖区人民医院收治的90例脑梗死后吞咽障碍患者的临床资料,依据不同护理方法分为参照组和研究组,每组45例。参照组采用常规护理方式展开疾病护理,研究组采用时间康复护理方式展开疾病护理,对比分析两组患者的护理总满意度、世界卫生组织生存质量测定量表简表(World Health Organization Quality of Life-BREF,WHOQOL-BREF)评分、洼田饮水试验评分。结果研究组护理总满意度高于参照组,差异有统计学意义(P<0.05);护理前,两组患者WHOQOL-BREF评分对比,差异无统计学意义(P>0.05);护理后,研究组环境因素评分、社会关系评分、生理因素评分、心理因素评分均高于参照组,差异有统计学意义(P均<0.05)。护理前,两组患者的洼田饮水试验评分比较,差异无统计学意义(P>0.05);护理后,研究组洼田饮水试验评分为(1.29±0.29)分低于参照组的(2.53±0.65)分,差异有统计学意义(t=11.687,P<0.05)。结论时间康复护理方式的合理运用,可显著提升脑梗死后吞咽障碍患者护理满意度、生存质量,有效改善吞咽功能。

Objective To explore the clinical effect of time rehabilitation nursing on patients with dysphagia after cere-bral infarction.Methods The dinical data of 90 patients with dysphagia after cerebral infarction admitted to Shenzhen Luohu District People's Hospital from October 2020 to October 2023 were retrospectively analyzed.The patients were divided into reference group and study group according to the different nursing methods,with 45 cases in each group.The reference group used routine nursing to carry out disease nursing,and the study group used time rehabilitation nursing to carry out disease nursing.The total nursing satisfaction,World Health Organization Quality of Life-BREF(WHOQOL-BREF)score and Watian drinking water test score of the two groups were compared and analyzed.Results The total nursing satisfaction of the study group was higher than that of the reference group,and the difference was sta-tistically significant(P<0.05).Before nursing,there was no significant difference in the WHOQOL-BREF score be-tween the two groups(P>0.05);after nursing,the scores of environmental factors,social relations,physiological factors and psychological factors in the study group were higher than those in the reference group,and the differences were statistically significant(all P<0.05).Before nursing,there was no significant difference in the scores of Watian drink-ing water test between the two groups(P>0.05).After nursing,the score of Watian drinking water test in the study group was(1.29±0.29)points lower than that in the reference group(2.53±0.65)points,and the difference was statisti-cally significant(t=11.687,P<0.05).Conclusion The rational use of time rehabilitation nursing can significantly im-prove the nursing satisfaction and quality of life of patients with dysphagia after cerebral infarction,and effectively im-prove the swallowing function.