标准化早期康复护理与中频治疗对卒中后吞咽障碍的效果探讨

Effect of Standardized Early Rehabilitation Nursing and Medium Frequency Therapy on Swallowing Disorder after Stroke

目的:分析标准化早期康复护理联合中频治疗在脑卒中后吞咽障碍中的应用效果。方法:选取2021年1月至2023年10月蚌埠医科大学第一附属医院收治的64例脑卒中后吞咽障患者,分为对照组与实验组,各32例,对照组采用常规护理干预,实验组实施标准化早期康复护理联合中频治疗干预,比较两组心理状态(HADS、SPBS)、吞咽功能(SSA)、不良事件、生活质量(SWAL-QOL)、康复效果。结果:干预后实验组HADS评分、SPBS评分、SSA评分、不良事件发生率均低于对照组(P<0.05),SSA、SWAL-QOL评分、康复优良率均高于对照组(P<0.05)。结论:标准化早期康复护理与中频治疗联合应用,利于患者心理状态、吞咽功能、生活质量改善,能够减少患者不良事件发生率。

Objective:To analyze the effect of standardized early rehabilitation nursing combined with medium frequency therapy on swallowing disorder after stroke.Methods:Sixty-four patients with dysphagia after stroke treated in the First Affiliated Hospital of Bengbu Medical University from January 2021 to October 2023 were selected and divided into the control group and the experimental group,with 32 cases in each group.The control group received routine nursing intervention,while the experimental group received standardized early rehabilitation nursing combined with intermediate frequency treatment intervention.Mental state(HADS,SPBS),swallowing function(SSA),adverse events,quality of life(SWAL-QOL)and rehabilitation effect were compared between the two groups.Results:After intervention,HADS score,SPBS score,SSA score and incidence of adverse events in the experimental group were lower than those in the control group(P<0.05);SSA score,SWAL-QOL score and excellent and good recovery rate in the experimental group were higher than those in the control group(P<0.05).Conclusion:The combined application of standardized early rehabilitation nursing and intermediate frequency therapy is beneficial to the improvement of patients’psychological state,swallowing function and quality of life,which can reduce the incidence of adverse events.