集束化护理联合延续护理在急性缺血性脑卒中吞咽障碍患者中的应用研究

Study on the application of bundle nursing combined with continued nursing in patients with dysphagia after acute ischemic stroke

目的探讨集束化护理联合延续护理在急性缺血性脑卒中(AIS)吞咽障碍患者中的应用价值。方法选取2022年7月至2024年2月在湛江中心人民医院医治的92例AIS吞咽障碍患者为研究对象。采用随机数表法分为观察组和对照组,每组各46例。对照组给予集束化护理;观察组给予集束化护理联合延续护理。比较两组患者的吞咽功能、营养状况指标、心理状态以及生活质量。结果与对照组比较,观察组出院1个月后的吞咽功能明显更好,血清白蛋白浓度、三头肌皮褶厚度、体重指数均明显更高,差异有统计学意义(P<0.05)。出院1个月后,两组汉密尔顿焦虑量表评分和汉密尔顿抑郁量表评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。出院1个月后,两组吞咽障碍特异性生活质量量表评分高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论集束化护理联合延续护理可改善AIS吞咽障碍患者的吞咽功能、营养状况、不良情绪和生活质量。

Objective To investigate the application value of bundle nursing combined with continued nursing in patients with dysphagia after acute ischemic stroke(AIS).Methods A total of 92 patients with dysphagia after AIS who were treated in Central People’s Hospital of Zhanjiang from July 2022 to February 2024 were selected for the study.92 patients were divided into the observation group and the control group using the random number table method,with 46 patients in each group.The control group was given bundle nursing.The observation group was given bundle nursing combined with continued nursing.The swallowing function,nutritional status indicators,psychological status,and quality of life of the two groups were compared.Results The swallowing function was significantly better,and the serum albumin concentration,triceps skinfold thickness,and body mass index were significantly higher in the observation group than those in the control group at 1 month after discharge,with statistically significant differences(P<0.05).The Hamilton anxiety scale score and Hamilton depression scale score of both groups were lower than those before nursing,and scores were lower in the observation group than those in the control group at 1 month after discharge,with statistically significant differences(P<0.05).The swallowing quality of life score of both groups was higher than those before nursing,and the score was higher in the observation group than that in the control group at 1 month after discharge,with a statistically significant difference(P<0.05).Conclusion Bundle nursing combined with continued nursing can improve the swallowing function,nutritional status,negative emotions,and quality of life in patients with dysphagia after AIS.