质控康复护理联合连续强化吞咽功能训练在脑卒中后吞咽功能障碍患者中的应用效果观察

Observation on the Application Effect of Quality Control Rehabilitation Nursing Combined with Continuous Enhanced Swallowing Function Training in Patients with Swallowing Disorders after Stroke

目的探讨质控康复护理联合连续强化吞咽功能训练在脑卒中后吞咽功能障碍患者中的应用效果。方法选取2021年6月—2023年6月昆山市康复医院收治的78例脑卒中后吞咽功能障碍患者为研究对象,按随机数字表法将其分为对照组和观察组,各39例。对照组采取常规护理,观察组行质控康复护理联合连续强化吞咽功能训练。对比两组的吞咽功能、摄食功能、并发症发生情况、生活质量。结果护理后,观察组标准吞咽功能评价量表评分低于对照组,功能性进食量表评分高于对照组,组间差异有统计学意义(P<0.05)。观察组并发症发生率5.13%低于对照组的20.51%,差异有统计学意义(P<0.05)。护理后,观察组健康调查问卷中的情感职能、社会功能、生命活力、心理健康、精神健康、生理功能、生理职能、躯体疼痛维度评分均高于对照组,组间差异有统计学意义(P<0.05)。结论质控康复护理联合连续强化吞咽功能训练能改善脑卒中后吞咽功能障碍患者吞咽、摄食功能,减少并发症,提高生活质量。

Objective To explore the application effect of quality control rehabilitation nursing combined with continuous enhanced swallowing function training in patients with swallowing disorders after stroke.Methods 78 patients with post-stroke dysphagia admitted to Kunshan Rehabilitation Hospital from June 2021 to June 2023 were selected and randomly divided into a control group and an observation group,with 39 cases in each group.The control group received routine care,while the observation group received quality control rehabilitation care combined with continuous enhanced swallowing function training.Compare swallowing function,feeding function,occurrence of complications,and quality of life between two groups.Results After nursing,the standard Swallowing Function Evaluation Scale score of the observation group was lower than that of the control group,and the functional Eating Scale Score was higher than that of the control group,the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 5.13%,which was lower than 20.51% in the control group,and the difference was statistically significant(P<0.05).After nursing,the emotional function,social function,vitality,psychological health,mental health,physiological function,physiological function,and physical pain dimensions of the observation group's 36-item Short-From health suruey were all higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion The combination of quality control rehabilitation nursing and continuous enhanced swallowing function training can improve swallowing and feeding functions,reduce complications,and improve quality of life in patients with post-stroke swallowing disorders.