脑卒中后吞咽障碍患者的临床评估  

Assessment of Dysphagia in Patients with Stroke

作　　者：欧秀琴[1] 郑冬香[1] 蔡叶艳[1] 

机构地区：[1]暨南大学附属第一医院

出　　处：《中西医结合心脑血管病杂志》2013年第4期398-399,共2页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：广东省医学科研基金资助项目(No.B2011331)

摘　　要：目的通过对吞咽障碍患者的观察,比较医生与护士在评估脑卒中后吞咽障碍患者的异同,探讨护士单独评估吞咽障碍的可行性。方法共有67例患者入选,其中脑出血26例,脑梗死40例;对入选患者在吞咽功能康复治疗前和连续治疗2周后分别接受护士和医生做出的吞咽障碍程度分级评估,观察治疗效果及医生和护士评定结果有无差异。结果患者治疗后吞咽障碍经医生护士评定都有明显的好转(P<0.01);治疗前后医生和护士对每个患者评定结果经一致性检验后认为无差别,其中治疗前组内相关系数(ICC)为0.923,P<0.01;治疗后ICC为0.878,P<0.01,具有很好的一致性。结论吞咽障碍经合理治疗后能有比较理想的疗效;护士对吞咽障碍的评定和医生没有差异,吞咽障碍的护理评估具有一定的可行性。Objectives To observe the feasibility of nursing assessment in stroke patients with dysphagia. Methods Sixtyseven patients were enrolled,including 26 pts with cerebral hemorrhage and 40 pts with cerebral infarction. All pts got a regular rehabilitation. A classification degree of dysphagia in patients with dysphagia was assessed by nurses and doctors before and after treatment for 2 weeks. Results Following treatment, dysphagia was improved significantly （P〈 0. 01）. The intraclass correlation coefficients （ICC） was 0. 923 at the beginning （P〈0.01）. After treatment for 2 weeks,the ICC was 0. 878,P〈0.01. Conclusion Dysphagia could be improved after reasonable treatment. There is no difference in the assessment of dysphagia between doctors and nurses. The rehabilitation care was an important part for patient with dysphagia.

关 键 词：脑卒中 吞咽障碍 护理评估 

分 类 号：R743.3[医药卫生—神经病学与精神病学]