系统化护理在卒中后吞咽困难患者中的应用效果  

Systematic nursing and clinical significance for patients with post-stroke dysphagia

作　　者：翟明明[1] 刘文丽[1] 杨翠红[1] 李静[1] 符雯杰 刘攀[1] 张颖[1] 

机构地区：[1]河南科技大学第一附属医院神经内科,洛阳471003

出　　处：《国际护理学杂志》2016年第2期147-150,共4页international journal of nursing

摘　　要：目的探讨卒中后吞咽困难的系统化护理策略的制定和实施及其临床应用价值。方法选取2012年10月至2013年9月期间住院的卒中患者作为对照组（1291例），给予207例卒中后吞咽困难患者常规护理；选取2013年10月至2014年10月期间住院的卒中患者作为护理组（1541例），针对664例卒中后吞咽困难患者制定并实施卒中后吞咽困难系统护理，比较两组的护理效果。结果护理组卒中后吞咽困难患者检出率显著高于对照组（P〈0．05）；发病3个月时，护理组吞咽困难评分显著低于入院时和对照组（P〈0．05），吞咽困难评分下降幅度和显效率显著大于对照组（P〈0．05），并发症发生率显著低于对照组（P〈0．05）。结论针对卒中后吞咽困难，建立系统的护理机制，在临床中可行，并有助于吞咽困难的恢复。Objective To explore the clinical value of setting up and carrying out systematic nursing strategy of post-stroke dysphagia. Methods From October 2012 to September 2013, 207 post-stroke dysphagia patients in 1 291 stroke patients （control group） were cared in traditional nursing model; from October 2013 to October 2014, 664 poststroke dysphagia patients in 1 541 stroke patients （nursing group） got systematic nursing of post-stroke dysphagia. The nursing effect of the two groups was compared. Results The detection was significantly higher than that of the control group （P〈0. 05 ） ; 3 rate of post-stroke dysphagia in the nursing group months of onset, the dysphagia scores of nursing group was significantly lower than that on admission and the control group （P〈0. 05 ）, and dysphagia scores decreased amplitude and markedly effective rate of nursing group were significantly higher than those of control group （P〈0. 05）, and the complication rate of nursing group was significantly lower than that of the control group （ P〈0. 05 ） . Conclusion For post-stroke dysphagia, setting up a systematic nursing mechanism is feasible and helpful to improve the recovery of dysphagia in clinic.

关 键 词：卒中 吞咽困难 护理 

分 类 号：R737.9[医药卫生—肿瘤]