集束化护理对吞咽功能障碍老年病人康复训练效果及生存质量的影响  

Influence of cluster of care on rehabilitation training effect and quality of life of elderly patients

作　　者：张野[1] 莫蓓蓉[1] 刘俊红[1] 廖雨风[1] 

机构地区：[1]广东省深圳市南山区人民医院

出　　处：《全科护理》2016年第32期3377-3379,共3页Chinese General Practice Nursing

基　　金：广东省深圳市知识创新计划基础研究项目;编号:JCYJ20150402152130187

摘　　要：[目的]探讨集束化护理对吞咽功能障碍老年病人康复训练效果及生存质量的影响。[方法]将饮水试验在Ⅱ级以上的120例老年病人随机分为对照组和观察组各60例,对照组实施内科常规护理,观察组病人在常规护理的基础上执行集束化护理方案,比较两组病人干预前后吞咽功能、生存质量及并发症发生率。[结果]干预后观察组吞咽功能优于对照组(P<0.05);观察组心理维度、生理维度、社会适应性维度及生存质量总分均高于对照组(P<0.05);观察组吸入性肺炎、营养不良、胃肠功能紊乱发生率均低于对照组(P<0.05)。[结论]对吞咽功能障碍老年病人实施集束化护理干预有利于提高病人的吞咽功能,减少并发症,提高生存质量。Objective To probe into the influence of cluster of care on rehabilitation training effect and quality of life of elderly patients.Methods： A total of 120 cases of elderly patients with drinking water test in grade Ⅱ or more were randomly divided into control group and observation group, 60 cases in each.The patients in control group were treated with routine nursing and the patients in observation group received the cluster of care on the basis of the routine nursing. The swallowing function, quality of life and incidence of complication of patients were compared between both groups before and after intervention.Results： The swallowing function of patients in observation group was better than that in control group after the cluster nursing intervention（P〈0.05）.The scores of psychological dimension, physical dimension, social adaptability dimension and quality of life of pa-tients in observation group were higher than those in control group（P〈0.05）.The incidence of aspiration pneu-monia, malnutrition and gastrointestinal dysfunction in patients in observation group were lower than those in control group（P〈0.05）.Conclusion：Cluster nursing intervention was beneficial to improve the swallowing func-tion, reduce complications and improve the quality of life of elderly patients.

关 键 词：吞咽障碍 生存质量 并发症 集束化护理 

分 类 号：R473.74[医药卫生—护理学]