集束化康复护理方案对脑卒中伴吞咽障碍的靶向性护理研究  

Target nursing of cluster rehabilitation nursing program in cerebral apoplexy patients with dysphagia

作　　者：张琰[1] 黄晓莲 周雅英 刘文伟[1] 俸献珠[1] 邓玲玲[1] ZHANG Yan;HUANG Xiaolian;ZHOU Yaying(Jiangbin Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西壮族自治区江滨医院,广西南宁530021

出　　处：《华夏医学》2018年第3期91-94,共4页Acta Medicinae Sinica

基　　金：广西壮族自治区卫生和计划生育委员会自筹科研资助项目(Z2015074)

摘　　要：目的:观察集束化康复护理在改善脑卒中伴吞咽障碍患者中的应用效果。方法:选取160例脑卒中伴吞咽障碍患者,分为对照组和研究组各80例。对照组采用常规护理干预,研究组采用集束化康复护理干预,比较两组患者吞咽功能改善总有效率、吸入肺炎发生率的差异。结果:研究组吞咽功能改善总有效率高于对照组,差异有统计学意义(P<0.05);吸入性肺炎的发生率低于对照组(P<0.05),结论:集束化康复护理能有效改善脑卒中患者吞咽功能,降低吸入性肺炎的发生率,值得临床应用。Objective： To observe the application effect of cluster rehabilitation nursing on improving cerebral apoplexy patients with dysphagia. Methods： 160 cases of cerebral apoplexy with dysphagia were divided into the control group and study group with 80 cases each. The control group received routine nursing intervention, while the study groupadopted cluster rehabilitation nursing intervention. The total efficiency of improving the swollowing functions and incidence of aspiration pneumonia of patients between both groups were compared. Results： The total efficiency of improving the dysphagia functions in the observation group was higher than that of the control group （P〈0.05） ; and the incidence of aspiration pneumonia was lower than that of the control group （P〈0.05）. Conclusion： Cluster rehabilitation nursing can effectively improve the swollowing functionsand reduce the incidence of aspiration pneumonia of stroke patients, which is worth of clinical application.

关 键 词：集束化 康复护理 脑卒中 吞咽障碍 吸入性肺炎 

分 类 号：R473.5[医药卫生—护理学]