卒中单元模式对脑卒中吞咽功能障碍患者康复的影响  

Effect of stroke unit model on the recovery of dysphagia in stroke patients

作　　者：任贞 李晶 Ren Zhen(Department of Neurology,The Second People's Hospital of Pingdingshan,Pingdingshan 467000,China)

机构地区：[1]平顶山市第二人民医院神经内一科,467000 [2]不详

出　　处：《国际医药卫生导报》2018年第7期1117-1121,共5页International Medicine and Health Guidance News

摘　　要：探讨卒中单元模式下早期康复护理对脑卒中吞咽功能障碍患者康复的影响，为临床护理提供借鉴。方法 选择本院2014年2月至2016年2月间收治的120例脑卒中患者作为研究对象，按照随机对照的原则将其分为实验组与对照组，分别进行卒中单元模式下早期康复护理和一般常规护理，两组患者吞咽功能恢复情况、神经功能恢复情况、生活质量及对护理的满意度比较。结果 实验组总有效率为88.33%，对照组总有效率为65.00%，实验组吞咽功能康复效果优于对照组，差异有统计学意义（P＜0.05）；护理后，实验组NIHSS评分为（11.27±2.12），对照组NIHSS评分为（14.56±2.23），实验组神经功能恢复效果明显优于对照组，差异有统计学意义（P＜0.05）；护理前，实验组与对照组QOL评分差异无统计学意义（P＞0.05）；护理后，实验组与对照组生理、心理和社会适应性评分均有明显升高，其中实验组生理、心理和社会适应性评分均明显高于对照组，差异有统计学意义（P＜0.05）；实验组护理满意度为91.67%，对照组护理满意度为76.67%，实验组护理满意度明显高于对照组，差异有统计学意义（P＜0.05）。结论 卒中单元模式下早期康复护理在脑卒中吞咽功能障碍患者中具有显著的效果，患者吞咽功能和神经功能恢复效果好，生活质量和护理满意度明显提高，值得临床推广。To explore the effect of early rehabilitation nursing under stroke unit model on the recovery of dysphagia in stroke patients,and to provide reference for clinical nursing.Methods 120 cases of stroke patients in our hospital from February 2014 to February 2016 were selected as the research object,and were divided into experimental group(early rehabilitation nursing under stroke unit model)and control group(conventional nursing care).The recovery of swallowing function,neurological function,the quality of life,and nursing satisfaction of the two groups were compared.Results The total effective rate of the experimental group was 88.33%,that of the control group was 65.00%(P<0.05).After nursing,the recovery of swallowing function of the experimental group was better than that of the control group(P<0.05).After nursing,the NIHSS score of the experimental group was(11.27±2.12),that of the control group was(14.56±2.23),the recovery of neurological function of the experimental group was better than that of the control group(P<0.05).There was no statistically significant difference in the QOL score between the experimental group and the control group before nursing(P>0.05);the scores of physiology,psychology,social adaptiveness in the two groups significantly increased after nursing(P<0.05),those of the experimental group were significantly higher than those of the control group(P<0.05).The nursing satisfaction of the experimental group was 91.67%,and that of the control group was 76.67%(P<0.05).Conclusion Early rehabilitation nursing under stroke unit model has significant effect on stroke patients with dysphagia,has good effect on the recovery of swallowing function,neurological function,life quality and nursing satisfaction are improved significantly,worthy of clinical promotion.

关 键 词：脑卒中 卒中单元 吞咽障碍 康复 

分 类 号：R473.74[医药卫生—护理学]