集束化护理在颅脑损伤气管切开吞咽功能障碍患者护理中的应用效果  

Application effect of cluster nursing in the nursing of patients with craniocerebral injury with tracheotomy and swallowing dysfunction

作　　者：郑丽英[1] 曾江红[2] 章雅婷 ZHENG Li-ying;ZENG Jiang-hong;ZHANG Ya-ting(Outpatient Surgical Disposal Room,the Fourth Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330003,China;Department of Neurosurgery,the Fourth Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330003,China)

机构地区：[1]南昌大学第四附属医院门诊外科处置室,江西南昌330003 [2]南昌大学第四附属医院神经外科,江西南昌330003

出　　处：《中国当代医药》2019年第28期194-196,共3页China Modern Medicine

基　　金：江西省卫计委科技立项项目(20185296)

摘　　要：目的探讨集束化护理在颅脑损伤气管切开吞咽功能障碍患者护理中的应用效果。方法选取2017年2月~2019年4月我院收治的58例颅脑损伤气管切开吞咽功能障碍患者,通过随机数字表法分为观察组和对照组,每组各29例。对照组患者采取常规的神经外科治疗护理及留置胃管护理,观察组患者在常规护理基础上进行集束化护理干预措施。干预6周后,比较两组患者的吞咽障碍评分、肺感染发生率及护理总满意度。结果干预后,两组患者的吞咽障碍评分均明显低于干预前,且观察组患者干预后的吞咽障碍评分低于对照组,差异有统计学意义(P<0.05);观察组患者的肺感染发生率为13.79%,低于对照组患者的37.93%,差异有统计学意义(P<0.05);观察组患者的总满意度为96.55%,高于对照组患者的72.41%,差异有统计学意义(P<0.05)。结论集束化护理在颅脑损伤气管切开吞咽功能障碍患者护理中的应用效果显著,值得临床广泛推广应用。Objective To explore the application effect of clustering nursing in the nursing of patients with craniocerebral injury and tracheotomy and swallowing dysfunction. Methods A total of 58 patients with tracheotomy and swallowing dysfunction who were admitted to our hospital from February 2017 to April 2019 were enrolled. The patients were divided into the observation group and the control group by random number table method, with 29 patients in each group. In the control group, routine neurosurgical treatment and indwelling gastric tube care were performed, in the observation group, clustering nursing interventions were performed on the basis of routine nursing. After 6 weeks of intervention, the dysphagia score, the incidence rate of lung infection, and total nursing satisfaction were compared between the two groups. Results After intervention, the dysphagia scores of the two groups was significantly lower than that before intervention, and the dysphagia scores of the observation group was lower than that of the control group, the difference was statistically significant (P<0.05). The incidence of lung infection in the observation group was 13.79%, which was lower than that in the control group (37.93%), the difference was statistically significant (P<0.05). The total satisfaction of patients in the observation group was 96.55%, which was higher than that in the control group (72.41%), the difference was statistically significant (P<0.05). Conclusion The application of cluster nursing in the nursing of patients with craniocerebral injury, tracheotomy and swallowing dysfunction is significant, and it is worthy of widespread promotion and application in clinical practice.

关 键 词：神经外科 气管切开 吞咽障碍 集束化 

分 类 号：R651.15[医药卫生—外科学]