医护联合防误吸管理模式在脑卒中患者中的应用  

Application of the management mode of medical and nursing combined with anti-aspiration in stroke patients

作　　者：罗淑敏 周允静 邝玉兰[1] 罗孟媛 陈旭[1] LUO Shu-min;ZHOU Yun-jing;KUANG Yu-lan;LUO Meng-yuan;CHEN Xu(Department of Neurosurgery,Foshan Nanhai People′s Hospital,Guangdong Province,Foshan528000,China)

机构地区：[1]广东省佛山市南海区人民医院神经外科,广东佛山528000

出　　处：《中国当代医药》2020年第26期49-51,共3页China Modern Medicine

基　　金：广东省佛山市卫生和计生局医学科研课题(20170257)。

摘　　要：目的探讨医护联合防误吸管理模式在脑卒中患者中的应用效果。方法选取我院神经外科2018年6月~2019年6月收治的120例脑卒中患者作为研究对象,按照随机数字表法将其分为观察组(60例)和对照组(60例),对照组采用常规护理干预措施,观察组采用医护联合防误吸管理模式。对比两组患者的误吸发生情况、吸入性肺炎发生情况、医护合作积极性。结果观察组误吸发生率(3.33%)低于对照组(15.00%),差异有统计学意义(P<0.05);观察组吸入性肺炎发生率(1.66%)低于对照组(11.67%),差异有统计学意义(P<0.05);实施后,观察组医护合作积极性好于对照组,差异有统计学意义(P<0.05)。结论在脑卒中患者临床护理中,采用医护联合防误吸管理模式,有利于降低患者误吸和吸入性肺炎发生率,使患者尽早恢复,因此具有较高的应用价值。Objective To explore the application effect of medical and nursing combined with anti-aspiration management model in stroke patients.Methods A total of 120 cases of stroke patients admitted to our hospital′s neurosurgery department from June 2018 to June 2019 were selected as the research objects,and were divided into an observation group(60 cases)and a control group(60 cases)according to the random number table method.The control group adoped conventional nursing intervention measures,and the observation group adopted a management model of combined with medical care and anti-aspiration.The incidence of aspiration,incidence of aspiration pneumonia,and enthusiasm for medical cooperation between the two groups were compared.Results The incidence of aspiration in the observation group was 3.33%,lower than that in the control group for 15.00%,the difference was statistically significant(P<0.05);the incidence of aspiration pneumonia in the observation group was 1.66%,which was lower than that in the control group for 11.67%,the difference was statistically significant(P<0.05);after implementation,the enthusiasm of medical cooperation in the observation group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion In the clinical care of stroke patients,the use of medical care combined with anti-aspiration management model is conducive to reducing the incidence of aspiration of patients and the incidence of aspiration pneumonia,so that patients can recover as soon as possible,so it has high application value.

关 键 词：医护联合 脑卒中 防误吸管理模式 应用效果 

分 类 号：R47[医药卫生—护理学]