基于营养风险筛查简表联合吞咽功能筛查的综合康复护理在颅脑损伤术后患者的应用  

Application of Comprehensive Rehabilitation Nursing Based on NRS2002 Nutritional Assessment Combined with Swallowing Function Screening in Patients after Craniocerebral Injury Surgery

作　　者：薛焕霞[1] 王小峰[1] 陈慧云 XUE Huan-xia;WANG Xiao-feng;CHEN Hui-yun(Department of Rehabilitati on Medicine,Jiaozuo People’s Hospital,Jiaozuo,Henan,454000,China)

机构地区：[1]焦作市人民医院康复医学科,河南焦作454000

出　　处：《黑龙江医学》2021年第10期1019-1021,共3页Heilongjiang Medical Journal

摘　　要：目的:观察基于营养风险筛查简表(NRS2002)联合吞咽功能筛查的综合康复护理在颅脑损伤术后患者的应用效果。方法:选取2017年1月—2019年12月期间焦作市人民医院神经外科颅脑损伤术后患者100例作为研究对象,采用随机数字表法分为观察组和对照组,对照组根据患者术后恢复情况采取营养支持、健康宣教、肢体康复等常规护理干预,观察组在对照组的基础上,加入NRS2002营养评估及吞咽功能评估的康复综合护理;观察两组患者的干预前和干预后吞咽功能、营养状态及术后发生肺部感染的情况。结果:经过28天干预后,观察组安全性受损率为14.00%,有效性受损率为22.00%,血清总蛋白(75.24±2.87)g/L,血清白蛋白(53.29±2.46)g/L,优于对照组,差异有统计学意义(P<0.05);观察组的营养不良率为42.00%,明显低于对照组的78.00%,差异有统计学意义(P<0.05);对照组发生肺部感染6例,发生率为12.00%,观察组发生2例,发生率为4.00%。结论:NRS2002营养评估联合吞咽功能筛查的综合康复护理可以有效的提高患者的术后营养状态和吞咽能力,降低术后并发症的发生,值得推广应用。Objective: To observe the effect of comprehensive rehabilitation nursing based on NRS2002 nutritional assessment combined with swallowing function screening in patients after craniocerebral injury surgery. Methods: 100 patients with craniocerebral injury after neurosurgery in the hospital from January 2017 to December 2019 were selected as the study subjects, and divided into observation group and control group by random number table method. The control group adopted routine nursing interventions such as nutritional support, health education and limb rehabilitation according to the recovery of patients after surgery. The observation group added NRS2002-based nutritional assessment on the basis of the control group. The swallowing function, nutritional status and pulmonary infections of the two groups before and after the intervention were observed. Results: After 28 days of intervention, the safety impaired rate of the observation group was 14.00%, the effectiveness impaired rate was 22.00%, total serum protein(75.24±2.87) g/L, serum albumin(53.29±2.46) g/L, better than the control group, the difference was statistically significant(P<0.05). The malnutrition rate of the observation group was 42.00%, which was significantly lower than that of the control group(78.00%), the difference was statistically significant(P<0.05). A total of 6 cases of lung infection occurred in the control group,with an incidence rate of 12.00%, and 2 cases in the observation group, with an incidence rate of 4.00%. Conclusion: Comprehensive rehabilitation nursing based on NRS2002 nutritional assessment combined with swallowing function screening can effectively improve the nutritional status and swallowing ability of patients after surgery and reduce the occurrence of postoperative complications, which is worthy of popularization and application.

关 键 词：营养风险筛查简表 综合康复 吞咽筛查 颅脑损伤术后 疗效 

分 类 号：R493[医药卫生—康复医学]