K点刺激联合吞咽-摄食管理对颅脑外伤术后吞咽障碍患者生活质量的影响  

Impact of K Point Stimulation and Swallowing-feeding Management on the Quality of Life of Dysphagia after the Operation of Craniocerebral Trauma

作　　者：盘丽华[1] 张传东[1] 仇洪[1] 韦叙[1] 潘东妮 韦萍 PAN Lihua;ZHANG Chuandong;Qiu Hong;WEI Xu;PAN Dongni;WEI Ping(Department of Neurosurgery,the People's Hospital of Hechi,Hechi 547000)

机构地区：[1]广西河池市人民医院神经外科,河池547000

出　　处：《临床护理杂志》2022年第2期16-19,共4页Journal of Clinical Nursing

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20190500)。

摘　　要：目的探讨K点刺激联合吞咽-摄食管理对颅脑外伤术后吞咽障碍患者生活质量的影响。方法采用便利抽样法,选择2019年7月-2021年6月在我科住院治疗的颅脑外伤术后吞咽障碍患者200例为研究对象,按随机数字表法分为对照组和观察组,各100例。对照组按照常规康复护理进行管理,观察组在对照组的基础上实施K点刺激联合吞咽-摄食管理。比较两组鼻饲管留置情况、并发症发生率、生活质量、患者满意度。结果观察组出院时生活质量评分高于对照组,鼻饲管留置率显著低于对照组,鼻饲管平均留置天数短于对照组,并发症发生率低于对照组,护理满意度评分高于对照组(P<0.05)。结论K点刺激联合吞咽-摄食管理能降低颅脑外伤术后吞咽障碍患者鼻饲管置管率,缩短鼻饲管留置时间,降低并发症发生率,提高患者生活质量,提升护理满意度。Objective To investigate the effect of k-point stimulation combined with swallowing-ingestion management on quality of life of patients with swallowing disorder after craniocerebral trauma.Methods A total of 200 patients with dysphagia after craniocerebral trauma hospitalized in the neurosurgery department of our hospital from July 2019 to June 2021 were selected as the research objects,and were divided into the control group and the observation group with 100 patients in each group according to the random number table method.The control group was managed according to the routine nursing care of dysphagia after craniocerebralinjury.The observation group was given k-point stimulation combined with swallowing and ingestion management on the basis of the control group,and the indwelling situation of nasogastric tube,incidence of complications,quality of life and patient satisfaction were observed and compared between the two groups.Results There was no significant difference in SWal-QOL score between the two groups before intervention(P>0.05).Discharge when the observer group SWAL-QOL is higher than the control group,observation group nasogastric tube rate is significantly lower than the control group,nasogastric tube indwelling days shorter than the control group on average,aspiration and aspiration pneumonia,malnutrition,other complications,such as total complication rate is lower than the control group,patients to nursing job satisfaction scores higher than the control group(P<0.05).Conclusion K-point stimulation combined with swallowing and ingestion management can reduce the rate of nasogastric tube placement,shorten the indwelling time of nasogastric tube,reduce the incidence of complications,improve the quality of life of patients,improve the nursing satisfaction of patients.

关 键 词：颅脑损伤 吞咽障碍 K点刺激 吞咽-摄食管理 

分 类 号：R651.1[医药卫生—外科学] R571[医药卫生—临床医学]