基于奥马哈系统的康复促进干预方案对脑梗死后吞咽障碍患者的改善效果  

Effect of rehabilitation promotion intervention program based on Omaha system on the improvement of dysphagia patients after cerebral infarction

作　　者：郑晓娜[1] 陈秋华[1] 林烁[1] ZHENG Xiaona;CHEN Qiuhua;LIN Shuo(Cadre Special Clinic Second Department,Fujian Provincial Hospital,Fuzhou,Fujian,350001,China)

机构地区：[1]福建省立医院干部特诊二科,福建福州350001

出　　处：《中西医结合护理（中英文）》2021年第5期1-4,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨脑梗死后吞咽障碍患者接受基于奥马哈系统的康复促进干预方案后,对其吞咽功能的影响。方法选取2019年3月至2020年2月福建省立医院干部特诊二科收治的122例脑梗死后合并吞咽障碍的患者为研究对象,按照随机数字表法分为对照组和观察组,各61例。对照组患者接受常规护理,观察组患者在常规护理的基础上接受基于奥马哈系统的康复促进干预方案。比较2组在干预前和干预3个月后的吞咽功能、生活质量、自我护理能力以及干预期间的并发症发生率。结果干预3个月后,2组的中文版吞咽功能评估量表(GUSS)评分均显著高于同组干预前(P均<0.05),标准吞咽功能评价量表(SSA)评分均显著低于同组干预前(P均<0.05);观察组的GUSS评分显著高于对照组(P<0.05),SSA评分显著低于对照组(P<0.05)。2组的脑卒中影响量表(SIS)及自我护理能力测定量表(ESCA)各项评分均显著高于同组干预前(P均<0.05),且观察组的上述评分均显著高于对照组(P均<0.05)。观察组的并发症总发生率显著低于对照组(P<0.05)。结论脑梗死后合并吞咽障碍的患者接受基于奥马哈系统的康复促进干预方案,可以改善其吞咽功能,提高其生活质量和自护能力,降低并发症发生率。Objective To explore the effect of rehabilitation promotion intervention program based on Omaha system on swallowing function of patients with dysphagia after cerebral infarction.Methods A total of 122 patients with dysphagia after cerebral infarction treated in the Cadre Special Clinic Second Deparment at Fujian Provincial Hospital from March 2019 to February 2020 were enrolled.The subjects were divided into a control group and an observation group by random number table method,with 61 cases in each group.The control group received routine nursing,and the observation group received the Omaha system-based rehabilitation promotion intervention program on the basis of routine nursing.The swallowing function,quality of life and self-care ability before and after 3 months of intervention,as well as the incidence of complications during the intervention were compared between the two groups.Results After 3 months of intervention,the scores of the Chinese version of gugging swallowing screen(GUSS)in the two groups were significantly higher than those before the intervention(both P<0.05),and the scores of standardized swallowing assessment(SSA)in the two groups were significantly lower than those before the intervention(both P<0.05).The GUSS score of the observation group was significantly higher than that of the control group(P<0.05),and the SSA score of the observation group was significantly lower than that of the control group(P<0.05).The scores of various items of stroke impact scale(SIS)and exercise of self-care agency(ESCA)in the two groups were significantly higher than those before the intervention(all P<0.05),and the above scores of the observation group were significantly higher than those of the control group(all P<0.05).The total incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion The rehabilitation promotion intervention program based on Omaha system can significantly improve the swallowing function of patients with dysphagia after ce

关 键 词：奥马哈系统 脑梗死 吞咽功能 生活质量 并发症 

分 类 号：R248.1[医药卫生—中医临床基础]