全病程管理对听神经瘤术后吞咽障碍患者康复的影响  

Effect of whole course management on recovery of patients developing dysphagia after acoustic neuroma surgery

作　　者：王滨琳[1,2] 李丽[1,3] 徐德保[1,2] 唐运娇 李映兰 Wang Binlin;Li Li;Xu Debao;Tang Yunjiao;Li Yinglan(Department of Clinical Nursing,Xiangya Hospital,Central South University,Chang sha 410008,China)

机构地区：[1]中南大学湘雅医院/国家老年疾病临床医学研究中心临床护理学教研室,湖南长沙410008 [2]中南大学湘雅医院/国家老年疾病临床医学研究中心颅底神经外科,湖南长沙410008 [3]中南大学湘雅医院/国家老年疾病临床医学研究中心护理部,湖南长沙410008 [4]中南大学湘雅护理学院

出　　处：《护理学杂志》2022年第16期8-11,共4页Journal of Nursing Science

基　　金：长沙市自然科学基金项目(kq2014286);湖南省卫生健康委科研计划项目(2022140244614)。

摘　　要：目的探讨全病程管理促进听神经瘤术后吞咽障碍患者康复的效果。方法组建全病程管理小组,选取56例听神经瘤术后吞咽障碍患者为研究对象,按照住院时间分为对照组28例,实施常规护理;干预组28例,实施个案管理师主导的全病程管理。结果干预1年后,两组服药依从性、康复依从性及吞咽功能的时间效应、交互效应和组间效应差异有统计学意义(均P<0.05);两组生存质量的时间效应及组间效应差异有统计学意义(均P<0.05)。结论全病程管理能有效提高听神经瘤术后患者的服药及康复依从性,促进吞咽功能恢复,提高生活质量。Objective To explore the effect of whole course management on recovery of patients developing dysphagia after acoustic neuroma surgery.Methods A whole course management group was established,and 56 patients developing dysphagia after acoustic neuroma surgery were selected as research participants and divided into 2 groups according to chronological order of hospitalization.The control group(n=28)received routine nursing care,while the intervention group(n=28)was subjected to whole course management led by the case manager.Results At one year into the intervention,there were significant main effects for time,group-by-time interaction and group on medication compliance,rehabilitation compliance,and swallowing function scores between the two groups(all P<0.05).There were significant main effects for time and group on quality of life scores(all P<0.05).Conclusion Whole course management can effectively improve medication and rehabilitation compliance of patients developing dysphagia after acoustic neuroma surgery,promote recovery of swallowing function and improve their quality of life.

关 键 词：听神经瘤 吞咽障碍 个案管理 全病程管理 依从性 康复护理 

分 类 号：R473.72[医药卫生—护理学]