时效性激励联合吞咽-摄食训练在后颅窝肿瘤术后吞咽障碍患者康复护理中的应用  

Application of Time-sensitive Incentive Combined with Feeding-swallowing Training in Rehabilitation Nursing of Patients with Dysphagia after Posterior Cranial Fossa Tumor Surgery

作　　者：段冉 魏丽莎 宋冬 裴晶晶 丁艮晓[1] Duan Ran;Wei Lisha;Song Dong(Henan Provincial People′s Hospital,Zhengzhou Henan 450000,China)

机构地区：[1]河南省人民医院河南省护理医学重点实验室河南大学人民医院,河南郑州450000

出　　处：《齐鲁护理杂志》2022年第20期4-8,共5页Journal of Qilu Nursing

摘　　要：目的:探讨时效性激励联合吞咽-摄食训练在后颅窝肿瘤术后吞咽障碍患者康复护理中的应用效果。方法:选择2019年6月1日~2021年1月1日收治的81例后颅窝肿瘤术后吞咽障碍患者作为观察对象,随机分为对照组40例和观察组41例;对照组采用后颅窝肿瘤术后常规吞咽-摄食功能训练护理,观察组采用时效性激励联合吞咽-摄食训练进行护理干预。干预前、干预4个月后分别采用功能性经口进食量表(FOIS)、吞咽功能评价量表(SSA)、自我效能感量表(GSES)、世界卫生组织生存质量测定简表(WHOQOL-BREF)对后颅窝肿瘤术后患者吞咽功能改善情况和康复护理效果进行比较。结果:干预前,两组各项目评分比较差异均无统计学意义(P>0.05);干预后,观察组摄食能力级别提升例数多于对照组(P<0.05),SSA评分低于对照组(P<0.05),GSES、WHOQOL-BREF评分均高于对照组(P<0.05,P<0.01)。结论:采用时效性激励联合吞咽-摄食训练能有效改善后颅窝肿瘤术后吞咽障碍患者吞咽功能,促进患者功能康复。Objective:To explore the application effect of time-sensitive incentive combined with feeding-swallowing training in the rehabilitation nursing of patients with dysphagia after posterior cranial fossa tumor surgery.Methods:Eighty-one patients with dysphagia after posterior cranial fossa tumor surgery admitted during June 1,2019 to January 1,2021 were selected as the observation subjects,and they were randomly divided into the control group(n=40)and the observation group(n=41).The control group received routine feeding-swallowing training nursing after posterior cranial fossa tumor surgery,and the observation group was given time-sensitive incentive combined with feeding-swallowing training on the basis of the control group.Functional Oral Intake Scale(FOIS),Standardized Swallowing Assessment(SSA),General Self-Efficacy Scale(GSES)and WHO Quality-of-Life-BREF(WHO QOL-BREF)were applied before intervention and after 4 months of intervention to compare the improvement of swallowing function and the effect of rehabilitation nursing in patients after posterior cranial fossa tumor surgery.Results:Before intervention,there was no significant difference in the scores of each dimension between the two groups(P>0.05).After intervention,the scores of swallowing function in the observation group were higher than those in the control group(P<0.05).The SSA scores were lower in the observation group than those in the control group(P<0.05),and the GSES and WHOQOL-BREF scores were higher in the observation group than those in the control group(P<0.01).Conclusion:Application of time-sensitive incentive combined with feeding-swallowing training can effectively improve the swallowing function,and promote the functional recovery in patients with dysphagia after posterior cranial fossa tumor surgery.

关 键 词：后颅窝肿瘤术后 吞咽障碍 时效性激励 吞咽-摄食训练 康复护理 

分 类 号：R473.6[医药卫生—护理学]