NNN-链接护理方案在住院脑卒中并发吞咽受损患者中的应用  

Application of NNN-link nursing regimen in hospitalized patients with stroke complicated with swallowing impairment

作　　者：秦莲花[1] 钟洁平 张奕玲[1] 黄双丽 QIN Lian-hua;ZHONG Jie-ping;ZHANG Yi-ling;HUANG Shuang-li(Department of Neurology,West China Hospital,Sichuan University/West China School of Nursing,Sichuan University,Chengdu 610041,Sichuan,China)

机构地区：[1]四川大学华西医院神经内科·四川大学华西医学院护理学院,四川成都610041

出　　处：《川北医学院学报》2022年第11期1511-1514,共4页Journal of North Sichuan Medical College

基　　金：四川省科技计划项目(2017SZ0007)。

摘　　要：目的:探究NNN-链接护理方案在住院脑卒中并发吞咽受损患者中的应用效果。方法:选取164例脑卒中并发吞咽受损患者为研究对象,根据护理方案不同分为对照组(n=80)和观察组(n=84)。对照组采用常规护理方案;观察组在常规护理基础上予以NNN-链接护理方案,两组患者均干预至出院前1 d。比较两组患者入院时、出院前1 d吞咽功能[洼田饮水试验(WST)评分、吞咽障碍程度评分(VGF)]、健康信念[健康信念简表(SF-HBMS-SP)]、健康行为[脑卒中健康行为量表(HBS-SP)评分]、日常生活能力[改良Barthel量表(MBI)及改良Rankin量表(MRS)评分]。结果:出院前1 d,两组患者WST、MRS评分均较入院时下降(P<0.05),且观察组低于对照组(P<0.05);VGF、SF-HBMS-SP、HBS-SP、MBI评分均较入院时上升(P<0.05),且观察组高于对照组(P<0.05)。结论:NNN-链接护理方案有利于住院脑卒中并发吞咽受损患者的吞咽功能恢复,协助患者树立健康信念,维持健康行为,改善日常生活能力。Objective:To explore the application effects of NNN-link nursing regimen on inpatients with stroke complicated with swallowing impairment.Methods:164 patients with stroke complicated with swallowing impairment were selected as the research subjects,they were divided into control group(n=80)and observation group(n=84)according to the different nursing methods.The control group was given routine nursing care,the observation group was given NNN-link nursing regimen on the basis of routine nursing agents,and both groups were intervened until 1 day before discharge.The swallowing function[water swallow test(WST),dysphagia severity score VGF)],health belief[short form health belief model scale for stroke patients(SF-HBMS-SP)],health behavior[health behavior scale for stroke patients(HBS-SP)]and activities of daily living[modified Barthel index(MBI),modified Rankin scale(MRS)]were compared between the two groups at admission and at 1 d before discharge.Results:1 d before discharge,the scores of WST and MRS in the two groups were reduced than those at admission(P<0.05),and the observation group was lower than the control group(P<0.05).The scores of VGF,SF-HBMS-SP,HBS-SP and MBI in the two groups were increased than those at admission,and the observation group was higher than the control group(P<0.05).Conclusion:NNN-link nursing regimen is beneficial to the recovery of swallowing function in hospitalized patients with stroke complicated with swallowing impairment,and can help establish health belief,maintain health behavior,and improve activities of daily living.

关 键 词：NNN-链接护理 住院 脑卒中 吞咽受损 吞咽功能 

分 类 号：R47[医药卫生—护理学]