全程清单式护理在急性脑卒中吞咽障碍管理中的应用分析  

The Application of Full Process Checklist-based Nursing in the Management of Swallowing Disorders in Acute Stroke Patients

作　　者：刘海燕 周云霞[1] 季晶晶 LIU Haiyan;ZHOU Yunxia;JI Jingjing(Department of Neurology,Rudong County People's Hospital,Rudong 226400,Jiangsu,China)

机构地区：[1]如东县人民医院神经内科,江苏如东226400

出　　处：《中外医疗》2024年第24期137-140,共4页China & Foreign Medical Treatment

基　　金：2022年南通市基础科学研究和社会民生科技计划项目(指导性)(MSZ2022105)。

摘　　要：目的 探讨全程清单式护理在急性脑卒中吞咽障碍管理中的应用。方法 随机选取2022年7月—2023年9月如东县人民医院收治的150例急性脑卒中吞咽障碍患者作为研究对象,依据不同护理方法分为两组,每组75例,对照组实施常规护理;观察组采取全程清单式护理;比较两组患者护理前后吞咽障碍情况和护理满意度。结果 入院第1天,两组患者吞咽障碍评估比较,差异无统计学意义(P>0.05),入院3 d、7 d观察组吞咽障碍评估均低于对照组,差异有统计学意义(P均<0.05)。观察组护理总满意度为93.33%(70/75),高于对照组的80.00%(60/75),差异有统计学意义(χ^(2)=5.769,P<0.05)。结论 急性脑卒中吞咽障碍患者采取全程清单式护理可有效改善吞咽障碍问题,提高护理满意度。Objective To explore the application of full process checklist-based nursing in the management of swallowing disorders in acute stroke patients.Methods 150 patients with acute stroke swallowing disorders admitted to the Rudong County People's Hospital from July 2022 to September 2023 were randomly selected as the research subjects.They were randomly divided into two groups according to different nursing methods,with 75 cases in each group.The control group received routine nursing;the observation group received full process checklist-based nursing.The dysphagia disorder and nursing satisfaction of the two groups were compared before and after care.Results On the first day of admission,there was no statistically significant difference in the evaluation of swallowing disorder between the two groups(P>0.05).The evaluation of swallowing disorder in the observation group was lower than that in the control group on 3 and 7 days after admission,the difference was statistically significant(both P<0.05).The total satisfaction of nursing in the observation group was 93.33%(70/75),which was higher than 80.00%(60/75)in the control group,and the difference was statistically significant(χ^(2)=5.769,P<0.05).Conclusion The patients with dysphagia in acute stroke can effectively improve the dysphagia problem and improve nursing satisfaction.

关 键 词：全程清单式护理 急性脑卒中 吞咽障碍 

分 类 号：R473[医药卫生—护理学]