心理干预结合分层康复训练在颅脑外伤术后吞咽障碍患者中的应用价值  

Application value of psychological intervention combined with stratified rehabilitation training in patients with dysphagia after craniocerebral trauma surgery

作　　者：陈星星[1] 王艳[1] 范雪蕾 CHEN Xingxing;WANG Yan;FAN Xuelei(Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430030,China)

机构地区：[1]华中科技大学同济医学院附属同济医院,湖北武汉430030

出　　处：《中西医结合护理(中英文)》2024年第12期25-28,共4页Journal of Clinical Nursing in Practice

摘　　要：目的研究心理干预结合分层康复训练在颅脑外伤术后吞咽障碍患者中的应用价值。方法选取2021年3月至2023年3月在华中科技大学同济医学院附属同济医院就诊的96例颅脑外伤术后吞咽障碍患者进行回顾分析,选择随机数字表分法分为各48例的2组。对照组采取常规护理,研究组在对照组方法的基础上加用分层康复训练结合心理干预,比较2组的干预效果。结果研究组在术后1个月的吞咽功能明显优于对照组;术后1个月,研究组的营养状况水平均明显优于对照组,2组均较入院时改善,差异均有统计学意义(P均<0.05)。术后7 d和1个月,研究组的焦虑自评量表和抑郁自评量表评分均较对照组更低、生活质量评分量表评分均较对照组更高(P均<0.05),2组评分均优于入院时(P均<0.05)。结论心理干预结合分层康复训练有助于促进颅脑外伤患者吞咽功能和营养状况的改善,同时在改善不良情绪和提高生活质量方面也起到了积极作用。Objective To investigate the application value of psychological intervention combined with stratified rehabilitation training in patients with dysphagia after craniocerebral trauma surgery.Methods Ninety-six dysphagia patients after craniocerebral trauma surgery at Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology from March 2021 to March 2023 were retrospectively analyzed.They were divided into two groups using a random number table,each with 48 patients.The control group received routine nursing,while the study group received stratified rehabilitation training combined with psychological intervention on the basis of the method of the control group.The intervention effects of the two groups were compared.Results At 1 month after surgery,the swallowing function of the study group was significantly better than that of the control group.At 1 month after surgery,the nutritional status of the study group was significantly better than that of the control group,and both groups improved compared with admission.There were statistically significant differences(all P<0.05).At 7 days and 1 month after surgery,the scores of the Self-Rating Anxiety Scale and the Self-Rating Depression Scale in the study group were lower than those in the control group,and the scores of the Short Form-36 Health Survey were higher than those in the control group(all P<0.05).The scores of both groups were better than those at admission(all P<0.05).Conclusion Psychological intervention combined with stratified rehabilitation training helps to promote the improvement of swallowing function and nutritional status in patients with craniocerebral trauma,and also plays a positive role in improving their negative emotions and quality of life.

关 键 词：颅脑外伤术后吞咽障碍 心理干预 分层康复训练 吞咽功能 生活质量 

分 类 号：R473.74[医药卫生—护理学]