团队式延续性护理联合下颏抗阻力训练在脑梗死后吞咽障碍患者康复中的应用效果  

Application Effect of Team Continuity Nursing Combined with Chin Resistance Training in Rehabilitation of Patients with Dysphagia after Cerebral Infarction

作　　者：周艳芬 袁晓玲 赵冉冉 ZHOU Yanfen;YUAN Xiaoling;ZHAO Ranran(Department of Geriatrics,Affiliated Hospital of Binzhou Medical College,Binzhou 256603,China;Department of General Medicine,Affiliated Hospital of Binzhou Medical College,Binzhou 256603,China)

机构地区：[1]滨州医学院附属医院老年医学科,山东滨州256603 [2]滨州医学院附属医院全科医学科,山东滨州256603

出　　处：《反射疗法与康复医学》2025年第2期159-162,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨团队式延续性护理联合下颏抗阻力训练对脑梗死后吞咽障碍患者的影响。方法选择滨州医学院附属医院2021年8月—2023年6月收治的92例脑梗死后吞咽功能障碍患者为研究对象,以随机数字表法将其分为对照组和观察组,每组46例。对照组采用常规护理,观察组采用团队式延续性护理联合下颏抗阻力训练干预。对比两组患者的吞咽功能、心理状态及生活质量。结果干预后,观察组功能性经口摄食评价量表评分为(4.01±0.49)分,高于对照组的(2.55±0.33)分,标准吞咽功能评定量表评分为(20.02±3.18)分,低于对照组的(25.25±4.12)分,组间差异有统计学意义(P<0.05);观察组焦虑自评量表、抑郁自评量表评分分别为(26.99±1.74)分、(24.68±1.42)分,均低于对照组的(35.92±2.89)分、(33.71±2.87)分,组间差异有统计学意义(P<0.05);观察组生活质量综合评分量表中各个维度评分均高于对照组,组间差异有统计学意义(P<0.05)。结论团队式延续性护理联合下颏抗阻力训练可有效改善脑梗死后吞咽障碍患者的吞咽功能及心理状态,提高其生活质量。Objective To explore the effect of team continuity nursing combined with chin resistance training on patients with dysphagia after cerebral infarction.Methods A total of 92 patients with dysphagia after cerebral infarction admitted to the Affiliated Hospital of Binzhou Medical College from August 2021 to June 2023 were selected as the research objects,and were divided into a control group and an observation group by random number table method,with 46 cases in each group.The control group was treated with routine nursing,and the observation group was treated with team continuity nursing combined with chin resistance training.The swallowing function,mental state and quality of life of the two groups were compared.Results After intervention,the Functional Oral Intake Scale score of the observation group was(4.01±0.49)points,which was higher than(2.55±0.33)points of the control group,and the Standardized Swallowing Assessment score was(20.02±3.18)points,which was lower than(25.25±4.12)points of the control group,and the differences between the groups were statistically significant(P<0.05);the scores of Self-Rating Anxiety Scale and Self-Rating Depression Scale in the observation group were(26.99±1.74)points and(24.68±1.42)points,respectively,which were lower than(35.92±2.89)points and(33.71±2.87)points in the control group,and the differences between the groups were statistically significant(P<0.05);the scores of all dimensions of the Generic Quality of Life Inventory-74 in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Team continuity nursing combined with chin resistance training can effectively improve the swallowing function and mental state of patients with dysphagia after cerebral infarction,and improve their quality of life.

关 键 词：脑梗死 吞咽障碍 团队式延续性护理 下颏抗阻训练 吞咽功能 心理状态 

分 类 号：R473[医药卫生—护理学]