Kano模型护理在卒中后吞咽障碍患者中的应用效果  

Application effects of Kano model nursing in patients with post-stroke dysphagia

作　　者：李明秀[1] LI Mingxiu(Rehabilitation Department of Shangqiu First People’s Hospital,Shangqiu 476000 Henan,China)

机构地区：[1]商丘市第一人民医院康复科,河南商丘476000

出　　处：《中国民康医学》2025年第9期161-164,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察Kano模型护理在卒中后吞咽障碍(PSD)患者中的应用效果。方法:选取2020年5月至2022年9月该院收治的134例PSD患者进行前瞻性研究,按照随机数字表法分为观察组与对照组各67例。对照组采用常规护理,观察组采用Kano模型护理,比较两组负性情绪[抑郁自评量表(SDS)、焦虑自评量表(SAS)]评分、营养指标(血红蛋白、血清白蛋白、血浆转铁蛋白)水平和护理满意度。结果:护理后,两组SAS、SDS等负性情绪评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);护理后,两组血红蛋白、血清白蛋白、血浆转铁蛋白等营养指标水平高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05);观察组护理满意度为98.51%,明显高于对照组的86.57%,差异有统计学意义(P<0.05)。结论:Kano模型护理应用于PSD患者可提高营养指标水平和护理满意度,以及降低负性情绪评分,效果优于常规护理。Objective:To observe application effects of Kano model nursing in patients with post-stroke dysphagia(PSD).Methods:A prospective study was conducted on 134 patients with PSD admitted to the hospital from May 2020 to September 2022.According to the random number table method,they were divided into observation group and control group,67 cases in each group.The control group was given routine nursing,while the observation group was given the Kano model nursing.The scores of negative emotions[self-rating depression scale(SDS),selfrating anxiety scale(SAS)],the levels of nutritional indexes(hemoglobin,serum albumin,plasma transferrin),and the nursing satisfaction were compared between the two groups.Results:After the nursing,the scores of negative emotions such as SAS and SDS in the two groups were lower than those before nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the levels of nutritional indexes such as hemoglobin,serum albumin,plasma transferrin in the two groups were higher than those before nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,the nursing satisfaction of the observation group was 98.51%,which was significantly higher than 86.57%of the control group,and the difference was statistically significant(P<0.05).Conclusions:The Kano model nursing in the PSD patients can improve the levels of nutritional indexes and the nursing satisfaction,and reduce the negative emotional scores.Moreover,it is superior to the routine nursing.

关 键 词：Kano模型护理 卒中 吞咽障碍 负性情绪 营养指标 护理满意度 

分 类 号：R47[医药卫生—护理学]