摘要
目的探讨改进护理模式对脑卒中吞咽障碍患者吞咽功能的影响。方法以70例在我院治疗的脑卒中吞咽障碍患者为研究对象,按入院日期分为观察组与对照组,各35例,对照组采用常规护理模式,观察组采用改进式护理模式,比较2组间患者的护理效果。结果观察组护理后洼田饮水实验(WTDWT)、吞咽功能分级(SFA)评分明显高于对照组(P<0.05);2组的总有效率分别为94.29%和74.29%,差异有统计学意义(P<0.05);观察组炎症吸收时间、发热持续时间及抗菌药物应用时间均优于对照组(P<0.05);观察组吸入性肺炎发生率低于对照组(P<0.05)。结论改进护理模式可有效改善患者的吞咽功能,降低吸入性肺炎的发生率,值得临床借鉴和推广。
Objective To explore the effects of improved nursing mode on the dysphagia of stroke patients. Methods A total of 70 stroke patients with dysphagia admitted for treatment were recruited for the study, and they were equally divided into the observation group（ n = 35 ） and the control group （n =35） in accordance with the date of admission into the hospital. The control group received conventional nursing, while the observation group was given improved nursing mode. Then, nursing efficiency of different nursing modes was compared between the 2 groups. Results Following care, the scores of WTDWT and SFA were significantly higher for the observation group than those for the control group （P 〈0. 05）. Total efficacy rates for the observation group and the control group were respectively 94. 29% and 74. 29% , and statistical significance could be noted when comparisons were made between them （ P 〈 0. 05 ）. Such data as the duration of inflammation absorption, duration of fever and antibacterial medication for the observation group were all superior to those of the control group （ P 〈 0. 05 ）. The incidence of aspiration pneumonia in the observation group was lower than that of the control group （ P 〈 0. 05 ） . Conclusion Improved nursing mode could effectively improve the swallowing function of the stroke patients ,reduce the incidence of aspiration pneumonia, and was worth further clinical extension.
出处
《海军医学杂志》
2016年第5期455-457,471,共4页
Journal of Navy Medicine
