摘要
目的探讨三步吞咽康复法在颅底肿瘤术后吞咽障碍患者护理中的临床应用效果。方法采用便利抽样法,于2020年9月—2021年1月选取首都医科大学附属北京天坛医院行颅底肿瘤手术后存在吞咽功能障碍的79例患者为研究对象,采用随机数字表法分为观察组(39例)和对照组(40例)。对照组采用常规护理措施,观察组在常规护理措施的基础上给予三步吞咽康复法,分别于干预前及干预7 d后比较两组患者吞咽功能恢复情况、焦虑状态、胃管留置情况以及出院带管率。结果两组患者干预后洼田饮水试验结果与同组干预前相比,差异有统计学意义(P<0.05);干预后观察组洼田饮水试验结果与对照组相比,差异有统计学意义(P<0.05);干预后观察组患者吞咽功能恢复的总有效率高于对照组,差异有统计学意义(P<0.05);干预后观察组患者吞胃管留置时间低于对照组,差异有统计学意义(P<0.05)。结论对颅底肿瘤术后患者实施三步吞咽康复法,能够有效改善患者的吞咽功能障碍,缩短胃管留置时间,减轻患者的焦虑状态。
Objective To explore the clinical application and effects of three-step swallowing rehabilitation in nursing of patients with dysphagia after surgery for basicranial tumor.Methods From September 2020 to January 2021,totally 79 patients with dysphagia who underwent surgery for basicranial tumor at Beijing Tiantan Hospital,Capital Medical University were selected by convenient sampling and divided into an observation group(n=39)and a control group(n=40)according to the random number table.Patients in the control group received routine care,while patients in the observation group underwent three-step swallowing rehabilitation on this basis.The recovery of swallowing function,anxiety,gastric tube indwelling and discharge rate were compared between the two groups before intervention and 7 days after intervention.Results After intervention,the water swallow test results in the two groups were significantly different from those before intervention(P<0.05);there was a statistically significant difference between the observation group and the control group in the water swallow test results(P<0.05);the total effective rate of swallowing function recovery in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05);the indwelling time of gastric tube in the observation group was shorter than that in the control group,with a statistically significant difference(P<0.05).Conclusions The implementation three-step swallowing rehabilitation can effectively ameliorate the dysphagia,shorten the indwelling time of gastric tube,and reduce the anxiety of patients after surgery for basicranial tumor.
作者
贺欣
范艳竹
He Xin;Fan Yanzhu(Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China)
出处
《中华现代护理杂志》
2022年第12期1617-1621,共5页
Chinese Journal of Modern Nursing
关键词
康复护理
颅底肿瘤
吞咽障碍
三步吞咽
Rehabilitation nursing
Basicranial neoplasms
Dysphagia
Three-step swallowing
