摘要
目的探讨吞咽专科护士主导多学科合作模式对脑卒中后吞咽功能障碍患者康复的影响。方法选取2019年2—10月本院收治的80例脑卒中后吞咽功能障碍患者作为对照组,另选取2019年11月至2020年7月本院收治的80例脑卒中后吞咽功能障碍患者作为观察组。对照组采取常规吞咽康复护理,观察组在对照组基础上采取以吞咽专科护士为主导多学科合作模式实施个性化吞咽康复管理计划。比较两组干预前后洼田饮水实验评级、吞咽功能及临床疗效、临床护理满意度。结果干预前,两组洼田饮水实验评级情况比较差异无统计学意义;干预后,观察组洼田饮水实验评级情况优于对照组,差异有统计学意义(P<0.05)。干预前,两组标准吞咽功能评价量表(SSA)评分比较差异无统计学意义;干预后,两组SSA评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组治疗有效率为95.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。观察组临床护理满意度为97.50%,显著高于对照组的52.50%,差异有统计学意义(P<0.05)。结论采用以吞咽专科护士主导多学科合作康复管理模式能提高脑卒中后吞咽功能障碍患者治疗有效率,改善患者吞咽功能,提高患者康复护理效果及满意度,有利于疾病康复。
Objective To investigate the influence of multidisciplinary cooperation model led by swallowing specialist nurses on rehabilitation of patients with swallowing dysfunction after stroke.Methods 80 patients with swallowing dysfunction after stroke admitted to our hospital from February 2019 to October 2019 were selected as the control group,and 80 patients with swallowing dysfunction after stroke admitted to our hospital from November to July 2020 were selected as the observation group.The control group received routine swallowing rehabilitation nursing,the obser-vation group adopted the multi-disciplinary cooperation model led by the swallowing specialist nurse to implement the personalized swallowing reha-bilitation management plan on the basis of the control group.The experimental rating,swallowing function before and after intervention,clinical effi-cacy and nursing satisfaction were compared between the two groups.Results Before intervention,there was no significant difference in the experi-mental rating between the two groups;after the intervention,the experimental rating in the observation group was better than the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in standardized swallowing assess-ment(SSA)scores between the two groups;after intervention,SSA scores of the the two groups were lower than before intervention,and the observa-tion group was lower than the control group,the differences were statistically significant(P<0.05).The effective rate in the observation group was 95.00%,which was higher than 80.00%in the control group,the difference was statistically significant(P<0.05).The satisfaction of clinical nursing in the observation group was 97.50%,which was significantly higher than 52.50%in the control group,and the difference was statistically significant(P<0.05).Conclusion The multidisciplinary cooperation model led by swallowing specialist nurses can improve the treatment efficiency of pa-tients with swallowing dy
作者
韦金华
戴肖婷
麦莉
WEI Jinhua;DAI Xiaoting;MAI Li(the First of Department of Neurology,Jiangbin Hospital of Guangxi Zhuang Autonomous Region,Nanning,Guangxi,530000,China)
出处
《当代医学》
2023年第22期174-178,共5页
Contemporary Medicine
基金
广西卫健委科研课题(Z20180839)。
关键词
专科护士
多学科合作模式
脑卒中
吞咽功能障碍
Specialist nurse
Multidisciplinary cooperation model
Stroke
Swallowing dysfunction
