摘要
目的探讨早期吞咽障碍筛查及康复护理在脑出血患者中的应用效果.方法选取荣成市人民医院2021年6月—2023年6月收治的150例脑出血患者为研究对象,根据随机数字表法分为对照组及观察组,每组75例.两组均接受早期吞咽障碍筛查,在此基础上,对照组采用常规护理,观察组采用康复护理.比较两组患者的吞咽障碍恢复情况、吞咽功能评分、机体营养状态、并发症发生率及生活质量.结果干预4周后,观察组的Gugging吞咽功能评估表评分为(15.34±2.36)分,高于对照组的(11.62±1.39)分,差异有统计学意义(P﹤0.05).干预4周后,观察组的功能性经口摄食量表评分高于对照组,标准吞咽功能评定量表评分低于对照组,组间差异有统计学意义(P﹤0.05).干预4周后,观察组的血清前白蛋白、总蛋白、白蛋白水平均高于对照组,组间差异有统计学意义(P﹤0.05).观察组的并发症发生率为2.67%,低于对照组的10.67%,差异有统计学意义(P﹤0.05).干预4周后,观察组的健康调查简表中各维度评分均高于对照组,组间差异有统计学意义(P﹤0.05).结论脑出血患者采用早期吞咽障碍筛查及康复护理,可改善其吞咽功能和营养状况,降低并发症发生风险,提高生活质量,改善预后.
Objective To investigate the effect of early dysphagia screening and rehabilitation nursing in patients with cerebral hemorrhage.Methods 150 patients with cerebral hemorrhage admitted to Rongcheng People's Hospital from June 2021 to June 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 75 cases in each group.Both groups received early dysphagia screening.On this basis,the control group received routine nursing,and the observation group received rehabilitation nursing.The recovery of dysphagia,swallowing function score,nutritional status,incidence of complications and quality of life were compared between the two groups.Results After 4 weeks of intervention,the Gugging Swallowing Screen Score of the observation group was(15.34±2.36)points,which was higher than(11.62±1.39)points of the control group,the difference was statistically significant(P﹤0.05).After 4 weeks of intervention,the functional oral intake scale score of the observation group was higher than that of the control group,and the standardized swallowing assessment score was lower than that of the control group,the differences between the groups were statistically significant(P﹤0.05).After 4 weeks of intervention,the levels of serum prealbumin,total protein and albumin in the observation group were higher than those in the control group,the differences between the groups were statistically significant(P﹤0.05).The incidence of complications in the observation group was 2.67%,lower than 10.67%in the control group,and the difference was statistically significant(P﹤0.05).After 4 weeks of intervention,the scores of all dimensions in the MOS item short from health survey of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P﹤0.05).Conclusion Early dysphagia screening and rehabilitation nursing can improve the swallowing function and nutritional status of patients with cerebral hemorrhage,reduce the risk of complications,improve the quality of life and improve the prognosis.
作者
王莹
于海涛
WANG Ying;YU Haitao(Department of Neurosurgery,Rongcheng People's Hospital,Weihai Shandong,264300,China)
出处
《反射疗法与康复医学》
2024年第1期107-110,共4页
Reflexology And Rehabilitation Medicine
关键词
吞咽障碍
筛查
康复护理
脑出血
营养状态
Dysphagia
Screening
Rehabilitation nursing
Cerebral hemorrhage
Nutritional status
