摘要
目的探讨基于智慧护理的多学科团队合作进食管理模式在老年脑卒中吞咽障碍患者中的应用效果。方法选取2020年4月至2021年4月广东医科大学附属东莞厚街医院收治的216例老年脑卒中吞咽障碍患者作为研究对象,采用随机数字表法将其分为对照组和观察组,每组各108例,对照组采用常规进食管理模式,观察组采用基于智慧护理的多学科团队合作进食管理模式,比较两组患者干预前后的吞咽功能及插胃管数、留置时间、胃管拔除成功率。结果干预前,两组患者洼田饮水试验评分比较,差异无统计学意义(P>0.05);干预后,两组患者洼田饮水试验评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);干预前,两组患者才藤氏吞咽障碍7级评价法评级比较,差异无统计学意义(P>0.05);干预后,两组患者才藤氏吞咽障碍7级评价法评级均优于干预前,且观察组优于对照组,差异有统计学意义(P<0.05);两组患者插胃管数比较,差异无统计学意义(P>0.05);观察组患者胃管留置时间短于对照组,胃管拔除成功率高于对照组,差异均有统计学意义(P<0.05)。结论多学科团队合作进食管理模式可以改善患者吞咽功能,提升胃管拔除成功率,降低胃管留置时间。
Objective To explore the application effect of multidisciplinary teamwork eating management model based on smart nursing in elderly stroke patients with dysphagia.Methods From April 2020 to April 2021,216 elderly stroke patients with dysphagia who were admitted to Dongguan Houjie Hospital affiliated to Guangdong Medical University were selected as the research subjects,and they were divided into control group and observation group by random number table method.There were 108 cases in each group.The control group was given the routine eating management model,and the observation group was given the multidisciplinary team-based eating management model based on smart nursing.Before and after intervention,the two groups of patients were compared in terms of their swallowing function,and the results of the 7-level evaluation method of Caiteng's swallowing disorder.The number of gastric tubes inserted,the duration of gastric tube indwelling,and the success rate of gastric tube removal during the intervention were also compared.Results Before intervention,the results of drinking water and field water test were compared between the two groups,and the differences were not statistically significant(P>0.05).After intervention,the results of the drinking water and field water test in the two groups were lower than those before intervention,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).Before intervention,the results of Caiteng's swallowing disorder 7-level evaluation method were compared between the two groups,and the differences were not statistically significant(P>0.05).After intervention,the results of Caiteng's 7-level assessment of dysphagia in the two groups were better than those before intervention,and the observation group were better than the control group,and the differences were statistically significant(P<0.05).The number of gastric tubes in the two groups was compared,and the difference was not statistically significant(P>0.05).The indwelling time of gastric tube in the observation group was shorter than that in the control group,and the success rate of gastric tube removal was higher than that in the control group,with statistical significances(P<0.05).Conclusion The multidisciplinary team cooperative feeding management model can improve patients'swallowing function,increase the success rate of gastric tube removal,and reduce the indwelling time of gastric tube.
作者
张建荣
张淑清
潘文利
黄锦霞
吴玉娥
高莹
ZHANG Jianrong;ZHANG Shuqing;PAN Wenli;HUANG Jinxia;WU Yu'e;GAO Ying(Department of Nursing,Dongguan Houjie Hospital(Dongguan Houjie Hospital Affiliated to Guangdong Medical University),Guangdong Province,Dongguan 523945,China;Department of Health Management Center,Dongguan Houjie Hospital(Dongguan Houjie Hospital Affiliated to Guangdong Medical University),Guangdong Province,Dongguan 523945,China;Department of Urology,Dongguan Houjie Hospital(Dongguan Houjie Hospital Affiliated to Guangdong Medical University),Guangdong Province,Dongguan 523945,China;Department of Neurology,Dongguan Houjie Hospital(Dongguan Houjie Hospital Affiliated to Guangdong Medical University),Guangdong Province,Dongguan 523945,China;Department of Gastroenterology,Dongguan Houjie Hospital(Dongguan Houjie Hospital Affiliated to Guangdong Medical University),Guangdong Province,Dongguan 523945,China)
出处
《中国当代医药》
CAS
2022年第26期185-189,共5页
China Modern Medicine
基金
广东省东莞市社会发展科技重点项目(20211800904942)。
