【摘要】 目的探讨集束化护理结合呼吸训练对脑卒中后吞咽障碍患者的应用效果。方法选取2019年1月—2020年10月九江市第一人民医院收治的60例脑卒中后吞咽障碍患者作为研究对象,按照随机数字表法分为对照组(n=30)与实验组(n=30)。所有患者进行针刺治疗,在此基础上对照组采取常规护理方法,实验组采取集束化护理与呼吸训练共同干预方法。比较两组的吞咽功能情况、生活质量和护理满意度。结果干预前,两组的洼田饮水实验和藤岛分级评分比较,差异无统计学意义(P>0.05);干预后实验组的洼田饮水实验和藤岛分级评分低于对照组,差异有统计学意义(P<0.05)。干预后实验组的生活质量评分高于对照组,差异有统计学意义(P<0.05)。干预后实验组的护理总满意度为93.33%,高于对照组的73.33%,差异有统计学意义(P<0.05)。结论集束化护理结合呼吸训练干预脑卒中后吞咽功能障碍患者,能取得较好的护理效果,可有效改善患者的吞咽功能,改善生活质量,提高护理满意度。更多还原

【Abstract】 Objective To explore the effect of cluster nursing combined with breathing training on patients with dysphagia after stroke. Methods A total of 60 patients with dysphagia after stroke admitted to Jiujiang First People′s Hospital from January 2019 to October 2020 were selected as the research objects and divided into the control group(n=30) and the experimental group(n=30) according to random number table method. On the basis of acupuncture treatment, the control group was given routine nursing, while the experimental group was given cluster nursing and respiratory training. The swallowing function, quality of life and nursing satisfaction of two groups were compared. Results Before the intervention, there was no significant difference in Kubota water swallow test and Fujishima Ichiro rating sccale score between the two groups(P>0.05); after intervention, Kubota water swallow test and Fujishima Ichiro rating sccale score of the experimental group was lower than that of the control group, the difference was statistically significant(P<0.05). After intervention, the score of quality of life in the experimental group was higher than that in the control group, and the difference was statistically significant(P<0.05). After intervention, the nursing total satisfaction of the experimental group was 93.33%, which was higher than 73.33% of the control group, the difference was statistically significant(P<0.05). Conclusion Cluster nursing combined with breathing training methods to intervene patients with swallowing dysfunction after stroke can achieve better nursing results, effectively improve the swallowing function of patients, improve the quality of life, and increase nursing satisfaction.更多还原