摘要
目的观察探讨脑卒中合并吞咽障碍患者给予5E康复模式下延续护理干预效果以及对其遵医行为、吞咽功能恢复的影响。方法选取该院2022年1月—2023年6月收治的80例脑卒中合并吞咽障碍患者为研究对象,按随机数字表法将其分为对照组与观察组。对照组(n=40)采用常规护理,观察组(n=40)采用5E康复模式下延续护理。对比两组患者的遵医行为、吞咽功能、健康韧性、生活质量及并发症发生情况。结果观察组患者遵医行为优良率为92.50%,高于对照组的72.50%,差异有统计学意义(P<0.05)。干预前,两组标准吞咽功能评定量表(SSA)评分、健康坚韧性量表(HRHS)评分、吞咽困难生活质量量表(SWAL-QOL)评分比较,组间差异无统计学意义(P>0.05);干预后,观察组SSA评分为(14.82±2.26)分,低于对照组的(19.78±2.32)分,HRHS评分为(141.28±15.89)分、SWAL-QOL评分为(176.06±22.34)分,均高于对照组的(130.41±15.75)分、(155.41±19.88)分,组间差异有统计学意义(P<0.05)。观察组营养不良、肺部感染、呛咳、误吸等并发症总发生率为12.50%,低于对照组的32.50%,差异有统计学意义(P<0.05)。结论对脑卒中合并吞咽障碍患者给予5E康复模式下延续护理干预,能够有效纠正患者遵医行为,改善吞咽功能,增强健康韧性,减少相关并发症的发生,提升生活质量。
Objective To observe and explore the effect of continuous nursing intervention under the 5E rehabilitation mode on stroke patients with swallowing disorders,as well as its impact on their compliance behavior and swallowing function recovery.Methods 80 patients with stroke complicated with dysphagia treated in our hospital from January 2022 to June 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method.The control group(n=40)was given routine nursing,and the observation group(n=40)was given continuous nursing under 5E rehabilitation mode.Compliance behavior,swallowing function,health resilience,quality of life and complications were compared between the two groups.Results The rate of compliance behavior in observation group was 92.50%,higher than 72.50%in the control group,and the difference was statistically significant(P<0.05).Before intervention,there were no significant differences in Standardized Swallowing Assessment(SSA)score,Health-Related Hardiness Scale(HRHS)score and Swallowing Quality of life(SWAL-QOL)score between the two groups(P>0.05);after intervention,the SSA score of the observation group was(14.82±2.26)points,lower than(19.78±2.32)points of the control group,HRHS score was(141.28±15.89)points,SWAL-QOL score was(176.06±22.34)points,the results were higher than(130.41±15.75)points and(155.41±19.88)points in the control group,and the differences between groups were statistically significant(P<0.05).The total incidence of malnutrition,pulmonary infection,cough,aspiration and other complications in the observation group was 12.50%,lower than 32.50%in the control group,the difference was statistically significant(P<0.05).Conclusion Continuous nursing intervention under the 5E rehabilitation mode can effectively correct patients'compliance behavior,improve swallowing function,enhance health resilience,reduce the occurrence of related complications,and improve the quality of life for stroke patients with swallowing disorders.
作者
任翠美
张娴
李鑫
REN Cuimei;ZHANG Xian;LI Xin(Department of Neurology,The Second Affiliated Hospital of Shandong First Medical,Tai'an Shandong,University 271000,China)
出处
《反射疗法与康复医学》
2023年第19期122-125,共4页
Reflexology And Rehabilitation Medicine
关键词
脑卒中
吞咽障碍
5E康复模式
延续护理
遵医行为
吞咽功能
Stroke
Swallowing disorders
5E rehabilitation mode
Continuing care
Medical compliance behavior
Swallowing function
作者简介
任翠美(1976-),女,山东济南人,本科,主管护师,研究方向:延续护理,脑卒中合并吞咽障碍康复护理;通信作者:张娴(1976-),女,山东泰安人,本科,副主任护师,研究方向:延续护理,脑卒中合并吞咽障碍康复护理,邮箱:fuyuanzhangxian@126.com。
