摘要
目的探讨神经康复护理联合院外延续性护理在老年吞咽障碍患者中的应用效果.方法选取2019年3月—2021年5月本院收治的90例老年吞咽障碍患者,随机将其分为观察组45例和对照组45例.观察组采用神经康复护理联合院外延续性护理,对照组采用常规护理.护理后1、4个月,比较两组患者焦虑抑郁程度、吞咽功能、日常生活能力、生活质量、临床疗效.结果护理后1、4个月,观察组焦虑自评量表、抑郁自评量表评分均低于对照组,组间差异有统计学意义(P<0.05);观察组患者有效进食和饮水指标评分均高于对照组,组间差异有统计学意义(P<0.05);观察组日常生活能力量表、健康调查简表评分均高于对照组,组间差异有统计学意义(P<0.05);观察组临床总有效率明显高于对照组,差异有统计学意义(P<0.05).结论将神经康复护理联合院外延续性护理应用于老年吞咽障碍患者中,可以减轻患者焦虑、抑郁情绪,提高患者吞咽功能、日常生活能力以及生活质量,进一步提升临床疗效.
Objective To explore the application effect of neuro-rehabilitation nursing combined with out-of-hospital continuous nursing in elderly patients with dysphagia.Methods A total of 90 elderly patients with dysphagia admitted in the hospital from March 2019 to May 2021 were selected and randomly divided into 45 cases in an observation group and 45 cases in a control group.The observation group used neuro-rehabilitation nursing combined with out-of-hospital continuous nursing,and the control group used conventional nursing.After 1 and 4 months of nursing,the degree of anxiety and depression,swallowing function,ability of daily living,quality of life and clinical efficacy were compared between the two groups.Results After 1 and 4 months of nursing,the self-rating anxiety scale,depression self-rating scale scores of the observation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05);the effective eating and drinking index scores of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05);the activity of daily living scale,the MOS item short from health survey scores of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05);the clinical total effective rate of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Applying neuro-rehabilitation nursing combined with out-of-hospital continuation nursing to elderly patients with dysphagia can reduce anxiety and depression,improve swallowing function,ability of daily living and quality of life,and further improve clinical efficacy.
作者
刘乃霞
尹明英
LIU Naixia;YIN Mingying(Department of Rehabilitation,People's Hospital of Yiyuan County,Zibo City,Zibo Shandong,256100,China;Department of Surgery,People's Hospital of Yiyuan County,Zibo City,Zibo Shandong,256100,China)
出处
《反射疗法与康复医学》
2022年第9期155-158,166,共5页
Reflexology And Rehabilitation Medicine
关键词
神经康复护理
院外延续性护理
老年吞咽障碍
效果
Neuro-Rehabilitation nursing
Out-of-Hospital continuous nursing
Dysphagia in the elderly
Effect
作者简介
刘乃霞(1974-),女,山东淄博人,本科,主管护师,研究方向:老年吞咽障碍患者的康复护理。
