摘要
目的探讨容积-黏度吞咽试验配合预见性护理对脑卒中患者预后的影响。方法选择2021年3月至2023年3月在本院就诊的脑卒中患者60例,随机分组,即对照组、观察组,均30例。对照组采用常规护理和康复训练,观察组在对照组的基础上增加容积-黏度吞咽试验配合预见性护理。观察并记录两组吞咽功能、营养指标、生活质量、胃管滞留时间、住院时间、并发症发生情况、吞咽困难干预有效率。结果观察组吞咽功能等级Ⅰ级、Ⅱ级高于对照组,Ⅲ级、Ⅳ级、Ⅴ级低于对照组(P<0.05);观察组ALB、TP、TLC、Hb水平高于对照组(P<0.05);观察组生活质量评分高于对照组(P<0.05);两组胃管滞留时间、住院时间长于对照组(P<0.05),观察组误吸、吸入性肺炎发生率均低于对照组(P<0.05);观察组吞咽困难干预有效率96.67%高于对照组吞咽困难干预有效率73.33%(P<0.05)。结论容积-黏度吞咽试验配合预见性护理可显著改善脑卒中患者吞咽困难,改善患者营养状态,提高生活质量,降低并发症发生。
Objective To investigate the effect of volume-viscosity swallowing test combined with predictive nursing on the prognosis of stroke patients.Methods A total of 60 stroke patients admitted to our hospital from March 2021 to March 2023 were randomly divided into control group and observation group,with 30 cases in each group.The control group received routine nursing and rehabilitation training,and the observation group was supplemented with volume-viscosity swallowing test and predictive nursing.Swallowing function,nutritional indexes,quality of life,gastric tube retention time,hospital stay,complications,dysphagia intervention efficiency of the two groups were observed and recorded.Results The level of swallowing function of gradeⅠandⅡin observation group was higher than that of control group,and that of gradeⅢ,ⅣandⅤwas lower than that of control group(P<0.05).The levels of ALB,TP,TLC and Hb in observation group were higher than those in control group(P<0.05).The life quality score of observation group was higher than that of control group(P<0.05).The retention time and hospitalization time of gastric tube in two groups were longer than those in control group(P<0.05),and the incidence of aspiration pneumonia in observation group was lower than that in control group(P<0.05).The effective rate of dysphagia intervention in observation group was 96.67%higher than that in control group(73.33%)(P<0.05).Conclusion Volumetric viscosity swallowing test combined with predictive nursing can significantly improve dysphagia,improve nutritional status,improve quality of life and reduce complications in stroke patients.
作者
李慧丽
安方方
杜曼
Li Hui-li;An Fang-fang;Du Man(Henan Provincial People's Hospital Rehabilitation Department No.1 Ward,Zhengzhou 450000,Henan Province,China)
出处
《罕少疾病杂志》
2023年第7期96-98,共3页
Journal of Rare and Uncommon Diseases
基金
河南省卫生科技计划项目(20211220)。
关键词
容积-黏度吞咽试验
预见性护理
脑卒中
预后
Volume-viscosity Swallowing Test
Predictive Care
Cerebral Apoplexy
Prognosis
作者简介
第一作者/通讯作者:李慧丽,女,主管护师,主要研究方向:容积-黏度吞咽试验配合预见性护理对脑卒中患者预后的影响。E-mail:13526625367@163.com。
