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目的探讨功能训练的护理模式在脑卒中吞咽障碍患者中的应用效果评价。方法将88例脑卒中吞咽障碍患者随机分为对照组和实验组各44例,对照组采用常规护理,实验组实施健康宣教、功能训练等全程护理模式,比较2组患者干预后治疗效果、生活质量和满意度的差异。结果实施功能训练模式后,实验组治疗有效率(93.2%)明显高于对照组(75.0%),差异有统计学意义(Z=2.58,P<0.05),实验组患者生活质量评分(165.4±16.1)分明显高于对照组患者生活质量评分(137.6±18.2)分,差异有统计学意义(t=7.59,P<0.05)。两组患者治疗前NIHSS评分比较差异无统计学意义(t=0.27,P>0.05);实验组患者治疗后3d、1周、2周的NIHSS评分均高于对照组患者相应时间的评分,差异有统计学意义(P<0.05)。结论功能训练的护理模式可显著恢复脑卒中吞咽障碍患者神经功能,治疗效果显著,改善生活质量。
Objective To evaluate the effect of functional training nursing in stroke patients with swallowing disorders. Methods 88 stroke patients with dysphagia were randomly divided into control group and experimental group, 44 cases in each group. The control group was treated with routine nursing. The experimental group was given complete nursing model including health education and functional training. The effects of treatment, Differences in quality and satisfaction. Results After the functional training mode was implemented, the effective rate of the experimental group was significantly higher than that of the control group (93.2% vs 75.0%, Z = 2.58, P <0.05), and the quality of life of the experimental group was 165.4 ± 16.1) was significantly higher than that of the control group (137.6 ± 18.2), the difference was statistically significant (t = 7.59, P <0.05). There was no significant difference in NIHSS score between the two groups before treatment (t = 0.27, P> 0.05). NIHSS scores of the experimental group at 3d, 1 week and 2 weeks after treatment were higher than those of the control group, the differences There was statistical significance (P <0.05). Conclusion The nursing model of functional training can significantly restore the neurological function of stroke patients with dysphagia, and the treatment effect is remarkable and the quality of life is improved.