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目的探讨延伸护理方案对脑卒中后吞咽障碍患者的效果及意义。方法将108例患者随机分为对照组及治疗组各54例。对照组仅在住院期间给予常规康复指导,治疗组在此基础上出院后实施延伸护理方案。对比二组患者出院后4周及8周后吞咽功能恢复情况、满意度及治疗依从性的差异。结果治疗组在出院后4周及8周吞咽功能恢复明显高于对照组(P<0.05),同时满意度和依从性也显著高于对照组(P<0.05)。结论延伸护理干预弥补了脑卒中吞咽障碍患者出院后缺乏科学系统康复的缺陷,对促进其吞咽功能恢复及疾病后期的康复有显著的效果,具有推广意义。
Objective To explore the effect and significance of extended nursing program on patients with post-stroke dysphagia. Methods 108 patients were randomly divided into control group and treatment group of 54 cases. The control group was given routine rehabilitation guidance only during hospitalization, and on the basis of this, the treatment group was discharged after the implementation of extended care program. The difference of swallowing recovery, satisfaction and treatment compliance were compared between the two groups after 4 weeks and 8 weeks after discharge. Results The recovery of swallowing function in the treatment group at 4 and 8 weeks after discharge was significantly higher than that in the control group (P <0.05), while the satisfaction and compliance were also significantly higher than those in the control group (P <0.05). Conclusion Extensive nursing intervention can make up for the lack of scientific and systematic rehabilitation after swallowing stroke patients have dysphasia, and have a significant effect on the recovery of swallowing function and later rehabilitation of disease, which is of great promotion.