摘要
目的:讨论护理干预对降低脑卒中吞咽障碍患者误吸发生率及睡眠所产生的影响。方法:选取2017年1月至12月深圳市宝安区福永人民医院收治的脑卒中患者76例作为研究对象,按照随机数字表法分为观察组和对照组,每组38例。对照组予以常规护理,观察组在常规护理基础上辅以护理干预,比较2组误吸、吸入性肺炎等情况,同时观察、分析误吸发生因素,比较PSQI评分。结果:观察组患者误吸低风险、中风险及高风险发生率、吸入性肺炎发生率明显低于对照组患者,差异有统计学意义(P<0.05)。治疗后2组PSQI评分均降低,且观察组显著低于对照组,差异有统计学意义(P<0.05)。结论:脑卒中吞咽功能障碍患者采取护理干预后有效的降低了误吸及吸入性肺炎的发生率,有效改善了睡眠状况,值得推广。
Objective:To discuss the influence of nursing intervention on reducing the incidence of ingestion and sleep in stroke patients with swallowing disorder.Methods:A total of 76 patients with stroke were randomly selected in the hospital from January to December 2017.According to the random number table method,they were divided into observation group and control group,38 cases in each group.Among them,the control group was given regular care,while the observation group was supplemented by nursing intervention based on the regular care.The two groups were compared with the cases of accidental aspiration and aspiration pneumonia,and the factors of accidental aspiration were observed and analyzed,and the PQI scores were compared.Results:The incidence of low risk,medium risk and high risk of accidental aspiration and aspiration pneumonia in the intervention group were significantly lower than those in the normal group,and the difference was statistically significant(P<0.05).After treatment,the PQI score was decreased in both groups,and the intervention group was significantly lower than the normal group(P<0.05).Conclusion:The nursing intervention of stroke patients with swallowing dysfunction can effectively reduce the incidence of accidental aspiration and aspiration pneumonia,and improve the sleep condition,which is worth promoting.
作者
李清
Li Qing(Shenzhen Baoan District Fuyong People′s Hospital,Shenzhen 518000,China)
出处
《世界睡眠医学杂志》
2019年第12期1731-1733,共3页
World Journal of Sleep Medicine
关键词
护理干预
脑卒中
吞咽障碍
误吸
Nursing intervention
Stroke
(a)Inability to swallow
Absorption
