摘要
目的探讨脑卒中吞咽障碍患者间歇性置管注食的循证护理方案。方法运用循证方法得出证据形成建议,制订间歇性置管注食的标准和流程,并对护理人员进行培训,设计患者资料表,在临床实施,进行资料收集及效果评价。结果间歇性置管注食能减少脑卒中吞咽障碍患者吸入性肺炎及腹泻的发生率,较对照组比较(P<0.05),差异有统计学意义;观察组护士的回答准确率明显高于对照组。结论对吞咽障碍患者进行间歇性置管注食,可改善患者的吞咽功能,减少并发症的发生,提高患者生活质量。
Objective To investigate the evidence-based nursing project for intermittent catheter feeding in patients with dysphagia due to stroke.Methods Evidence formation recommendations were obtained by evidence-based methods.Standards and procedures for intermittent catheter feeding were formulated.Nursing staff were trained,patient data sheets were designed,and data collection and effect evaluation were conducted in clinical practice.Results Intermittent catheter feeding can reduce the incidence of aspiration pneumonia and diarrhea in stroke patients with dysphagia,which is statistically significant compared with the control group(P<0.05).The answer accuracy rate of nurses in the observation group was significantly higher than that in the control group.Conclusion Intermittent catheter feeding improves swallowing function,reduces the incidence of complications,and improves the quality of life of patients with dysphagia.
作者
温梦玲
李春霞
李建华
卜淑娟
王翠丽
梁允炫
WEN Mengling;LI Chunxia;LI Jianhua;BU shujuan;WANG Cuili;LIANG Yunxuan(Affitiatecl Hospital of Guang Zhou Medical University,Zhanjiang 524001 China)
基金
湛江市财政资金科技专项(编号:2015A01020)。
关键词
卒中
脑血管病
管饲
循证护理
最佳实践
stroke
feeding method
tube feeding
evidence-based nursing
best practice
