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食物形态改变结合吞咽护理在脑卒中吞咽障碍患者中的应用

Application of food morphology change combined with swallowing nursing in patients with dysphagia after stroke
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摘要 目的分析食物形态改变结合吞咽护理在脑卒中吞咽障碍患者中的应用效果。方法采用随机数字表法将2021年2月-2022年6月收治的86例脑卒中吞咽障碍患者分为两组,对照组43例开展常规护理干预,观察组43例开展食物形态改变结合吞咽护理干预,对比两组洼田饮水实验级别、吞咽活动恢复情况、不良事件发生情况、满意度等。结果观察组洼田饮水实验优良率为90.70%,比对照组的65.12%高,组间比较差异显著(P<0.05);千预后观察组HmaxD、UES开放率均高于对照组,PPT短于对照组,组间比较差异显著(P<0.05);观察组不良事件发生率为6.98%,比对照组的27.91%低,护理满意度为95.35%,比对照组的76.74%高(P<0.05)。结论食物形态改变结合吞咽护理模式应用于脑卒中吞咽障碍患者中,可有效促进患者吞咽功能的恢复,改善吞咽困难症状,减少吸入性肺炎等不良事件的发生率,提高患者生活质量。 Ob ject ive To analyze the effect of food morphology change combined with swallowing nursing in patients with dysphagia after stroke.Methods 86 patients with dysphagia after stroke admitted from February 2021 to June 2022 were randomly divided into two groups.43 patients in the control group were given routine nursing intervention,43 patients in the observation group were given food morphology changes combined with swallowing nursing intervcntion,and the experimental level of drinking water,recovery of swallowing activities,occurrence of adverse events,satisfaction,etc.were compared between the two groups.Results The excellent and good rate of Watian drinking water experiment in the observation group was 90.70%,higher than 65.12%in the control group,with significant difference between groups(P<0.05);after intervention,the opening rate of HmaxD and UES in the observation group was higher than that in the control group,and the PPT was shorter than that in the control group,with significant difference between groups(P<0.05);the incidence of adverse events in the observation group was 6.98%,which was lower than 27.91%in the control group,and the satisfaction of nursing was 95.35%,which was higher than 76.74%in the control group(P<0.05).Conclusion The combination of food morphology change and swallowing nursing mode in patients with dysphagia after stroke can effectively promote the recovery of patients'swallowing function,improve the symptoms of dysphagia,reduce the incidence of adverse events such as inhalation pneumonia,and improve the quality of life of patients.
作者 王淑珍 刘婷 Wang Shuzhen;Liu Ting(Xingguo County People's Hospital,Ganzhou,Jiangxi 342400,China)
出处 《首都食品与医药》 2023年第7期127-130,共4页 Capital Food Medicine
关键词 脑卒中 吞咽障碍 食物形态改变 吞咽护理 应用效果 Stroke Dysphagia Food form changes Swallowing care Application effect
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