摘要
目的评价基于脑卒中吞咽障碍患者循证管理方案的效果。方法选取2017年1月至2018年10月在我院进行脑卒中治疗及护理的患者,分为对照组和干预组,运用类实验方法,对照组实施常规吞咽障碍管理,干预组实施脑卒中吞咽障碍患者循证管理方案。结果干预组与对照组比较,在吞咽障碍筛查率及结果记录率、吞咽功能评估、胃管留置率及留置时间,脑卒中后肺炎发生率、平均住院费用及平均住院时间,差异均有统计学意义(p<0.05)。结论本研究基于脑卒中吞咽障碍患者循证管理方案,使脑卒中吞咽障碍患者诊疗质量得到提升,为临床医护人员开展相关干预研究提供了证据,奠定了基础。
Objective To evaluate the effect of an evidence-based management program for stroke patients with dysphagia.Method Patients who underwent stroke treatment and care in our hospital from January 2017 to October 2018 were divided into the control group and the intervention group.The quasiexperiment method was used.Routine dysphagia management was used in the control group,and evidence-based management program was adopted in the intervention group.Results The intervention group showed significant difference with the control group,in the screening rate and recording rate of dysphagia,evaluation of swallowing function,rate and time of indwelling gastric tube,the incidence of pneumonia after stroke,average expenses,and average length of stay(p<0.05).Conclusion This study showed that evidence-based management program for stroke patients with dysphagia improved the quality of diagnosis and treatment,and provided evidence and laid the foundation for conducting intervention study.
作者
黄凡
闵小彦
郑晓倩
HUANG Fan;MIN Xiao-yan;ZHENG Xiao-qian(The 2^nd Affiliated Hospital of Wenzhou Medical University)
出处
《医院管理论坛》
2019年第11期43-46,42,共5页
Hospital Management Forum
基金
浙江省自然科学基金项目，编号：LY12H06005
关键词
脑卒中
吞咽障碍管理
循证护理
Stroke
Dysphagia management
Evidence-based nursing
