摘要
目的研究基于信息-动机-行为技巧(IMB)模型的护理干预在脑卒中吞咽障碍患者中的应用效果。方法选择80例脑卒中吞咽障碍患者,按信封法随机分为对照组和干预组各40例,其中对照组采用常规护理干预,干预组在对照组基础上实施基于IMB模型的护理干预,2组均进行4周的护理干预。比较2组患者护理干预前后洼田饮水试验评定等级、经口摄食功能评分及生活质量评分,比较2组疗效。结果4周后2组患者洼田饮水试验评定等级有所降低,相比对照组,干预组降低更为明显(P<0.05);2组患者经口摄食功能评分及生活质量评分均有所增加,相比对照组,干预组增加更为明显(P<0.01)。干预组治疗总有效率明显高于对照组(P<0.05)。结论在脑卒中吞咽障碍患者中应用基于IMB模型的护理干预,能改善患者吞咽功能,有效提高患者的护理效果及生活质量。
Objective To explore the efficacy of nursing intervention based on information-motivation-behavior skill(IMB)model in patients with dysphagia after stroke.Methods Eighty stroke patients with dysphagia were randomly given routine nursing care alone(control group,n=40)or in combination with IMB model-based nursing intervention(intervention group,n=40)for 4 weeks.The swallowing function was evaluated by water swallow test.In addition,functional oral intake scale score and life quality score were measured in both groups.The curative effects of the two groups were compared.Results After 4 weeks of intervention,the grade evaluated by water swallow test decreased and scores of functional oral intake and life quality increased in both groups.Furthermore,the improvement in intervention group was more obvious than that in control group(P<0.05 or P<0.01).The total effective rate in intervention group was higher than that in control group(P<0.05).Conclusion IMB model-based nursing intervention can improve swallowing function,nursing effect and quality of life in stroke patients with dysphagia.
作者
袁俊
胡婷婷
胡琴艳
YUAN Jun;HU Ting-ting;HU Qin-yan(School of Nursing,Nanchang University,Nanchang 330006,China)
出处
《实用临床医学（江西）》
CAS
2020年第4期66-69,共4页
Practical Clinical Medicine
