摘要
目的 探讨预见性护理应用于缺血性脑卒中吞咽障碍患者在症状改善、并发症预防方面的影响。方法 选取2022年3月—2024年4月在医院收治的缺血性脑卒中吞咽障碍患者118例作为研究对象,按照组间基线资料均衡可比的原则分为对照组和观察组,每组59例。对照组实施常规护理干预,观察组在对照组常规护理基础上增加预见性护理措施。观察两组患者自我效能感、自我护理能力、吞咽功能、吞咽障碍改善效果及并发症预防情况。结果 干预1个月后,观察组患者一般自我效能感量表(GSES)评分与自护能力测定量表(ESCA)评分均高于对照组(P<0.05);干预1个月后观察组患者改良Mann吞咽能力量表(MMASA)评分与功能性经口摄食量表(FOIS)评分均高于对照组(P<0.05);观察组患者吞咽障碍改善效果优于对照组(P<0.05);观察组患者误吸、吸入性肺炎并发症总发生率低于对照组(P<0.05)。结论 预见性护理用于缺血性脑卒中吞咽障碍患者,可提高患者吞咽功能、吞咽障碍改善效果,预防吸入性肺炎,有助于提高患者康复效果。
Objective To explore the impact of predictive nursing on symptom improvement and complications prevention in patients with dysphagia after ischemic stroke.Methods A total of 118 patients with dysphagia after ischemic stroke,admitted to the hospital from March 2022 to April 2024,were selected as the study subjects.According to the principle of balanced and comparable baseline data between the groups,the patients were divided into the control group and the observation group,with 59 patients in each group.The control group received routine nursing interventions,while the observation group received predictive nursing interventions in addition to the routine nursing interventions provided to the control group.The self-efficacy,self-care ability,swallowing function,improvement in dysphagia,and prevention of complications were observed in both groups of patients.Results One month after the intervention,the General Self-Effi cacy Scale(GSES)score and Exercise of Self-Care Agency scale(ESCA)score in the observation group were higher than those in the control group(P<0.05).One month after the intervention,the Modifi ed Mann Assessment of Swallowing Ability(MMASA)score and Functional Oral Intake Scale(FOIS)score in the observation group were higher than those in the control group(P<0.05).The improvement in dysphagia in the observation group was better than that in the control group(P<0.05).The overall incidence of aspiration and aspiration pneumonia complications in the observation group was lower than that in the control group(P<0.05).Conclusion The application of predictive nursing in patients with dysphagia after ischemic stroke can improve swallowing function,enhance the improvement of dysphagia,prevent aspiration pneumonia,and contribute to better rehabilitation outcomes.
作者
刘薇薇
崔萍萍
王颖
梅芹
罗雅雯
LIU Weiwei;CUI Pingping;WANG Ying;MEI Qin;LUO Yawen(Dongtai People's Hospital,Yancheng 224200,China)
出处
《护理实践与研究》
2025年第12期1856-1861,共6页
Nursing Practice and Research
基金
盐城市卫生健康委员会、盐城市科学技术局医学科技发展计划重点项目(编号:20239511)。
关键词
缺血性脑卒中
吞咽障碍
预见性护理
吸入性肺炎
并发症
康复
Ischemic stroke
Dysphagia
Predictive nursing
Aspiration pneumonia
Complications
Rehabilitation
