安全护理在急性脑卒中吞咽障碍患者进食中的作用

目的 探讨急性脑卒中吞咽障碍患者进食中安全护理的干预措施.方法 对93例急性脑卒中吞咽障碍患者随机分为观察组46例和对照组47例.对照组采用神经内科常规进食护理,观察组采用安全进食护理干预,包括心理护理、直接吞咽训练、间接吞咽训练.14天后观察两组患者吞咽功能恢复情况,采用才藤氏吞咽障碍7级评价法评价治疗效果.结果 通过对患者进食进行安全护理干预,观察组有89.13%急性脑卒中吞咽障碍患者吞咽功能均获得不同程度的改善,而对照组只有68.08%吞咽障碍患者吞咽功能改善.结论 对急性脑卒中吞咽障碍患者进食进行安全护理干预,有利于更好提高患者吞咽功能,促进患者早日康复.

Effect of safety nursing on acute stroke patients with dysphagia during taking food

Objective To explore the strategy of safety nursing intervention on the acute stroke patients with dysphagia. Methods 93 acute stroke patients with dysphagia were divided randomly into the observation group (n=46) and control group (n=47). The patients in the control group received the conventional eating nursing; the patients in the observation group received safety nursing intervention,included psychological nursing, direct swallowing training and indirect swallowing training. The recovery condition of swallowing function of all patients was observed after 14 days, and the therapeutic effect was assessed with seven levels Saitoh method. Results 89.13% of the acute stroke patients with dysphagia in the observation group made some improvement, in various degrees, on the swallowing function. And only 68.08% patients in the control group. Conclusion The safety nursing intervention can improve the swallowing function of acute stroke patients with dysphagia, and promote the patients' early recovery.