团队式延续性护理对脑卒中吞咽功能障碍患者预后的影响

目的 探讨团队式延续性护理在脑卒中吞咽功能障碍患者应用效果。 方法 整体抽样法选取绍兴市人民医院在2017年12月—2018年12月期间收治的76例脑卒中吞咽功能障碍患者,患者均符合本院入组条件,按随机数字表法将患者分为对照组(38例)与观察组(38例),2组患者基线资料比较,差异均无统计学意义,对观察组、对照组患者分别采取常规护理、团队式延续性护理,比较2组患者护理前后生活质量、吞咽障碍改善及自我效能感变化。 结果 护理前后洼田饮水试验评分:观察组分别为(3.80±0.52)分、(1.05±0.24)分,对照组分别为(3.78±0.51)分、(2.49±0.36)分;差异有统计学意义(t=29.600、12.738,均P<0.001);护理前后生活质量EDQoL评分:观察组分别为(86.51±12.40)分、(41.02±6.72)分、对照组分别为(85.95±12.38)分、(58.72±8.04)分;差异有统计学意义(t=19.882、11.371,均P<0.001);护理前后自我效能感评分:观察组分别为(24.80±5.36)分)、(48.56±7.35)分、对照组分别为(25.02±5.41)分、(36.71±7.28)分;差异具有统计学意义(t=16.101、7.945,均P<0.001);观察组护理后洼田饮水试验评分、生活质量评分低于对照组,自我效能感高于对照组(均P<0.05)。 结论 团队式延续性护理可提高脑卒中吞咽功能障碍患者生活质量,改善患者吞咽障碍,临床价值高,值得推广。 

Effect of team-based continuous nursing on the prognosis of patients with swallowing dysfunction

Objective To explore the effect of team-based continuous nursing on stroke patients with swallowing dysfunction. Methods The overall sampling method was used to select 76 patients with swallowing dysfunction who were admitted to our hospital from December 2017 to December 2018. All patients were eligible for enrollment. The patients were divided into control group according to the principle of randomized control(n=38) and the observation group(n=38), the baseline data of the two groups were statistically different, and the difference was not statistically significant. The patients in the observation group and the control group were treated with routine nursing and team-style continuous nursing. The quality of life, improvement of dysphagia and self-efficacy of the patients before and after treatment. Results The scores of Putian drinking water test before and after treatment were(3.80±0.52) points and(1.05±0.24) points in the observation group and(3.78±0.51) points and(2.49±0.36) points in the control group. The difference was statistically significant(t=29.600, 12.738, all P<0.001); the quality of life before and after treatment EDQoL score: the observation group was(86.51±12.40),(41.02±6.72), and the control group were(85.95±12.38) points,(58.72±8.04) points. The differences were statistically significant(t=19.882, 11.371, all P<0.001). Self-efficacy scores before and after treatment:(24.80±5.36) points,(48.56±7.35) points in the observation group, and(25.02±5.41) points and(36.71±7.28) points in the control group, respectively. The differences were statistically significant(t=16.101, 7.945, all P<0.001). The scores of the drinking water test and the quality of life scores of the observation group were lower than those of the control group, and the self-efficacy was higher than that of the control group(all P<0.05). Conclusion Team-based continuous nursing can improve the quality of life of patients with swallowing dysfunction and improve dysphagia. It has high clinical value and is worth promoting.