早期康复护理干预影响脑卒中吞咽障碍患者功能恢复研究.docVIP

早期康复护理干预影响脑卒中吞咽障碍患者功能恢复研究 　　【摘要】 目的：观察早期康复护理在改善脑卒中伴吞咽困难患者功能恢复中的作用及疗效。方法：对66例诊断为吞咽困难的脑卒中患者进行临床分组观察，对照组给予常规护理，观察组在对照组的基础上给予早期康复护理，观察两组患者治愈率、洼田氏饮水试验，并进行心理状态量评分调查。结果：观察组临床治愈率为70.59%，显著高于对照组的21.88%，两组比较差异有统计学意义（P0.05）。两组患者在治疗后，洼田氏饮水试验均有一定的改善，观察组与对照组比较，改善更为明显（P0.05）。观察组心理状态（SAS、SDS）、自尊评价（SES）等相关生活质量评分亦显著好于对照组（P0.05）。结论：早期康复护理干预，能够帮助脑卒中伴吞咽困难患者进行吞咽功能的改善，提高患者的心理状态。 　　【关键词】 早期康复护理； 脑卒中； 吞咽障碍 　　Study on Functional Recovery of Early Rehabilitation Nursing Intervention Influencing Stroke Patients with dysphagia/DUAN Hong-xia，WANG Hui，LI Yi-jing.//Medical Innovation of China，2015，12（08）：077-079 　　【Abstract】 Objective：To observe the role and efficacy of early rehabilitation nursing in improving function recovery in patients with stroke with dysphagia.Method：66 stroke with dysphagia patients were observed，control group was given conventional treatment，observation group was given early rehabilitation nursing on the basis of control group， two groups were observed in the cure rate，Watian drinking water test， and mental state assessment survey.Result：The cure rate in observation group was 70.59%，significantly higher than that of 21.88% in control group，the difference between two groups were statistically significant（P0.05）.Patients in two groups after treatment，Watian drinking water test had been improved，observation group compared with control group，improved more obviously（P0.05）.Mental state（SAS，SDS），self-esteem （SES） and other related life quality scores，observation group was significantly better than control group（P0.05）.Conclusion：Early rehabilitation nursing intervention can help stroke patients with dysphagia swallowing functional improvement，improve the psychological status of the patients. 　　【Key words】 Early rehabilitation nursing； Cerebral apoplexy； Swallowing disorder 　　First-author’s address：Xili People’s Hospital of Nanshan District in Shenzhen，Shenzhen 518055，China 　　doi：10.3969/j.issn.1674-4985.2015.08.028 　　吞咽功能障碍是临床急性脑卒中患者中最多见的一类并发症[1]。有研究显示[2]，其发生率在急性脑卒中患者中