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目的探讨老年脑卒中患者吞咽障碍施行综合护理的可行性。方法选择接受治疗的脑卒中后吞咽障碍的患者108例,将所有患者随机分为观察组与对照组,每组54例,给予对照组患者常规护理,观察组在对照组的基础上给予心理护理、吞咽障碍护理训练等综合护理干预,评估两组患者实施护理干预后吞咽障碍情况,评价护理有效率,并依据GQOL-74量表对两组患者的生活质量进行评分。结果观察组护理有效率为92.6%(50/54),明显高于对照组的66.7%(38/54),组间差异显著,具有统计学意义(P<0.05),观察组患者的生活质量评分为(81.35±8.26)分,对照组患者的生活质量评分为(67.58±9.01)分,组间差异显著,具有统计学意义(P<0.05)。结论对老年脑卒中吞咽功能障碍患者实施综合护理,能有效改善患者的吞咽功能,提高患者的生活质量,具有可行性,值得临床推广。
Objective To explore the feasibility of comprehensive nursing for swallowing disorders in elderly patients with stroke. Methods A total of 108 patients with dysphagia after stroke were enrolled in this study. All patients were randomly divided into observation group and control group, 54 cases in each group. The patients in the control group were given routine nursing care. The observation group was given psychological care on the basis of the control group , Dysphagia nursing training and other comprehensive nursing intervention to assess the two groups of patients with swallowing disorders after nursing intervention to evaluate the effectiveness of nursing, and according to GQOL-74 scale two groups of patients quality of life score. Results The effective rate of nursing in the observation group was 92.6% (50/54), significantly higher than that in the control group (66.7%, 38/54), with significant difference between the two groups (P <0.05). The quality of life The score was (81.35 ± 8.26) points, and the quality of life score of the control group was (67.58 ± 9.01) points. There was significant difference between the two groups (P <0.05). Conclusions The comprehensive nursing care for patients with swallowing dysfunction in senile stroke can effectively improve the swallowing function and improve the quality of life of patients, which is feasible and worthy of clinical promotion.