家属参与康复护理在脑卒中后吞咽障碍患者中的应用效果

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摘要目的探讨家属参与康复护理对脑卒中（CAV）后吞咽障碍（DAS）患者的临床价值。方法选取2017年1月～2018年1月我院收治120 例CAV 后DAS 患者作为研究对象，按照随机数字表法分为对照组（60 例）和观察组（60 例）。对照组采用常规康复护理，观察组采用家属参与康复护理。比较两组吞咽功能评分、洼田饮水试验分级、住院时间、住院费用及并发症发生情况。结果观察组吞咽功能评分高于对照组，差异有统计学意义（P＜0.05）；观察组护理后洼田饮水试验分级优于对照组，差异有统计学意义（P＜0.05）；观察组住院时间短于对照组，住院费用低于对照组，差异均有统计学意义（P＜0.05）；观察组并发症发生率低于对照组，差异有统计学意义（P＜0.05）。结论家属参与康复护理能改善CAV 后DAS 患者的吞咽功能，缩短住院时间，降低住院费用及并发症的发生率。

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	张涛
	区美琼

关键词 ：家属, 康复护理, 脑卒中后吞咽障碍, 并发症

Abstract：Objective To explore the clinical value of family members participating in rehabilitation nursing for patients with dysphagia (DAS) after stroke (CAV).Methods A total of 120 patients with DAS after CAV in our hospital from January 2017 to January 2018 were selected as the study subjects.They were divided into control group (n=60)and observation group (n=60) according to random number table method.The control group received routine rehabilitation nursing,the observation group used family members to participate in rehabilitation nursing.The swallowing function score,watian drinking water test classification,hospitalization time,hospitalization expenses and incidence of complications were compared between the two groups.Results The swallowing function score of the observation group was higher than that of the control group,with statistical difference (P＜0.05).The grading of watian drinking water test in observation group after nursing was better than that in the control group,and the difference was statistically significant(P＜0.05).The hospitalization time of the observation group was shorter than that of the control group,and the hospitalization cost was lower than that of the control group,the differences were statistically significant (P＜0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant (P＜0.05).Conclusion Family involvement in rehabilitation nursing can improve swallowing function,shorten hospitalization time,reduce hospitalization costs and the incidence of complications in patients with DAS after CAV.

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Family Rehabilitation nursing Dysphagia after stroke

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引用本文:

张涛; 区美琼. 家属参与康复护理在脑卒中后吞咽障碍患者中的应用效果[J]. 中国当代医药, 2020, 27(1): 238-240.
ZHANG Tao; OU Mei-qiong. Application effect of family members participating in rehabilitation nursing in patients with dysphagia after stroke. 中国当代医药, 2020, 27(1): 238-240.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2020/V27/I1/238

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