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Open Access Article

Journal of Advances in Clinical Nursing. 2025; 4: (1) ; 7-10 ; DOI: 10.12208/j.jacn.20250003.

Application of early rehabilitation nursing combined with feeding training in stroke patients with dysphagia
早期康复护理结合摄食训练在脑卒中吞咽障碍患者中的应用

作者: 孙晓燕, 施剑, 万婕, 韩俊兰 *

上海市同济大学附属杨浦医院 上海

*通讯作者: 韩俊兰,单位:上海市同济大学附属杨浦医院 上海;

发布时间: 2025-01-28 总浏览量: 244

摘要

目的 分析对脑卒中吞咽障碍患者实施早期康复护理结合摄食训练的临床应用效果。方法 此次研究对象筛选2023年6月至2024年6月期间我院接收的脑卒中吞咽障碍患者60例,运用随机数字表法将所有患者分成两组开展护理研究,组别类型为观察组与对照组,每一组中有患者30例。对照组接受常规护理,观察组开展早期康复护理联合摄食训练干预,分析并对比两组最终取得的临床护理效果。结果 两组最终结果比较后发现,观察组的护理服务质量以及患者遵医行为同对照组相比得到显著提升,患者焦虑情绪和吞咽功能改善效果与对照组相比占据优势,护理期间发生的误吸和并发症均少于对照组,最终患者生活活动能力以及生活质量与对照组相比均显著提高,(P<0.05)。结论 对脑卒中吞咽障碍患者及时开展早期康复护理联合摄食训练干预,可进一步提升临床护理服务质量,增强患者的身心舒适度与配合度,促进患者的吞咽功能恢复,从而减少误吸和并发症发生,提高患者的生活质量。

关键词: 脑卒中;吞咽障碍;早期康复护理;摄食训练;效果分析

Abstract

Objective To analyze the clinical application effect of early rehabilitation nursing combined with feeding training for stroke patients with swallowing disorder.
Methods: 60 cases of stroke patients with dysphagia received in our hospital from June 2023 to June 2024 were selected for this study. All patients were divided into two groups by random number table method to carry out nursing study, which were observation group and control group, with 30 patients in each group. The control group received routine nursing, and the observation group received early rehabilitation nursing combined with feeding training intervention. The final clinical nursing effect of the two groups was analyzed and compared. Result: After comparing the final results of the two groups, it was found that the quality of nursing service and compliance behavior of patients in the observation group were significantly improved compared with the control group; the improvement effect of patients' anxiety and swallowing function was superior compared with the control group; aspiration and complications occurred during the nursing period were less than those in the control group; finally, patients' activities of life and quality of life were significantly improved compared with the control group. (P<0.05).
Conclusion  : Timely early rehabilitation nursing combined with feeding training intervention for stroke patients with swallowing disorder can further improve the quality of clinical nursing services, enhance the physical and mental comfort and cooperation of patients, promote the recovery of swallowing function of patients, thus reducing aspiration and complications, and improve the quality of life of patients.

Key words: Stroke; Dysphagia; Early rehabilitation nursing; Feeding training; Effect analysis

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引用本文

孙晓燕, 施剑, 万婕, 韩俊兰, 早期康复护理结合摄食训练在脑卒中吞咽障碍患者中的应用[J]. 临床护理进展, 2025; 4: (1) : 7-10.