韩红玲卒中单元吞咽障碍患者早期康复训练护理干预临床疗效观察MicrosoftWord文档.doc

中风单元吞咽障碍患者早期康复训练护理干预临床疗效观察 韩红玲 射阳县中医院 （江苏 盐城） 224300 [摘要] 目的：探讨中风单元护理模式下早期康复护理干预对患者吞咽功能临床疗效影响，为积极探索该疾病的优质康复护理进行前瞻性研究。方法：选择我院脑病科2014年2月-2015年2月间，收治的60例脑中风患者为研究对象，按照入院先后顺序随机分为两组，30例患者为中风单元病房进行康复治疗（观察组），30例患者作为普通病房进行常规康复治疗（对照组）。观察组则对患者进行早期康复护理评估，制定康复护理计划，实施康复护理，定期评价两组的疗效。结果：观察组康复效果明显高于对照组，生活质量评分、Barthel指数明显高于对照组，而肺部感染、泌尿系感染、压疮等并发症的发生率低于观察组。组间对应参数比较存在显著差异（P0.05），具有统计学意义。结论：中风单元对吞咽障碍患者进行及时“捕获” 康复时机，并进行早评价、早干预，系统化和个性化护理干预相结合，可有效促进患者吞咽功能的恢复，减少并发症的发生，降低死亡率和提高患者的生活质量。 [关键词] 中风单元；吞咽功能障碍；康复护理 Dysphagia was observed early stroke unit rehabilitation nursing intervention in patients with clinical efficacy Han Hong-ling Sheyang County Chinese medicine hospital (Yancheng) 224300,China ?[Abstract] Objective: To investigate the early rehabilitation nursing intervention for patients with stroke unit care model affect the efficacy of clinical swallowing function, to actively explore the high-quality rehabilitation care of the disease were prospectively studied. Methods: A hospital Encephalopathy February 2014 - between February 2015, 60 cases of stroke patients admitted to the study, were randomly divided into two groups according to the order of admission, 30 patients of stroke rehabilitation ward unit ( observation group), 30 patients in general wards as conventional rehabilitation (control group). Observation of the patient group of early rehabilitation nursing assessment, development of rehabilitation care plan, implement rehabilitation care, periodic evaluation of the efficacy of the two groups. Results: The rehabilitation was significantly higher quality of life scores, Barthel index was significantly higher, and lung infections, urinary tract infections, the incidence of pressure sores and other complications lower than the observation group. Comparison between the two groups corresponding to the parameters were significantly different (P 0.05), with statistical significance. Conclusion: The stroke unit patients with dysphagia timely capture time for rehabilitation,