CAJ | 학술논문

目的探讨急性脑卒中吞咽障碍患者进食中安全护理的干预措施.方法对93例急性脑卒中吞咽障碍患者随机分为观察组46例和对照组47例.对照组采用神经内科常规进食护理,观察组采用安全进食护理干预,包括心理护理、直接吞咽训练、间接吞咽训练.14天后观察两组患者吞咽功能恢复情况,采用才藤氏吞咽障碍7级评价法评价治疗效果.结果通过对患者进食进行安全护理干预,观察组有89.13%急性脑卒中吞咽障碍患者吞咽功能均获得不同程度的改善,而对照组只有68.08%吞咽障碍患者吞咽功能改善.结论对急性脑卒中吞咽障碍患者进食进行安全护理干预,有利于更好提高患者吞咽功能,促进患者早日康复.
목적 탐토급성뇌졸중탄인장애환자진식중안전호리적간예조시.방법 대93례급성뇌졸중탄인장애환자수궤분위관찰조46례화대조조47례.대조조채용신경내과상규진식호리,관찰조채용안전진식호리간예,포괄심리호리、직접탄인훈련、간접탄인훈련.14천후관찰량조환자탄인공능회복정황,채용재등씨탄인장애7급평개법평개치료효과.결과 통과대환자진식진행안전호리간예,관찰조유89.13%급성뇌졸중탄인장애환자탄인공능균획득불동정도적개선,이대조조지유68.08%탄인장애환자탄인공능개선.결론 대급성뇌졸중탄인장애환자진식진행안전호리간예,유리우경호제고환자탄인공능,촉진환자조일강복.
Objective To explore the strategy of safety nursing intervention on the acute stroke patients with dysphagia. Methods 93 acute stroke patients with dysphagia were divided randomly into the observation group (n=46) and control group (n=47). The patients in the control group received the conventional eating nursing; the patients in the observation group received safety nursing intervention,included psychological nursing, direct swallowing training and indirect swallowing training. The recovery condition of swallowing function of all patients was observed after 14 days, and the therapeutic effect was assessed with seven levels Saitoh method. Results 89.13% of the acute stroke patients with dysphagia in the observation group made some improvement, in various degrees, on the swallowing function. And only 68.08% patients in the control group. Conclusion The safety nursing intervention can improve the swallowing function of acute stroke patients with dysphagia, and promote the patients' early recovery.