CAJ | 학술논문

目的探讨系统护理措施预防脑卒中假性球麻痹患者吸入性肺炎的效果.方法将80例患者随机分为对照组(40例 ) 和观察组(40例 ),两组均予以神经内科常规治疗及护理措施,观察组在此基础上还给予系统护理措施,包括心理干预、吞咽、进食功能训练等.比较两组患者吸入性肺炎的发生情况及吞咽功能康复效果.结果观察组吸入性肺炎发生率、死亡率均明显低于对照组(P<0.05),而且吞咽功能康复总有效率显著高于对照组(P<0.01).两组患者住院时间比较,观察组亦显著低于对照组(P<0.01).结论心理干预,饮食指导,吞咽、进食功能训练相结合的系统护理措施,可明显改善患者吞咽功能,有效预防其吸入性肺炎的发生,缩短患者的住院时间,降低患者死亡率.
목적탐토계통호리조시예방뇌졸중가성구마비환자흡입성폐염적효과.방법장80례환자수궤분위대조조(40례 ) 화관찰조(40례 ),량조균여이신경내과상규치료급호리조시,관찰조재차기출상환급여계통호리조시,포괄심리간예、탄인、진식공능훈련등.비교량조환자흡입성폐염적발생정황급탄인공능강복효과.결과관찰조흡입성폐염발생솔、사망솔균명현저우대조조(P<0.05),이차탄인공능강복총유효솔현저고우대조조(P<0.01).량조환자주원시간비교,관찰조역현저저우대조조(P<0.01).결론심리간예,음식지도,탄인、진식공능훈련상결합적계통호리조시,가명현개선환자탄인공능,유효예방기흡입성폐염적발생,축단환자적주원시간,강저환자사망솔.
Objective: To observe the effect of nursing intervention on inhaled pneumonia in the stroke patients with supranuclear paralysis. Methods: Eighty stroke patients with supranuclear paralysis were divided into control group (n=40) and nursing intervention group (n=40). The two groups were both subjected to routine treatment and nursing. Besides, in the systemetic nursing intervention group, the patients were al received psychological intervention and functional training of swalow and eating. The effect of swalow rehabilitation after 30 days and the incidence of inhaled pneumonia within 30 days were compared. Results: The incidence of inhaled pneumonia and death-rate in the nursing intervention group was lower than in the control group(P<0.05). The total effective rate of intervention group was higher than in control group (P<0.01). The average length of stay in the nursing intervention group was shorter than that of the control group. Conclusion: The systemetic nursing intervention composed of psychological intervention and functional training of swalow and eating could improve dysphagia and effectively prevent inhaled pneumonia.