广州医科大学学报
廣州醫科大學學報
엄주의과대학학보
Academic Journal of Guangzhou Medical College
2015年
3期
93-96
,共4页
假性球麻痹%吞咽困难%生活质量
假性毬痳痺%吞嚥睏難%生活質量
가성구마비%탄인곤난%생활질량
sham bulbar paralysis%dysphagia%quality of life
目的：研究和分析假性球麻痹吞咽困难患者生活质量问题，探讨有效的干预措施。方法：将2013年3月至2014年12月东莞市第八人民医院收治的84例假性球麻痹患者作为观察组（生活质量评估表评估患者生活质量后给予有效护理干预），将2011年2月至2012年12月收治的84例假性球麻痹患者作为对照组（常规护理干预）。以洼田氏饮水试验作为吞咽困难的评测标准观察吞咽功能改善情况；观察停留胃管时间、住院时间、并发症发生率及生活质量改善情况。结果：有效干预后，两组生活质量各项目评分均较干预前明显改善（P﹤0.05），观察组患者生活质量各项目评分、吞咽功能改善情况均优于对照组（P﹤0.05）；与对照组相比，观察组停留胃管时间、住院时间明显缩短，肺炎发生率明显下降，患者满意度明显提高（P﹤0.05）。结论：研究和分析影响假性球麻痹吞咽困难患者生活质量原因后再给予有效干预，可提高临床疗效和患者生活质量。
目的：研究和分析假性毬痳痺吞嚥睏難患者生活質量問題，探討有效的榦預措施。方法：將2013年3月至2014年12月東莞市第八人民醫院收治的84例假性毬痳痺患者作為觀察組（生活質量評估錶評估患者生活質量後給予有效護理榦預），將2011年2月至2012年12月收治的84例假性毬痳痺患者作為對照組（常規護理榦預）。以窪田氏飲水試驗作為吞嚥睏難的評測標準觀察吞嚥功能改善情況；觀察停留胃管時間、住院時間、併髮癥髮生率及生活質量改善情況。結果：有效榦預後，兩組生活質量各項目評分均較榦預前明顯改善（P﹤0.05），觀察組患者生活質量各項目評分、吞嚥功能改善情況均優于對照組（P﹤0.05）；與對照組相比，觀察組停留胃管時間、住院時間明顯縮短，肺炎髮生率明顯下降，患者滿意度明顯提高（P﹤0.05）。結論：研究和分析影響假性毬痳痺吞嚥睏難患者生活質量原因後再給予有效榦預，可提高臨床療效和患者生活質量。
목적：연구화분석가성구마비탄인곤난환자생활질량문제，탐토유효적간예조시。방법：장2013년3월지2014년12월동완시제팔인민의원수치적84례가성구마비환자작위관찰조（생활질량평고표평고환자생활질량후급여유효호리간예），장2011년2월지2012년12월수치적84례가성구마비환자작위대조조（상규호리간예）。이와전씨음수시험작위탄인곤난적평측표준관찰탄인공능개선정황；관찰정류위관시간、주원시간、병발증발생솔급생활질량개선정황。결과：유효간예후，량조생활질량각항목평분균교간예전명현개선（P﹤0.05），관찰조환자생활질량각항목평분、탄인공능개선정황균우우대조조（P﹤0.05）；여대조조상비，관찰조정류위관시간、주원시간명현축단，폐염발생솔명현하강，환자만의도명현제고（P﹤0.05）。결론：연구화분석영향가성구마비탄인곤난환자생활질량원인후재급여유효간예，가제고림상료효화환자생활질량。
Objective:To investigate the quality of life(QOL)in patients with dysphagia of sham bulbar paralysis,and to give effective intervention. Methods:Eighty-four patients with sham bulbar paralysis,who were hospitalized in Shilong Boai Hospital in Dongguan city between March 2013 and December 2014,were included in the study group( patients were assessed by QOL Scale,and given effective nursing intervention). Another 84 patients with sham bulbar paralysis hospitalized between February 2011 and December 2012 were included in the control group(conventional nursing intervention). Kubota drinking water test was used as the evaluation criteria to observe the improvement of swallowing function in patients. The stomach tube staying time,hospital stay, occurrence rate of complications and QOL improvement in patients were observed. Results:After effective intervention,the scores of all QOL items in the two groups were significantly improved compared with those before the intervention(P﹤0.05). The scores of all QOL items and improvement of swallowing function in the study group were all better than those in the control group(P﹤0.05). Significantly shortened stomach tube staying time and hospital stay,reduced occurrence rate of pneumonia,and increased patients satisfaction were found in the study group compared with those in the control group(P﹤0.05).Conclusion:Studying and analyzing the factors influencing the QOL in patients with dysphagia of sham bulbar paralysis before giving effective intervention can improve clinical efficacy and QOL of patients.
