中国医药导报
中國醫藥導報
중국의약도보
China Medical Herald
2015年
29期
147-150
,共4页
罗姣%曾晓梅%尹玲茜%朱俞彤%王凤英
囉姣%曾曉梅%尹玲茜%硃俞彤%王鳳英
라교%증효매%윤령천%주유동%왕봉영
临床护理路径%脑卒中%吞咽障碍
臨床護理路徑%腦卒中%吞嚥障礙
림상호리로경%뇌졸중%탄인장애
Clinical nursing pathway%Cerebral stroke%Swallowing disorder
目的：探讨临床护理路径(CNP)在康复科脑卒中患者吞咽障碍中的应用效果。方法选取2013年9月~2014年9月在四川大学华西医院(以下简称“我院”)实施CNP护理的脑卒中吞咽障碍患者60例作为干预组，选取2012年9月~2013年8月在我院接受常规护理的脑卒中吞咽障碍患者60例作为对照组。统计两组患者护理后洼田吞咽能力评分、口腔期评分、咽期评分及护理效果。结果护理后，干预组洼田吞咽能力评分、口腔期评分、咽期评分分别为(4.3±1.2)、(2.5±0.7)、(2.4±0.6)分，对照组为(3.4±0.8)、(1.7±0.4)、(1.8±0.4)分，两组比较差异有高度统计学意义(P<0.01)。干预组总有效率为88.3%(53/60)，对照组总有效率为70.0%(42/60)，差异有统计学意义(P<0.05)。结论 CNP护理模式的实施能有效改善康复科脑卒中患者吞咽障碍，并提高患者生活质量。
目的：探討臨床護理路徑(CNP)在康複科腦卒中患者吞嚥障礙中的應用效果。方法選取2013年9月~2014年9月在四川大學華西醫院(以下簡稱“我院”)實施CNP護理的腦卒中吞嚥障礙患者60例作為榦預組，選取2012年9月~2013年8月在我院接受常規護理的腦卒中吞嚥障礙患者60例作為對照組。統計兩組患者護理後窪田吞嚥能力評分、口腔期評分、嚥期評分及護理效果。結果護理後，榦預組窪田吞嚥能力評分、口腔期評分、嚥期評分分彆為(4.3±1.2)、(2.5±0.7)、(2.4±0.6)分，對照組為(3.4±0.8)、(1.7±0.4)、(1.8±0.4)分，兩組比較差異有高度統計學意義(P<0.01)。榦預組總有效率為88.3%(53/60)，對照組總有效率為70.0%(42/60)，差異有統計學意義(P<0.05)。結論 CNP護理模式的實施能有效改善康複科腦卒中患者吞嚥障礙，併提高患者生活質量。
목적：탐토림상호리로경(CNP)재강복과뇌졸중환자탄인장애중적응용효과。방법선취2013년9월~2014년9월재사천대학화서의원(이하간칭“아원”)실시CNP호리적뇌졸중탄인장애환자60례작위간예조，선취2012년9월~2013년8월재아원접수상규호리적뇌졸중탄인장애환자60례작위대조조。통계량조환자호리후와전탄인능력평분、구강기평분、인기평분급호리효과。결과호리후，간예조와전탄인능력평분、구강기평분、인기평분분별위(4.3±1.2)、(2.5±0.7)、(2.4±0.6)분，대조조위(3.4±0.8)、(1.7±0.4)、(1.8±0.4)분，량조비교차이유고도통계학의의(P<0.01)。간예조총유효솔위88.3%(53/60)，대조조총유효솔위70.0%(42/60)，차이유통계학의의(P<0.05)。결론 CNP호리모식적실시능유효개선강복과뇌졸중환자탄인장애，병제고환자생활질량。
Objective To explore application effect of clinical nursing pathway (CNP) in swallowing disorder patients with cerebral stroke in Rehabilitation Department. Methods 60 cases of cerebral stroke patients carried out CNP nursing model in West China Hospital of Sichuan University ("our hospital" for short) from September 2013 to September 2014 were selected as intervention group; 60 patients treated with routine care in our hospital from September 2012 to Au-gust 2013 were selected as control group. Kubota swallowing ability score, oral stage score, pharyngeal phase score and nursing effect between two groups after nursing were counted. Results After nursing, Kubota swallowing ability score, oral stage score, pharyngeal phase score of intervention group was (4.3±1.2), (2.5±0.7), (2.4±0.6) points respectively, while those of control group was (3.4±0.8), (1.7±0.4), (1.8±0.4) points respectively, the differences between two groups were statistically significant (P<0.01). Total effective rate in intervention group was 88.3%(53/60), while 70.0%(42/60) in control group, the difference was statistically significant (P<0.05). Conclusion Implementation of CNP care model can effectively improve swallowing disorder of patients with cerebral stroke in Rehabilitation Department, and improve life quality of patients.
