CAJ | 학술논문

目的：探讨综合护理干预对脑卒中吞咽障碍患者改善吞咽功能及预防吸入性肺炎的效果。方法将我院于2011－05～2014－10间收治的136例脑卒中吞咽障碍患者，采用随机数字表法分为研究组和对照组，每组各68例。研究组采用综合护理干预，对照组给予常规护理。综合比较两组患者干预后吞咽能力、吸入性肺炎患病率、胃肠功能紊乱发生率及住院时间。结果研究组吞咽功能优于对照组（ P＜0.05）；研究组吸入性肺炎患病率、胃肠功能紊乱发生率分别为20.6％、27.9％，均低于对照组（ P＜0.05）；研究组住院时间短于对照组（ P＜0.05）。结论综合护理干预对脑卒中吞咽障碍患者改善吞咽功能和预防吸入性肺炎发生效果显著。
목적：탐토종합호리간예대뇌졸중탄인장애환자개선탄인공능급예방흡입성폐염적효과。방법장아원우2011－05～2014－10간수치적136례뇌졸중탄인장애환자，채용수궤수자표법분위연구조화대조조，매조각68례。연구조채용종합호리간예，대조조급여상규호리。종합비교량조환자간예후탄인능력、흡입성폐염환병솔、위장공능문란발생솔급주원시간。결과연구조탄인공능우우대조조（ P＜0.05）；연구조흡입성폐염환병솔、위장공능문란발생솔분별위20.6％、27.9％，균저우대조조（ P＜0.05）；연구조주원시간단우대조조（ P＜0.05）。결론종합호리간예대뇌졸중탄인장애환자개선탄인공능화예방흡입성폐염발생효과현저。
Objective To investigate the effect of comprehensive nursing intervention for improving swallowing function and preventing aspirationpneumoniaofdysphagiapatientswithstroke.Methods 136dysphagiapatientswithstrokeinthehospitalwererandomlydivided into research group and control group , with 68 cases in each group.Research group were treated with comprehensive nursing intervention.Control group were treated with routine care.Swallowing function , aspiration pneumonia morbidity , gastrointestinal dysfunction incidence rate and hospitalization stay were compared.Results Swallowing function of research group was better than control group ( P<0.05 ).As-piration pneumonia morbidity (20.6%) and gastrointestinal dysfunction incidence (27.9%) rate of research group were lower than control group ( P<0.05 ).The hospital stay time of the research group were shorter than control group ( P<0.05 ).Conclusion Comprehensive nursing intervention has exact effect in improving swallowing function and preventing aspiration pneumonia for dysphagia patients with stroke.