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目的探讨预见性护理对脑卒中吞咽障碍患者预防吸入性肺炎的影响。方法选择脑卒中患者101例作为对照组,104例为干预组,两组均采用神经内科常规治疗护理。干预组在此基础上给予预见性护理,用运动想象结合小量饮水进行吞咽训练,每天1次,每次10~15 min,连续15 d。比较两组患者吸入性肺炎发生率。结果干预组发生吸入性肺炎12例(11.54%),对照组33例(34.65%),差异有统计学意义(P<0.01)。结论预见性护理采用运动想象结合小量饮水进行吞咽训练对脑卒中吞咽障碍患者预防吸入性肺炎效果显著。
Objective To investigate the effect of prospective nursing on prevention of aspiration pneumonia in patients with stroke dysphagia. Methods 101 stroke patients were selected as the control group and 104 as the intervention group. Both groups were treated by conventional neurology. On the basis of this, the intervention group gave predictive nursing, swallowing training was carried out with exercise imagination and a small amount of drinking water, once a day for 10 ~ 15 minutes for 15 days. The incidence of aspiration pneumonia was compared between the two groups. Results In the intervention group, 12 patients (11.54%) had aspiration pneumonia and 33 (34.65%) patients in the control group, the difference was statistically significant (P <0.01). Conclusions The predictive nursing use of motor imagination combined with a small amount of drinking water for swallowing training in patients with stroke swallowing prevention of aspiration pneumonia significant effect.