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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。
Objective: To study and analyze the quality of life in patients with dysphagia caused by pseudobulbar palsy and to explore effective interventions. Methods: Eighty-four cases of pseudobulbar paralysis admitted to the Eighth People’s Hospital of Dongguan from March 2013 to December 2014 were selected as the observation group (effective quality of life questionnaire to assess the quality of life after giving effective nursing intervention), February 2011 Eighty-five patients with pseudobulbar palsy admitted to December 2012 as control group (routine nursing intervention). Wuda’s drinking water test as a criterion for assessment of swallowing dysfunction to observe the improvement of swallowing; observe gastric tube stay time, hospital stay, complications and quality of life improvement. Results: After effective intervention, the scores of quality of life in both groups were significantly improved compared with those before intervention (P <0.05). The scores of quality of life and the improvement of swallowing function in observation group were better than those in control group (P <0.05) Compared with the control group, the observation group stay gastric tube time, hospitalization was significantly shorter, the incidence of pneumonia decreased significantly, patient satisfaction was significantly improved (P <0.05). Conclusion: Effective intervention after researching and analyzing the causes of quality of life in patients with dysphagia caused by pseudobulbar palsy may improve the clinical efficacy and quality of life of patients.