专科护士主导的家庭赋权方案在老年脑卒中吞咽障碍患者中的应用

doi:10.3760/cma.j.cn115682-20210801-03405

科研成果详情

题名	专科护士主导的家庭赋权方案在老年脑卒中吞咽障碍患者中的应用
其他题名	Application of family empowerment program led by specialist nurses in elderly stroke patients with dysphagia
作者	李霞 ; 厉学敏 ; 王陈军 ; 刘一苇
发表日期	2021
发表期刊	中华现代护理杂志影响因子和分区
语种	中文
原始文献类型	学术期刊
关键词	老年人脑卒中吞咽障碍家庭赋权
其他关键词	Aged ; Stroke ; Dysphagia ; Family empowerment
摘要	目的探讨专科护士主导的家庭赋权理论的吞咽障碍管理方案对老年脑卒中吞咽障碍患者吞咽功能、误吸发生率及照顾者照顾能力的影响。方法采用便利抽样法, 选取2019年1—12月温州医科大学附属第二医院神经外科的102例老年脑卒中吞咽障碍患者为研究对象, 采用简单随机化方法将研究对象分为试验组和对照组, 各51例。对照组根据吞咽功能情况给予常规口腔肌肉运动训练、口腔感觉训练、呼吸训练和直接摄食指导等方面指导。试验组在常规指导基础上建立由康复专科护士主导的研究团队, 研究团队根据患者误吸风险等级结合赋权理论给予针对性的吞咽障碍管理方案。干预2周后比较两组患者的吞咽功能(采用标准吞咽功能评价量表评价)、误吸发生率(吸入性肺炎和刺激性呛咳发生情况)、照顾者照顾能力(采用中文版照顾者照顾能力量表评价)。结果本研究共5例研究对象失访, 试验组失访2例, 对照组失访3例。最终试验组49例、对照组48例患者完成研究。干预2周后, 试验组的吞咽功能评分为(29.18±4.49)分, 低于对照组的(33.33±4.44)分, 差异有统计学意义(P<0.05)。试验组发生吸入性肺炎1例, 刺激性呛咳8例;对照组发生吸入性肺炎6例, 刺激性呛咳14例;试验组的误吸发生率低于对照组, 差异有统计学意义(P<0.05)。干预后, 试验组照顾者的照顾能力总分为(25.02±2.64)分, 对照组为(34.35±4.41)分, 差异有统计学意义(P<0.05)。结论由专科护士主导的家庭赋权方案可以改善老年脑卒中吞咽障碍患者的吞咽功能, 降低其吸入性肺炎和刺激性呛咳发生率, 同时也能提高照顾者的照顾能力。
其他摘要	Objective:To explore the effects of a dysphagia management plan based on the family empowerment theory led by specialist nurses on the swallowing function, the incidence of aspiration and the caregiver ability of elderly stroke patients with dysphagia.Methods:Using the convenient sampling method, a total of 102 elderly stroke patients with dysphagia in Department of Neurosurgery in the Second Affiliated Hospital of Wenzhou Medical University from January to December 2019 were selected as the research objects. Patients were divided into the experimental group and the control group by simple randomization method, with 51 cases in each group. Patients in the control group were given regular oral muscle exercise training, oral sensory training, breathing training, and direct feeding guidance based on the swallowing function. In the experimental group, a research team led by rehabilitation specialist nurses was established on the basis of routine guidance. The research team provided targeted swallowing disorder management programs according to the risk level of aspiration combined with empowerment theory. Two weeks after intervention, the swallowing function (Standardized Swallowing Assessment score) , the incidence of aspiration (aspiration pneumonia and irritant cough) and caring ability of caregivers (Chinese version of Caring Ability of Caregivers Scale score) were compared between the two groups.Results:In this study, 5 objects were lost to follow-up, including 2 in the experimental group and 3 in the control group. Finally, 49 patients in the experimental group and 48 patients in the control group completed the study. After 2 weeks of intervention, the swallowing function score of the experimental group was (29.18±4.49) , lower than that of the control group (33.33±4.44) , and the difference was statistically significant ( P< 0.05) . In the experimental group, there was 1 case of aspiration pneumonia and 8 cases of irritant cough. In the control group, there were 6 cases of aspiration pneumonia and 14 cases of irritant cough. The incidence of aspiration in experimental group was lower than that in control group, and the difference was statistically significant ( P< 0.05) . After intervention, the total score of caring ability of caregivers in the experimental group was (25.02±2.64) , while that in the control group was (34.35±4.41) , and the difference was statistically significant ( P< 0.05) . Conclusions:The family empowerment program led by specialist nurses can improve the swallowing function of elderly stroke patients with dysphagia, reduce the incidence of aspiration pneumonia and irritating cough and improve the caring ability of caregivers.
资助项目	2019年温州市基础性科研项目（Y20190347）
ISSN	1674-2907
卷号	27 期号:36 页码:4957-4963
DOI	10.3760/cma.j.cn115682-20210801-03405
页数	7
收录类别	CNKI ; 万方 ; 维普 ; ISTIC
URL	查看原文
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/26760
专题	附属第二医院附属第二医院_护理
作者单位	1.温州医科大学附属第二医院儿童康复科; 2.温州医科大学附属第二医院护理部
推荐引用方式 GB/T 7714	李霞,厉学敏,王陈军,等. 专科护士主导的家庭赋权方案在老年脑卒中吞咽障碍患者中的应用[J]. 中华现代护理杂志,2021,27(36):4957-4963.
APA	李霞, 厉学敏, 王陈军, & 刘一苇. (2021). 专科护士主导的家庭赋权方案在老年脑卒中吞咽障碍患者中的应用. 中华现代护理杂志, 27(36), 4957-4963.
MLA	李霞,et al."专科护士主导的家庭赋权方案在老年脑卒中吞咽障碍患者中的应用".中华现代护理杂志 27.36(2021):4957-4963.