全方位身心舒适护理在脑梗死后鼻饲患者中的应用效果
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摘要
目的探讨脑梗死后鼻饲患者应用全方位身心舒适护理的效果。方法选取2015年10月—2017年9月收治于南京医科大学附属无锡人民医院的脑梗死后鼻饲患者88例,以2016年10月—2017年9月的44例为观察组,以2015年10月—2016年9月的44例为对照组。对照组实施常规护理,观察组在此基础上实施全方位身心舒适护理。干预后第4周末,比较两组患者的吞咽功能、情感状况、生活质量及营养状况。结果干预后,观察组的SAS、SDS评分低于对照组,生活质量评分高于对照组,洼田试验评分高于对照组,差异均有统计学意义(P<0.05)。结论脑梗死后鼻饲患者应用全方位身心舒适护理,可改善其吞咽功能,稳定其情感状况,增进机体对营养物质的吸收,提升生活质量。
Objective To explore the effect of comprehensive physical and mental comfort care on patients with cerebral infarction receiving nasal feeding. Methods A total of 88 patients with cerebral infarction,who need nasal feeding admitted in Wuxi People's Hospital Affiliated to Nanjing Medical University were selected from October 2015 to September 2017. Fourty-four patients, who were selected from October 2016 to September 2017, were considered as observation group and 44 patients, who were selected from October 2015 to September 2016, were considered as control group. Routine care was given in control group, while both routine care and comprehensive physical and mental comfort care were implemented in observation group. At the end of the 4 th week after intervention, swallowing function, emotional status, quality of life and nutritional status were compared between two groups. Results After intervention, SAS and SDS scores of patients in observation group were lower than those in control group. Quality of life score in observation group was higher than that in control group. Water swallow test score was higher in observation group than in control group. All differences were statistically significant(P <0.05). Conclusion Application of comprehensive physical and mental comfort care in cerebral infarction patients on nasal feeding, can improve swallowing function, stabilize emotional status, enhance absorption of nutrients, and improve quality of life.
Objective To explore the effect of comprehensive physical and mental comfort care on patients with cerebral infarction receiving nasal feeding. Methods A total of 88 patients with cerebral infarction,who need nasal feeding admitted in Wuxi People's Hospital Affiliated to Nanjing Medical University were selected from October 2015 to September 2017. Fourty-four patients, who were selected from October 2016 to September 2017, were considered as observation group and 44 patients, who were selected from October 2015 to September 2016, were considered as control group. Routine care was given in control group, while both routine care and comprehensive physical and mental comfort care were implemented in observation group. At the end of the 4 th week after intervention, swallowing function, emotional status, quality of life and nutritional status were compared between two groups. Results After intervention, SAS and SDS scores of patients in observation group were lower than those in control group. Quality of life score in observation group was higher than that in control group. Water swallow test score was higher in observation group than in control group. All differences were statistically significant(P <0.05). Conclusion Application of comprehensive physical and mental comfort care in cerebral infarction patients on nasal feeding, can improve swallowing function, stabilize emotional status, enhance absorption of nutrients, and improve quality of life.
引文
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[14]谢倩,颜秀娟,孙艳,等.综合护理干预对老年2型糖尿病患者合并急性脑梗死患者的临床研究[J].实用临床医药杂志,2014, 18(14):31-34.
[15]李静艳,孙宁,马宝英,等.优质护理对老年脑梗死患者生活质量、护理满意度及预后的改善作用[J].河北医药,2016,38(12):1898-1900.
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[17]张萍,张彩华,汤爱芳.不同输注方法对老年鼻饲患者的影响[J].上海护理, 2015,15(3):42-44.
[2]李宁.细节化优质护理在脑梗死患者中的应用评价[J].中国医药导报,2015, 12(28):164-168.
[3]梁俊华,李娟.急诊护理流程对急性脑梗死患者急救效率的影响[J].实用临床医药杂志,2014,18(8):75-77.
[4]郑冬香,谢佩卿,欧秀琴,等.电话随访对提高脑梗死患者二级预防依从性和远期预后的影响[J].护士进修杂志,2016,31(1):70-72.
[5]尹桂玲.早期肢体功能训练在脑梗死患者护理中的应用[J].中国急救医学, 2016,36(增刊2):167-168.
[6]王永炎.整合医学理念的形成与提出[J].北京中医药大学学报,2016,39(7):533-535.
[7]杜然,王佳琳,王艳玲,等.整合医学理念与价值的思考[J].中国实用眼科杂志,2016,34(1):2-4.
[8]高悦,宋宇,鲍春,等.压疮风险预警护理在预防重症脑梗死住院患者压疮发生中的效果观察[J].实用临床医药杂志,2017,21(16):14-16,20.
[9]顾丽.循证护理在脑梗死伴发高血压护理中的应用研究[J].中国医药指南, 2015,13(3):234-235.
[10]王书秀,杨志红,齐秀芳,等.老年脑梗死吞咽困难患者的鼻饲反流误吸原因及护理分析[J].河北医药,2014,36(13):2061-2063.
[11]彭为,张罡,周云霞,等.改良急诊护理流程对脑梗死患者临床结局的影响[J].安徽医药,2014,18(9):1790-1791,1792.
[12]王顺香.延续性护理干预对出院老年脑梗死患者功能康复的效果观察[J].护理实践与研究,2017,14(9):148-150.
[13]杨咏梅.优质护理在老年急性闭塞性脑梗死行介入溶栓术患者中的应用[J].实用临床医药杂志,2015,19(增刊1):209-210.
[14]谢倩,颜秀娟,孙艳,等.综合护理干预对老年2型糖尿病患者合并急性脑梗死患者的临床研究[J].实用临床医药杂志,2014, 18(14):31-34.
[15]李静艳,孙宁,马宝英,等.优质护理对老年脑梗死患者生活质量、护理满意度及预后的改善作用[J].河北医药,2016,38(12):1898-1900.
[16]吴淑苗.循证护理模式在脑梗死患者偏瘫肢体康复训练护理中的应用分析[J].实用临床医药杂志,2016,20(4):18-20,24.
[17]张萍,张彩华,汤爱芳.不同输注方法对老年鼻饲患者的影响[J].上海护理, 2015,15(3):42-44.