中西医结合医护一体化模式对脑卒中吞咽障碍患者预后的影响

摘要/Abstract

摘要： 目的探讨与分析中西医结合医护一体化模式对脑卒中吞咽障碍患者预后的影响。方法选择2019年2月—2022年9月在十堰市郧阳区中医医院住院诊治的200例脑卒中吞咽障碍患者作为研究对象,根据1:1随机抽签原则将所有患者分为干预组与对照组,每组100例。对照组给予常规干预,干预组在对照组干预基础上给予中西医结合医护一体化模式干预,两组都干预观察3个月,判定患者营养水平与满意度情况。结果干预3个月后,干预组总有效率高于对照组,差异具有统计学意义（P<0.05）。干预后,两组血清白蛋白与前白蛋白水平均高于干预前,差异具有统计学意义（P<0.05）,且干预组干预3个月后,上述指标水平高于对照组,差异具有统计学意义（P<0.05）。干预3个月期间,干预组吸入性肺炎发生率低于对照组,差异具有统计学意义（P<0.05）。干预3个月后,干预组干预满意度高于对照组,差异具有统计学意义（P<0.05）。结论中西医结合医护一体化模式在脑卒中吞咽障碍患者的应用能提高干预满意度,提高患者的干预总体疗效,还能提高患者的营养水平,降低吸入性肺炎的发生率。

关键词: 中西医结合医护一体化模式, 脑卒中, 吞咽障碍, 满意度, 营养水平, 吸入性肺炎

Abstract: Objective To explore and analysis the influence of integrated traditional Chinese and western medicine medical care integration model on the prognosis of stroke patients with swallowing disorders. Method 200 cases of stroke patients with swallowing disorders who were hospitalized in our hospital from February 2019 to September 2022 were selected as the research subjects. Accorded to the principle of 1:1 random drawing, 200 cases of patients were divided into the intervention group and the control group with 100 cases each. The control group received routine intervention, while the intervention group received integrated traditional Chinese and Western medicine and nursing intervention based on the intervention of the control group. Both groups were observed for 3 months and were to determine the patient's nutritional level and satisfaction. Result After 3 months of intervention, the total effective rates of the intervention group were higher than that in the control group (P<0.05). The serum albumin and prealbumin levels in both groups increased after the intervention compared with those before the intervention (P<0.05), and the levels of the above indexes were higher in the intervention group than in the control group after 3 months of intervention (P<0.05). The incidence of inhalation pneumonia in the intervention group and the control group during the 3-month intervention period were significantly lower than that in the control group (P<0.05). The intervention satisfaction of the intervention group after 3 months of intervention were higher than that of the control group (P<0.05). Conclusion The application of integrated traditional Chinese and Western medicine in stroke patients can improve intervention satisfaction, overall intervention efficacy, nutritional level, and reduce the incidence of aspiration pneumonia.

Key words: integrated traditional chinese and western medicine, integrated medical care model, stroke, swallowing disorders, satisfaction, nutritional level, aspiration pneumonia

中图分类号:

R473.5

王道兴, 程有才, 徐丽丽, 张莉, 朱沛. 中西医结合医护一体化模式对脑卒中吞咽障碍患者预后的影响[J]. 中华养生保健, 2024, 42(6): 16-20.

WANG Dao-xing, CHENG You-cai, XU Li-li, ZHANG Li, ZHU Pei. Influence of Integrated Traditional Chinese and Western Medicine Medical Care Integration Model on the Prognosis of Stroke Patients with Swallowing Disorders[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(6): 16-20.

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