文章摘要
胡艳群,钟薇.集束化护理对脑卒中吞咽功能障碍病人生活质量、焦虑抑郁的影响[J].安徽医药,2019,23(10):2061-2065.
集束化护理对脑卒中吞咽功能障碍病人生活质量、焦虑抑郁的影响
Study on the influence of care bundles for life quality and anxiety and depression in stroke patients with swallowing dysfunction
  
DOI:10.3969/j.issn.1009?6469.2019.10.040
中文关键词: 卒中  集束化护理  吞咽障碍  生活质量  焦虑  抑郁
英文关键词: Stroke  Care bundles  Deglutition disorders  Life quality  Anxiety  Depression
基金项目:
作者单位
胡艳群 海南省人民医院医疗保健中心二区海南海口 570311 
钟薇 海南省人民医院医疗保健中心二区海南海口 570311 
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中文摘要:
      目的探讨集束化护理对脑卒中吞咽功能障碍病人生活质量、焦虑抑郁的影响。方法使用方便抽样法选取 2016年 3月至 2017年 3月在海南省人民医院住院的 92例脑卒中伴吞咽功能障碍病人为研究对象,按照入院号采用随机数字表法将研究对象分为对照组和观察组,各 46例。对照组病人按照常规护理措施进行护理,观察组病人在常规护理基础上实施集束化护理干预,分别在干预前 1d、干预 8周后用 SF?36生活质量量表、焦虑自评量表( SAS)、抑郁自评量表( SDS)进行问卷调查,并评估其肢体肌力、吞咽功能。结果集束化护理干预前 1d两组病人生活质量、 SAS评分、 SDS评分均差异无统计学意义( P> 0.05)干预8周后观察组生活质量评分为(97.34±6.49)分,显著高于对照组的(91.21±6.29)分,差异有统计学意义(t=-4.600,P=0.000。干预 8周后观察组 SAS、SDS评分分别为(50.67±5.80)、(53.37±5.42)分,显著低于对照组的(55.41±7.79)分、(58.19±6.77)分,差异有统计学意义(t=2.274,P=0.025;t=3.773,P=0.000)。干预前 1d两组病人偏瘫上肢肌力、偏瘫下肢肌力、吞咽功能差异无统计学意义( P>0.05),干预 8周后两组病人偏瘫上肢肌力、偏瘫下肢肌力、吞咽功能差异有统计学意义( P<0.05)。结论集束化护理干预可提高脑卒中伴吞咽功能障碍病人生活质量,改善病人焦虑抑郁情绪,提倡在临床中推广应用。
英文摘要:
      Objective To investigate the effect of care bundles on life quality and anxiety and depression in stroke patients with swallowing dysfunction.Methods A total of 92 stroke patients with swallowing dysfunction were enrolled in Hainan general hospi?tal from March in 2016 to March in 2017.The subjects were digital table random method into the control group and the observation group according to the admission number,with 46 cases in each group.The control group was given routine nursing measures,while the observation group received care bundles based on routine nursing intervention.SF?36 life quality scale,Self?rating Anxiety Scale(SAS),Self?rating Depression Scale(SDS)were used for the questionnaire survey and evaluated the muscle strength and swallow?ing function of the limbs at 1 day before intervention and 8 weeks after intervention.Results There were no significant difference in the scores of life quality,SAS and SDS between the control group and the experimental group before the intervention(P>0.05). After 8 weeks of intervention,the quality of life score of the observation group was(97.34±6.49),which was significantly higher than that of the control group(91.21±6.29),and the difference was statistically significant(t=-4.600,P=0.000).After 8 weeks of intervention,the SAS and SDS scores of the observation group were(50.67±5.80)and(53.37±5.42),which were significantly low? er than those of the control group(55.41±7.79)and(58.19±6.77),and the difference was statistically significant(t=2.274,P= 0.025;t=3.773,P=0.000).There was no significant difference on score of hemiplegic upper limb muscle strength,lower limb mus? cle strength hemiplegia score and swallowing function before intervention(P<0.05).There was significant difference on score of hemiplegic upper limb muscle strength,lower limb muscle strength hemiplegia score and swallowing function after 8 weeks of inter? vention(P<0.05).Conclusion Care bundles can improve the life quality in stroke patients with swallowing dysfunction,improvethe anxiety and depression of patients,and promote the application in clinical practice.
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