[1]许宏飞,云 雪.循证护理对老年脑梗死吞咽功能障碍患者的临床效果及吸入性肺炎发生率的影响[J].医学信息,2024,37(24):176-180.[doi:10.3969/j.issn.1006-1959.2024.24.047]
　XU Hongfei,YUN Xue.Effect of Evidence-based Nursing on Clinical Effect and Incidence of Aspiration Pneumonia in Elderly Patients with Cerebral Infarction and Swallowing Dysfunction[J].Journal of Medical Information,2024,37(24):176-180.[doi:10.3969/j.issn.1006-1959.2024.24.047]
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循证护理对老年脑梗死吞咽功能障碍患者的临床效果及吸入性肺炎发生率的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年24期
页码:
176-180
栏目:
护理研究
出版日期:
2024-12-15

文章信息/Info

Title:
Effect of Evidence-based Nursing on Clinical Effect and Incidence of Aspiration Pneumonia in Elderly Patients with Cerebral Infarction and Swallowing Dysfunction
文章编号:
1006-1959（2024）24-0176-05
作者:
许宏飞; 云 雪
天津市第三中心医院神经内科，天津 300161
Author(s):
XU Hongfei; YUN Xue
Department of Neurology,Tianjin Third Central Hospital,Tianjin 300161,China
关键词:
循证护理; 老年脑梗死; 吞咽功能障碍; 吸入性肺炎
Keywords:
Evidence-based nursing; Elderly cerebral infarction; Swallowing dysfunction; Aspiration pneumonia
分类号:
R473.74
DOI:
10.3969/j.issn.1006-1959.2024.24.047
摘要:
目的 探讨循证护理对老年脑梗死吞咽功能障碍患者的临床效果及吸入性肺炎发生率的影响。方法 选取2022年7月-2024年6月在天津市第三中心医院住院的80例老年脑梗死吞咽功能障碍患者作为研究对象，按照随机数字表法将其分为对照组和研究组，每组40例。对照组采用常规护理干预，研究组实施循证护理。比较两组临床效果、营养状况[总蛋白（TP）、白蛋白（ALB）、血红蛋白浓度（HGB）]、生活质量（生理功能、躯体功能、心理功能、情感功能、生命活力、睡眠功能、精神健康、总体健康感）、不良反应发生率（吸入性肺炎、误吸、营养不良）。结果 研究组护理总有效率高于对照组（P＜0.05）。研究组护理后营养状况优于对照组，生活质量高于对照组（P＜0.05）。研究组不良反应发生率低于对照组（P＜0.05）。结论 循证护理在老年脑梗死吞咽功能障碍患者中的应用效果确切，能够改善患者营养状况，提高患者生活质量，降低吸入性肺炎等不良反应发生率，值得临床应用。
Abstract:
Objective To explore the effect of evidence-based nursing on the clinical effect and the incidence of aspiration pneumonia in elderly patients with cerebral infarction and swallowing dysfunction.Methods Eighty elderly dysphagic patients with a history of cerebral infarction, admitted to Tianjin Third Central Hospital between July 2022 and June 2024, were chosen as participants and randomly allocated to either a control or an experimental group, with an equal number of 40 patients in each. The control group received standard nursing care, whereas the experimental group was provided with evidence-based nursing. Outcomes such as therapeutic efficacy, nutritional indicators [total protein (TP), serum albumin (ALB), and hemoglobin levels (HGB)], quality of life parameters [including physiological, physical, psychological, emotional functions, vitality, sleep quality, mental health, and overall well-being], and the occurrence of complications (aspiration pneumonia, aspiration events, and malnutrition) were assessed and compared between the two groups.Results The total effective rate of nursing in the study group was higher than that in the control group (P<0.05). The nutritional status of the study group was better than that of the control group, and the quality of life was higher than that of the control group (P<0.05). The incidence of adverse reactions in the study group was lower than that in the control group (P<0.05).Conclusion The application of evidence-based nursing in elderly patients with cerebral infarction and swallowing dysfunction is effective, which can improve the nutritional status and the quality of life of patients, and reduce the incidence of adverse reactions such as aspiration pneumonia. It is worthy of clinical application.

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更新日期/Last Update: 1900-01-01