居海艳,张敏敏,张志红,吴婕,奚广军.基于整合医学理念的护理路径应用于脑梗死后鼻饲患者的临床成效[J].上海护理,2019,19(5):
基于整合医学理念的护理路径应用于脑梗死后鼻饲患者的临床成效
Effect of integrated medical model nursing pathway on swallowing function and quality of life in patients with nasal feeding after cerebral infarctionJu Hai Yan
DOI:
中文关键词:  脑梗死  鼻饲  整合式医疗  吞咽功能  生活质量
英文关键词:Cerebral infarction  Nasal feeding  Integrated medical treatment  Swallowing function  Quality of life
基金项目:国家自然科学基金青年基金,项目编号为81201051
作者单位E-mail
居海艳 南京医科大学附属无锡人民医院神经内科,214023 zny333y@163.com 
张敏敏 南京医科大学附属无锡人民医院神经内科,214023  
张志红 南京医科大学附属无锡人民医院神经内科,214023  
吴婕* 南京医科大学附属无锡人民医院神经内科,214023 whhgnr@163.com 
奚广军 南京医科大学附属无锡人民医院神经内科,214023  
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中文摘要:
      目的 剖析基于整合医学理念的护理路径应用于脑梗死后鼻饲患者的临床成效,以增加医疗实践经验。方法 利用电脑对我院在2015年10月至2017年10月收治的88例脑梗死后鼻饲患者行随机化分组,各自命名为研究组(n=44)和对照组(n=44)。对照组实施传统护理,研究组采取整合式医疗模式护理路径。待干预后第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,研究组患者的SAS、SDS评分低于对照组,营养状况优于对照组,生活质量评分高于对照组,洼田试验评分高于对照组,均有统计学差异(P<0.05)。结论 基于整合医学理念的护理路径应用于脑梗死后鼻饲患者,对其吞咽功能的改善以及情感状况的稳定大有助益,且能增进机体对营养物质的吸收及提升生活质量。
英文摘要:
      Objective To analyze the clinical effect of integrated medical mode nursing pathway on nasal feeding after cerebral infarction in order to increase medical experience. Methods Eighty-eight patients with post-cerebral infarction nasal feeding were randomly divided into study group (n = 44) and control group (n = 44). The control group implemented traditional nursing interventions and the study group adopted an integrated medical care model. At the end of the fourth week after intervention, the swallowing function, emotional status, quality of life and nutritional status of the two groups were compared. Results After the intervention, SAS, SDS scores and quality of life scores of the study group were lower than those of the control group, and nutritional status was better than that of the control group. The score of Kubota field was higher than that of the control group (P <0.05). Conclusion The integrated medical model nursing route is applied to patients with nasal feeding after cerebral infarction, which is helpful for the improvement of swallowing function and the stabilization of emotional status. It can also improve the body"s absorption of nutrients and improve the quality of life.
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