摘要
目的 分析基于标准吞咽功能评估的分层护理用于颅脑外伤术后吞咽障碍的价值。方法 2020年12月-2021年12月本科接诊颅脑外伤术后吞咽障碍病人72名，随机均分2组。试验组采取基于标准吞咽功能评估的分层护理，对照组行常规护理。对比SSA评分等指标。结果 从SSA评分上看，干预后：试验组（22.47±1.21）分，和对照组（26.89±1.97）分相比更低（P＜0.05）。从满意度上看，试验组97.22%，和对照组80.56%相比更高（P＜0.05）。从sf-36评分上看，干预后：试验组（79.62±3.14）分，和对照组（72.58±4.63）分相比更高（P＜0.05）。结论 颅脑外伤术后吞咽障碍用基于标准吞咽功能评估的分层护理，病人满意度更高，预后更好，吞咽功能改善更加明显。
关键词： 颅脑外伤；分层护理；吞咽障碍；影响
Abstract
Objective: To analyze the value of stratified nursing based on standard swallowing function evaluation for swallowing disorders after craniocerebral trauma. Methods: From December 2020 to December 2021, 72 patients with dysphagia after craniocerebral trauma were randomly divided into 2 groups. The experimental group received stratified nursing based on standard swallowing function assessment, while the control group received routine nursing. SSA score and other indicators were compared. Results: In terms ofSSA score, after intervention, the score of experimental group (22.47±1.21) was lower than that of control group (26.89±1.97) (P < 0.05). In terms of satisfaction, the experimental group was 97.22%, which was higher than the control group (80.56%) (P < 0.05). In terms of SF-36 score, after intervention, the score of experimental group (79.62±3.14) was higher than that of control group (72.58±4.63) (P < 0.05). Conclusion : Patients with dysphagia after traumatic brain injury were more satisfied, better prognosis and better improvement of dysphagia with stratified nursing based on standard swallowing function assessment.
Key words： Traumatic Brain Injury; Stratified Nursing; Dysphagia; Impact
参考文献 References
[1] 周丽丽,沈金莲. 基于标准吞咽功能评估的分层护理在颅脑外伤术后吞咽障碍患者中的应用效果分析[J]. 中国药物与临床,2021,21(17):3035-3037.
[2] 刘迎迪. 分层护理模式+常规护理应用在颅脑外伤患者术后对其神经功能的干预效果[J]. 中国保健营养,2020,30(34):221,226.
[3] 聂培华,孙妮娜. 基于量化评估策略下的分层护理在重症颅脑外伤患者术后的应用效果[J]. 医学临床研究,2021,38(2):319-321.
[4] XU, GUANGTAO, HU, BO, CHEN, GUIQIAN, et al. Analysis of Blood Trace Elements and Biochemical Indexes Levels in Severe Craniocerebral Trauma Adults with Glasgow Coma Scale and Injury Severity Score[J]. Biological trace element research.,2015,164(2):192-197.
[5] 张永芳,陆佳韵,葛津津,等. 重度颅脑外伤患者不同亲属关系照顾者心理需求的差异性分析[J]. 中华现代护理杂志,2015,21(5):516-518.
[6] 汪文静,王琴. 探讨优质护理对改善ICU重型颅脑外伤患者认知功能障碍及预防感染的作用[J]. 心电图杂志（电子版）,2020,9(3):397-398.
[7] Relationship of Nogo-A gene expression in serum and cerebrospinal fluid with nerve injury and inflammatory factor levels in patients with craniocerebraltrauma[J]. 海南医科大学学报（英文版）,2017,23(12):147-150.
[8] 张悦,于晓江. 优质护理在ICU重型颅脑外伤患者认知功能恢复及感染预防中的作用[J]. 实用临床医药杂志,2017,21(4):78-81.