The role of cluster nursing in stroke patients with dysphagia
集束化护理在脑卒中吞咽障碍患者中的作用

摘要

目的 分析集束化护理用于脑卒中吞咽障碍患者中的作用。方法 挑选我院2020.11-2021.11月的脑卒中伴吞咽障碍患者58例，根据护理方式的不同，将其分成研究组和常规组，研究组集束化护理，常规组常规护理。结果 干预后研究组的SSA评分低于常规组， NIHSS评分低于常规组，ADL评分高于常规组，P＜0.05，以上均存在统计学意义；在护理满意度比较上，研究组的满意度评分为96.55％，其明显优于常规组的76.86％的满意度评分，P＜0.05；在口腔卫生情况（MBOAS评分）两组比较上，研究组的评分要低于常规组，P＜0.05，评分越低，表示着口腔卫生状况越好。结论 对于脑卒中吞咽障碍患者而言，采用集束化护理方法，会改善患者的吞咽功能，并让患者的神经功能、口腔卫生情况、生活自理能力获得改善，更为满意护理人员的工作，值得运用。

Abstract

Objective To analyze the role of intensive care for patients with swallowing disorders in stroke.
Methods 58 patients with stroke with swallowing disorder in our hospital 2020.11.1.1.11.11, divided into research teams and conventional groups, research group integration care, and regular groups.
Results The SSA score of the study group was lower than the conventional group, and the NIHSS score was lower than the conventional group, and the ADL score was higher than the conventional group, and there was statistically significant; in the care satisfaction, the satisfaction of the research group The score is 96.55%, which is significantly better than 76.86% of the satisfaction score of the conventional group, and P <0.05; two groups in the oral hygiene (MboAs rating), the study group score should be lower than the conventional group, P <0.05 The lower the score, the better the oral hygiene condition.
Conclusion   For patients with swoporous dysphagia, use the push-type nursing method, improve the patient's swallowing function, and make the patient's neurological function, oral hygiene, and self-care ability to improve, more satisfied with the work of nursing staff, worth it use.