Application research of clinical nursing pathway in swallowing disorder patients with acute cerebral infarction
10.7619/jcmp.201514003
- VernacularTitle:临床护理路径在急性脑梗死吞咽障碍中的应用研究
- Author:
Zhie GU
1
;
Long YU
;
Biqin LIU
;
Changjiang QIN
Author Information
1. 江苏省苏北人民医院 神经内科
- Keywords:
clinical nursing pathway;
acute cerebral infarction;
swallowing disorders;
effect
- From:
Journal of Clinical Medicine in Practice
2015;(14):7-10
- CountryChina
- Language:Chinese
-
Abstract:
ABSTRACT:Objective To study the application effect of clinical nursing pathway in swal-lowing disorder patients with acute cerebral infarction.Methods A total of 60 swallowing disorder patients with acute cerebral infarction hospitalized in our department the patients were divided into control group with 30 cases and the observation group with 30 cases according to admission time. The control group was given the routine nursing while the observation group was given clinical nurs-ing pathway on the basis of control group,including swallowing function assessment,health educa-tion,psychological nursing,feeding training,basic training and rehabilitation training,diet test, discharge guidance,and one-week telephone follow-up service.On the 15th day after admission, questionnaire and kubota drinking water test was used to evaluate the extent of the mastery of swal-lowing disorder knowledge and improvement of swallowing disorder,and the complications occur-rence (aspiration pneumonia and malnutrition)was recorded.Results The awareness of swallow-ing disorder knowledge in the observation group was higher than that in the control group,the dif-ference was statistically significant(P <0.05).The improvement of total efficacy rate in the obser-vation group was higher than that in the control group,the difference was statistically significant(P<0.05).The occurrence rate of aspiration pneumonia and malnutrition in the observation group was lower than that in the control group,the difference was statistically significant (P <0.05). Conclusion Clinical nursing pathway can effectively increase the level of swallowing disorder knowledge in patients and their families ,improve the degree of swallowing disorder ,reduce the
incidence of complications of swallowing disorder,so it is worthy of widely promotion in clinic.
