Analysis on the recovery time and influencing factors of deglutition disorders after extubation in neurosurgery patients
10.3760/cma.j.cn211501-20230114-00117
- VernacularTitle:神经外科手术患者拔管后吞咽障碍恢复时间及影响因素分析
- Author:
Jin HAN
1
;
Li ZENG
;
Rongqing LI
;
Yawen WU
;
Dongmei TANG
;
Sailu MAO
Author Information
1. 同济大学医学院，上海 200092
- Keywords:
Neurosurgical procedures;
Post-extubation deglutition disorders;
Recovery time;
Influencing factors
- From:
Chinese Journal of Practical Nursing
2023;39(26):2013-2019
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the occurrence of deglutition disorders after extubation in neurosurgery patients, to explore the recovery time and influencing factors, and to provide reference for the development of nursing intervention plan for dysphagia after extubation.Methods:This was a prospective study. A total of 250 patients who underwent oral catheterization under general anesthesia in neurosurgery department and were admitted to the Tenth People′s Hospital of Tongji University from June to December 2022 were selected as the study objects by convenience sampling method. The general demographic and clinical data of the patients were collected to evaluate the occurrence of deglutition disorders after extubation. The outcome and recovery time of deglutition disorders were used as dependent variables. Kaplan-Meier method and Cox proportional hazard regression analysis were used to analyze the recovery time and influencing factors of deglutition disorders after extubation in neurosurgery patients.Results:The incidence of deglutition disorders after extubation was 35.6%(89/250) among 250 cases of neurosurgery patients under general anesthesia by endotracheal intubation, the recovery time of Deglutition Disorders after postoperative extubation was 1 - 16 (5.17 ± 0.43)days. ICU stay days, duration of endotracheal intubation and the first standardized swallowing assessment after extubation were the main influencing factors for the recovery of deglutition disorders in patients with dysphagia after extubation.Conclusions:For patients with deglutition disorders after extubation after neurosurgery, ICU stay days, duration of endotracheal intubation and the first standardized swallowing assessment after extubation affect the process of swallowing function recovery. Medical staff should focus on the risk groups and develop targeted nursing interventions to improve the outcome of patients.
