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循证护理对老年脑梗死吞咽功能障碍患者的临床效果及吸入性肺炎发生率的影响

许宏飞 云雪

医学信息2024,Vol.37Issue(24):176-180,5.
医学信息2024,Vol.37Issue(24):176-180,5.DOI:10.3969/j.issn.1006-1959.2024.24.047

循证护理对老年脑梗死吞咽功能障碍患者的临床效果及吸入性肺炎发生率的影响

Effect of Evidence-based Nursing on Clinical Effect and Incidence of Aspiration Pneumonia in Elderly Patients with Cerebral Infarction and Swallowing Dysfunction

许宏飞 1云雪1

作者信息

  • 1. 天津市第三中心医院神经内科,天津 300161
  • 折叠

摘要

Abstract

Objective To explore the effect of evidence-based nursing on the clinical effect and the incidence of aspiration pneumonia in elderly patients with cerebral infarction and swallowing dysfunction.Methods Eighty elderly dysphagic patients with a history of cerebral infarction,admitted to Tianjin Third Central Hospital between July 2022 and June 2024,were chosen as participants and randomly allocated to either a control or an experimental group,with an equal number of 40 patients in each.The control group received standard nursing care,whereas the experimental group was provided with evidence-based nursing.Outcomes such as therapeutic efficacy,nutritional indicators[total protein(TP),serum albumin(ALB),and hemoglobin levels(HGB)],quality of life parameters[including physiological,physical,psychological,emotional functions,vitality,sleep quality,mental health,and overall well-being],and the occurrence of complications(aspiration pneumonia,aspiration events,and malnutrition)were assessed and compared between the two groups.Results The total effective rate of nursing in the study group was higher than that in the control group(P<0.05).The nutritional status of the study group was better than that of the control group,and the quality of life was higher than that of the control group(P<0.05).The incidence of adverse reactions in the study group was lower than that in the control group(P<0.05).Conclusion The application of evidence-based nursing in elderly patients with cerebral infarction and swallowing dysfunction is effective,which can improve the nutritional status and the quality of life of patients,and reduce the incidence of adverse reactions such as aspiration pneumonia.It is worthy of clinical application.

关键词

循证护理/老年脑梗死/吞咽功能障碍/吸入性肺炎

Key words

Evidence-based nursing/Elderly cerebral infarction/Swallowing dysfunction/Aspiration pneumonia

分类

医药卫生

引用本文复制引用

许宏飞,云雪..循证护理对老年脑梗死吞咽功能障碍患者的临床效果及吸入性肺炎发生率的影响[J].医学信息,2024,37(24):176-180,5.

医学信息

1006-1959

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