Application of intermittent oral tube feeding combined with swallowing function training in nursing care of patients with dysphagia
间歇性经口管饲法结合吞咽功能训练在吞咽障碍患者护理中的应用

摘要

目的 探讨间歇性经口管饲法结合吞咽功能训练在吞咽障碍患者护理中的应用价值。方法 采用目标定位研究法，选取我科2019年6月至2020年6月以来收治的76例吞咽障碍患者为受试实验对比对象，按照术后护理方法差异，等分为两对照组和实验组两实验小组，分别给予间歇性经口管饲法单独治疗和间歇性经口管饲法结合吞咽功能训练治疗和护理观察，临床对比分析二者护理疗效及其预后。结果 实验组护理疗效94.73%（36/38）显著高于对照组护理疗效65.79%（25/38），有统计学意义（P<0.05）。实验组和对照组在不良结局发生指数、护理质量改善指数、护理质量敏感指标合格率上，数值对比分别为（4.62±0.25）和（1.05±0.37）、（3.61±1.33）和（7.02±1.40）、（3.86±0.01）和（6.96±0.09），有统计学意义（P<0.05）。结论 在吞咽障碍患者术后早期治疗中，综合应用间歇性经口管饲法结合吞咽功能训练，具有显著的护理疗效和明显的改善患者预后效果，值得临床大力实施推广。

Abstract

Objective: To explore the application value of intermittent oral tube feeding combined with swallowing function training in nursing care of patients with dysphagia.
Methods: Using the target location research method, 76 patients with dysphagia admitted to our department from June 2019 to June 2020 were selected as the experimental comparison subjects. According to the difference in postoperative care methods, they were equally divided into two control groups and experiments The two experimental groups were given intermittent oral gavage alone and intermittent oral gavage combined with swallowing function training and nursing observation. Clinical comparison and analysis of the nursing efficacy and prognosis of the two were performed.
Results: The nursing curative effect of the experimental group was 94.73% (36/38) significantly higher than that of the control group 65.79% (25/38), which was statistically significant (P<0.05). In the experimental group and the control group, on the occurrence index of adverse outcome, the improvement index of nursing quality, and the qualified rate of nursing quality sensitive indicators, the numerical comparisons were (4.62±0.25) and (1.05±0.37), (3.61±1.33) and (7.02±1.40), respectively ), (3.86±0.01) and (6.96±0.09), with statistical significance (P<0.05).
Conclusion  : In the early postoperative treatment of patients with dysphagia, the comprehensive application of intermittent oral gavage combined with swallowing function training has a significant nursing effect and a significant improvement in the prognosis of patients. It is worthy of clinical implementation.