延续性护理配合体位指导对脑卒中后 吞咽障碍病人吞咽功能、并发症、 生活质量的影响
The Impact of Continuous Nursing Care Combined with Posture Guidance on Swallowing Function, Complications, and Quality of Life in Patients with Post-Stroke Dysphagia
摘要: 目的:分析脑卒中后吞咽障碍(PSD)患者应用延续性护理联合体位指导的作用。方法:选取2025年1月至2025年11月期间至我院就诊的48例PSD患者。应用Excel表格分组法均分为基础组(常规护理干预)、研究组(延续性护理联合体位指导),n = 24。组间对比吞咽功能、并发症发生情况和生活质量。结果:研究组吞咽功能和生活质量均高于基础组(P < 0.05);研究组并发症发生率低于基础组(P < 0.05)。结论:延续性护理联合体位指导能够改善PSD患者的吞咽功能,减少并发症发生,提高生活质量。
Abstract: Objective: To analyze the effect of continuous nursing combined with posture guidance in patients with post-stroke dysphagia. Methods: 48 patients with PSD who were admitted to our hospital from January 2025 to November 2025 were selected. The patients were divided into two groups by Excel table: the basic group (conventional nursing intervention) and the research group (continuing nursing combined with posture guidance), n = 24. The swallowing function, complications, and quality of life were compared between the two groups. Results: The study group exhibited higher swallowing function and quality of life compared to the control group (P < 0.05), while the incidence of complications was lower in the study group (P < 0.05). Conclusion: Continuous nursing combined with posture guidance can improve swallowing function, reduce complications, and enhance the quality of life in patients with post-stroke dysphagia.
文章引用:高霞, 刘华, 吕春香, 王明清. 延续性护理配合体位指导对脑卒中后 吞咽障碍病人吞咽功能、并发症、 生活质量的影响[J]. 临床医学进展, 2026, 16(1): 843-847. https://doi.org/10.12677/acm.2026.161112

参考文献

[1] 仲慧, 刘丹, 周佳, 等. 进食体位指导联合吞咽训练在脑梗死后吞咽障碍患者中的应用[J]. 国际医药卫生导报, 2025, 31(18): 3117-3121.
[2] 杨纯生, 李金霞, 常保燕. 体位管理与姿势控制应用于吞咽障碍及肺部感染防治中的研究现状[J]. 中国医刊, 2024, 59(9): 935-937.
[3] 李叶萌, 张辉, 曹芹. 姿势调控联合呼吸功能优化策略在脑出血后吞咽障碍患者中的临床应用效果[J]. 医学临床研究, 2025, 42(8): 1470-1473.
[4] 国家神经系统疾病临床医学研究中心, 国家神经系统疾病医疗质量控制中心, 中国卒中学会医疗质量管理与促进分会, 等. 卒中临床诊疗和疾病管理核心数据元及定义专家共识[J]. 中国卒中杂志, 2020, 15(4): 416-434.
[5] 张玲玲, 朱晓威, 李妍妍. “互联网 + 延续性护理”对脑梗塞合并吞咽障碍患者康复效果的影响[J]. 岭南急诊医学杂志, 2025, 30(2): 219-221.
[6] 周艳芬, 袁晓玲, 赵冉冉. 团队式延续性护理联合下颏抗阻力训练在脑梗死后吞咽障碍患者康复中的应用效果[J]. 反射疗法与康复医学, 2025, 6(2): 159-162.
[7] 吴海银, 邓碧静, 曾丽莉. 基于互联网平台的4C延续性护理模式对脑卒中吞咽障碍患者的效果[J]. 中外医疗, 2025, 44(3): 125-129.
[8] 马玲, 王俊玲, 司炜佳, 等. 互联网 + 多学科团队协作模式的延续性护理对脑卒中吞咽障碍患者生活质量的影响[J]. 国际护理学杂志, 2024, 43(4): 577-583.