马飞飞,李宁,孙洁,李笑.“3S2E”护理管理及服务模式在脑卒中吞咽功能障碍患者中的应用[J].上海护理,2019,19(3): |
“3S2E”护理管理及服务模式在脑卒中吞咽功能障碍患者中的应用 |
The application of |
DOI: |
中文关键词: 脑卒中 吞咽障碍 护理管理 护理服务 |
英文关键词:Stroke Dysphagia High quality Nursing. |
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中文摘要: |
【】 目的:观察“3S2E”护理管理及服务模式在脑卒中吞咽功能障碍患者中的应用效果。方法:选择2017年1~12月我院康复科收治的脑卒中伴吞咽功能障碍患者为研究对象,按“3S2E”护理管理及服务模式实施前后分为对照组(2017年1~6月,42例)和观察组(2017年7~12月,51例)。结果:治疗结束后,观察组患者的SSA评分优于对照组,差异有统计学意义(P= 0.0012);治疗过程中,观察组患者的误吸人数和吸入性肺炎人数均少于对照组,差异有统计学意义(P= 0.026、P= 0.033);结束后观察组患者营养状态均优于对照组,差异有统计学意义;观察组患者的护理满意度(95.44%)高于对照组护理满意度(90.39%),并且两组患者在护理满意等级分布上存在着差异(P=0.001)。结论:“3S2E”护理管理及服务模式作为我院优质护理体系重要的组成部分,不仅改善了患者的吞咽功能,降低患者不良事件发生的几率,同时也能增加患者的护理满意度,保障了护理安全。 |
英文摘要: |
Aim: To evaluated the application of in patients with stroke dysphagia. Methods: We selected 93 patients with stroke dysphagia in our hospital and divided into two groups by before and after intervention. The control group (2017, Jan. to June. ) had 42 patients, observation group (2017, July. to Dec.) had 51 patients. Results: After treatment, the score of SSA in patients of observation group were better than patients of control group, and the difference have statistical significance (P=0.0012); in the course of treatment, the patients developed of aspiration pneumonia and number of aspiration in observation group were fewer than control group (P= 0.026、P= 0.033. The nutritional status of observation group was better than control group; the nursing satisfaction of observation group (95.44%)was better than control group (90.39%), and the two groups have statistical difference in distribution of nursing satisfaction (P=0.001).Conclusion: 2E" nursing management and service model as an important section in high quality care of our hospital can improve swallow function of patients and reduce frequency of adverse events. |
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