| Purpose:As one of the major complications of stroke, about 50%-72% of patients with dysphagia. The main performance of myopia difficulty drinking cough, as well as cases of aspiration and aspiration occurs, in general, these patients can lead to malnutrition and hypoalbuminemia, severe cases can occur in patients with aspiration pneumonia and even death occur. Dysphagia after stroke further increased in patients with pulmonary infection, malnutrition, and may be a stroke, the occurrence probability of death, seriously affecting the quality of life of patients, to their own and the patient’s family to bring varying degrees of impact. Dysphagia after stroke is no effective therapy is currently used as an effective treatment rehabilitation measures have been widely used in clinical practice. To investigate this issue of rehabilitation nursing intervention by the impact of randomized controlled trials in patients with acute ischemic stroke recovery of dysphagia, swallowing disorders grasp the best time to restore and improve the quality of life of patients with dysphagia after stroke.Method:In this study, a randomized controlled study, the treatment group increased system rehabilitation nursing care in neurology regular basis, based on the control group using conventional primary care neurology. Treatment time: daily breakfast, dinner three time periods when the patient rehabilitation 20-30 minutes, and has asked the families to assist their treatment, observation time was 14 days. While 14 days for a course of treatment. In the baseline point(before treatment), end point(2 weeks)(after treatment) each evaluation 1 times.Result:This test through rigorous screening, after consultation, is satisfied, the standard row elect a total of 60 cases of hospitalized patients, in which 29 cases of male patients, female patients of 31 cases, according to the pre-test analysis is divided into two experimental groups and control groups and X2 test their statistical analysis. Through statistical test, P> 0.05, two gender explain the experimental group and the control group had no significant difference between comparable. Set on taking into account differences in age, age span too large, so the inclusion criteria set off the assembly line at the age of 40 years of age, the line is set at the age of 75 years of age. Through statistical analysis X2 test, P> 0.05 illustrate the age distribution was no significant difference between comparable; drinking water test by Kubota, Kubota swallowing ability assessment method, difficulty swallowing evaluation criteria measuring scale, the test group and the control group The patient scores were measured for statistical analysis X2 test, P> 0.05 illustrate the distribution of patients with no disease severity on a significant difference between comparable.After the intervention of rehabilitation care, the test results show that show that 30 patients in the treatment group, clinical control 0 cases, 13 patients were cured, effective 10 cases, seven cases of invalid cases. The total effective rate was 76.7% test; 30 patients in the control group, patients whose clinical control to 0 cases, effective case for the five cases, effective cases of 10 cases, 15 cases of invalid cases. The total effective rate of 50%. By comparison, the efficacy of the treatment group than the control group.Conclusion:By early acute ischemic stroke rehabilitation nursing intervention can work out a comprehensive study of acute ischemic stroke patients with dysphagia effective and rational behavior rehabilitation care, and to promote early rehabilitation of patients with dysphagia. |
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