Research on swallowing rehabilitation nursing led by specialized Nurses in Patients with dysphagia after stroke
以专科护士为主导的吞咽康复护理在脑卒中后吞咽障碍患者中的研究

摘要

目的 探讨以专科护士为主导的吞咽康复护理在脑卒中后吞咽障碍患者中的效果。方法 选取2024年8月-2025年8月期间重庆市某三甲医院康复科收治的80例脑卒中后吞咽障碍患者为研究对象。按照随机原则将所有患者分为对照组（n=40例，常规护理）与观察组（n=40例，以专科护士为主导的吞咽康复护理）。对比两组患者的洼田饮水试验结果、不良事件发生情况、饮水及进食时间、生活质量。结果 观察组患者的洼田饮水试验评分、不良事件发生率、饮水及进食时间，均明显低于对照组患者。且观察组的各项生活质量评分，均明显高于对照组患者，差异有统计学意义（P＜0.05）。结论 对脑卒中后吞咽障碍患者实施以专科护士为主导的吞咽康复护理，可有效改善患者吞咽功能、提升饮水及进食速度、降低不良事件发生率，并提高生活质量。

Abstract

Objective To explore the effect of swallowing rehabilitation nursing led by specialized nurses in patients with dysphagia after stroke.
Methods Eighty patients with dysphagia after stroke who were admitted to the rehabilitation department of a tertiary hospital in Chongqing from August 2024 to August 2025 were selected as the research subjects. All patients were randomly divided into the control group (n=40 cases, with routine care) and the observation group (n=40 cases, with swallowing rehabilitation care led by specialized nurses). The results of the Wada drinking water test, the occurrence of adverse events, the time of drinking and eating, and the quality of life of the two groups of patients were compared.
Results The scores of the Wada drinking water test, the incidence of adverse events, and the time of drinking and eating in the observation group were significantly lower than those in the control group. Moreover, the quality of life scores of the observation group were significantly higher than those of the control group, and the difference was statistically significant (P < 0.05).
Conclusion   Implementing swallowing rehabilitation nursing led by specialized nurses for patients with dysphagia after stroke can effectively improve the swallowing function of patients, increase the speed of drinking and eating, reduce the incidence of adverse events, and improve the quality of life.