目的 探讨系统护理干预对重症病毒性脑炎伴吞咽功能障碍患儿生活质量的影响.方法 选取2016年1月～2017年5月在沈阳市儿童医院康复科接受治疗的重症病毒性脑炎伴吞咽功能障碍患儿60例作为研究对象,按照随机数字表法分为对照组和观察组,每组各30例.对照组患儿给予常规护理干预,观察组患儿给予系统护理干预.两组均干预14 d.采用吞咽障碍调查问卷(DDS)和简体中文版PedsQLTM 3.0量表对护理干预前后两组患儿的吞咽障碍和生活质量进行评价.结果 干预前两组患儿DDS评分及生活质量评分比较,差异均无统计学意义(P＞ 0.05).干预后两组患儿DDS评分均低于干预前,且观察组DDS评分明显低于对照组,差异均有统计学意义(P＜0.05).干预后两组患儿生活质量各项评分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P＜0.05).结论 系统护理干预可以改善重症病毒性脑炎伴吞咽功能障碍患儿的临床症状,提高其生活质量,值得临床推广应用.%Objective To explore the effect of systematic nursing intervention on the quality of life in children with severe viral encephalitis combined with dysphagia.Methods From January 2016 to May 2017,60 patients with severe viral encephalitis combined with dysphagia treated in Shenyang Children's Hospital were selected as the research subjects and divided into the control group and observation group by random number table,with 30 cases in each group.The control group was given routine nursing intervention and the observation group was given systematic nursing intervention.Both groups were all intervened for 14 d.The dysphagia disorders survey (DDS) and the Chinese version of the pediatria quality of life inventory 3.0 healthcare satisfaction hematology/oncology module were applied to evaluate the dysphagia and the quality of life before and after nursing intervention.Results Before intervention,there were no statistically significant differences in the scores of DDS and quality of life between the two groups (P ＞ 0.05).After intervention,the scores of DDS in the two groups were all lower than those of before intervention,and that in the observation group was significantly lower than that of control group,with statistically significant differences (P ＜ 0.05).After intervention,the scores of life quality in each item in the two groups were all higher than those of before intervention,and the scores above in the observation group were all significantly higher than those of control group,with statistically significant differences (P ＜ 0.05).Conclusion Systematic nursing intervention can improve the clinical symptoms and enhance the quality of life in children with severe viral encephalitis combined with dysphagia.It is worthy of promotion and application.
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