Travers P L
Medical Rehabilitation Unit, DeGraff Memorial Hospital, CGF Health System, North Tonawanda, NY, USA.
Rehabil Nurs. 1999 Mar-Apr;24(2):69-73. doi: 10.1002/j.2048-7940.1999.tb01839.x.
It is important for nurses to increase their understanding of poststroke dysphagia because nurses are often the first to observe the signs and symptoms of dysphagia. An increased awareness of dysphagia and its complications should help prepare nurses to assess high-risk clients, advocate for prompt diagnosis, use compensatory interventions, and educate clients and their family members. Dysphagia is common after clients have had a stroke, and it places them at risk for numerous complications. Prompt assessment and intervention are required and may decrease clients' problems. This article presents an overview of the normal swallowing reflex to facilitate readers' understanding of dysphagia and discusses the assessment, diagnosis, and treatment of dysphagia as well as related nursing implications. An individualized plan of care for a dysphagic client requires input from the entire interdisciplinary team, and nurses must ensure adherence to this plan on a 24-hour-per-day basis.
护士增强对中风后吞咽困难的理解非常重要，因为护士常常是最先观察到吞咽困难体征和症状的人。提高对吞咽困难及其并发症的认识，应有助于护士做好准备，以评估高危患者、倡导及时诊断、采用代偿性干预措施，并对患者及其家属进行教育。患者中风后吞咽困难很常见，这会使他们面临多种并发症的风险。需要进行及时评估和干预，这可能会减少患者的问题。本文概述正常吞咽反射，以促进读者对吞咽困难的理解，并讨论吞咽困难的评估、诊断和治疗以及相关护理要点。针对吞咽困难患者的个性化护理计划需要整个跨学科团队的参与，护士必须确保每天24小时都严格执行该计划。
