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目的研究项目管理在吞咽障碍患者管理中的运用效果。方法选取韶关市第一人民医院神内一科2016年2月-2017年2月收治的吞咽障碍患者226例为研究对象,随机分为对照组与观察组各113例,对照组采用常规护理法,观察组采用项目管理法护理,比较两组护理效果。结果对照组误吸发生率、窒息发生率、吞咽障碍患者高危人群筛查率、快速饮水实验操作正确率、患者及照顾者健康宣教知晓率及协助安全进食技巧合格率分别为10.62%、2.31%、69.02%、73.45%、63.72%和57.52%;观察组误吸发生率、窒息发生率、吞咽障碍患者高危人群筛查率、快速饮水实验操作正确率、患者及照顾者健康宣教知晓率及协助安全进食技巧合格率分别为4.42%、0.00%、92.03%、87.62%、84.95%和78.76%,观察组明显优于对照组,差异有统计学意义(P<0.05)。结论项目管理在吞咽障碍患者管理中的运用效果显著,可以有效提高护理人员的工作能力,降低患者误吸发生率及窒息发生率,值得推广。
Objective To study the effect of project management in the management of swallowing patients. Methods A total of 226 patients with dysphagia admitted to the First People’s Hospital of Shaoguan First People’s Hospital from February 2016 to February 2017 were selected and randomly divided into control group and observation group with 113 cases each. The control group received routine nursing, The observation group adopted the project management law nursing, comparing the two groups nursing effect. Results The incidence of aspiration, incidence of asphyxia, screening rate of high risk population with swallowing disorders, correct rate of rapid drinking experiment, awareness rate of health education of patients and caregivers, and safety eating techniques were 10.62%, 2.31% , 69.02%, 73.45%, 63.72% and 57.52%. The rate of aspiration, incidence of asphyxia, screening rate of high risk population with swallowing disorders, correct rate of rapid drinking water experiment, awareness rate of health education among patients and caregivers, and assistance The passing rates of safe eating techniques were 4.42%, 0.00%, 92.03%, 87.62%, 84.95% and 78.76%, respectively. The observation group was significantly better than the control group with statistically significant difference (P <0.05). Conclusion The project management has a significant effect in the management of swallowing patients, which can effectively improve the working ability of nurses and reduce the incidence of aspiration and asphyxia, which is worthy of popularization.