脑卒中吞咽障碍患者进食护理的循证实践

doi:10.3761/j.issn.1672-9234.2026.01.016

中华护理教育 ›› 2026, Vol. 23 ›› Issue (1): 109-116.doi: 10.3761/j.issn.1672-9234.2026.01.016

脑卒中吞咽障碍患者进食护理的循证实践

高嘉晨(), 马珂珂, 杨彩侠, 庞舒贝, 王文雅, 郭园丽^*()

郑州大学第一附属医院神经内三科郑州市 450000

收稿日期:2025-09-22 出版日期:2026-01-15 发布日期:2026-01-13
通讯作者: 郭园丽
作者简介:高嘉晨：女，本科（硕士在读），主管护师，E-mail：1092161085@qq.com
基金资助:
国家卫生健康医药卫生科技发展中心2023年“脑卒中防治技术”研究项目(WKZX2023CZ0402)

Evidence-based practice in feeding care for stroke patients with dysphagia

GAO Jiachen(), MA Keke, YANG Caixia, PANG Shubei, WANG Wenya, GUO Yuanli^*()

3rd Department of Neurology，the First Affiliated Hospital of Zhengzhou University，Zhengzhou 450000，China

Received:2025-09-22 Online:2026-01-15 Published:2026-01-13
Contact: GUO Yuanli
Supported by:
Research Project on “Stroke Prevention and Treatment Technology” by the National Center for Medical and Health Science and Technology Development，National Health Commission，2023(WKZX2023CZ0402)

摘要/Abstract

摘要：

目的探讨脑卒中吞咽障碍患者进食护理的循证实践效果。方法基于《脑卒中后吞咽障碍患者进食护理》团体标准制订审查指标及其方法。于2024年1月—3月，开展分析基线审查，分析障碍因素并开展实践变革。于2024年5月—6月进行变革后审查。比较证据应用前后的审查指标执行率、脑卒中吞咽障碍患者吞咽功能恢复情况。结果证据应用后，10项审查指标执行率显著上升（P<0.05）；脑卒中吞咽障碍患者吞咽功能改善情况优于证据应用前（Z=2.384，P=0.017）。结论基于团体标准的循证实践推动了脑卒中吞咽障碍患者进食护理规范性及有效性的提升，提高了患者安全进食的护理质量，优化了患者吞咽功能的改善情况。

关键词: 脑卒中, 吞咽障碍, 进食护理, 循证护理

Abstract:

Objective To explore the effect of evidence-based practice（EBP） in feeding care for stroke patients with dysphagia. Methods Based on the group standard Feeding Care of Patients with Dysphagia Following Stroke，audit indicators and methods were formulated. A baseline audit was conducted from January to March 2024 to identify existing barriers and practice reforms were implemented thereafter，followed by a post-implementation audit from May to June 2024. The compliance rate of audit indicators and the recovery of swallowing function in stroke patients with dysphagia were compared before and after the application of EBP. Results After the implementation of EBP，the compliance rate of all 10 audit indicators increased significantly（P<0.05）；the improvement in swallowing function in patients was superior to that before evidence application（Z=2.384，P=0.017）. Conclusion Evidence-based practice promotes the standardization and effectiveness of feeding care for stroke patients with dysphagia，improves the quality of nursing care related to safe feeding，and optimizes the recovery of patients’ swallowing function.

Key words: Stroke, Dysphagia, Feeding Care, Evidence-Based Nursing

高嘉晨, 马珂珂, 杨彩侠, 庞舒贝, 王文雅, 郭园丽. 脑卒中吞咽障碍患者进食护理的循证实践[J]. 中华护理教育, 2026, 23(1): 109-116.

GAO Jiachen, MA Keke, YANG Caixia, PANG Shubei, WANG Wenya, GUO Yuanli. Evidence-based practice in feeding care for stroke patients with dysphagia[J]. Chinese Journal of Nursing Education, 2026, 23(1): 109-116.

图/表 4

参考文献 16

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脑卒中吞咽障碍患者进食护理的循证实践

Evidence-based practice in feeding care for stroke patients with dysphagia

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