黄远梅 巫国庆 陈陪能 黄雪娟 陈苗

【摘要】 目的：探究NNN-链接护理模式联合双重任务训练应用于脑卒中患者的效果。方法：选取2022年1—12月于第九〇九医院（厦门大学附属东南医院）就诊的脑卒中患者100例，按照随机数字表法分为对照组和观察组，各50例。对照组予以双重任务训练干预模式，观察组在对照组的基础上联合NNN-链接护理模式进行干预。观察两组口面部运动功能、认知功能、平衡功能、日常生活活动能力、吞咽功能改善效果及护理结局。结果：干预后，观察组北欧口腔颜面功能检查-筛查（NOT-S）评分明显低于对照组，简易智力状况检查（MMSE）、Berg平衡量表（BBS）及改良巴塞尔指数均明显高于对照组，差异均有统计学意义（P<0.05）。观察组总有效率（90.00%）显著高于对照组（74.00%），差异有统计学意义（P<0.05）。随访结束后，观察组功能健康、健康知识与行为、生理健康、心理社会健康及家庭健康的护理结局评分均明显高于对照组，差异均有统计学意义（P<0.05）。结论：NNN-链接护理模式联合双重任务训练应用于脑卒中患者，可明显改善患者的口面部运动功能、认知功能及平衡功能，增强患者的日常生活活动能力，改善患者的吞咽功能和护理结局。

【关键词】 脑卒中 双重任务训练 NNN-链接护理模式 吞咽功能 护理结局

Effect of NNN-linked Nursing Model Combined with Dual Task Training on Cognitive Function and Nursing Outcome of Stroke Patients/HUANG Yuanmei， WU Guoqing， CHEN Peineng， HUANG Xuejuan， CHEN Miao. //Medical Innovation of China， 2024， 21（14）： 0-077

[Abstract] Objective： To explore the effect of NNN-linked nursing model combined with dual task training on stroke patients. Method： A total of 100 stroke patients who were treated in the 909th Hospital （Dongnan Hospital of Xiamen University） from January to December 2022 were selected， and divided them into control group and observation group according to random number table method， with 50 cases in each group. The control group was given dual-task training intervention model， and the observation group was intervened with the NNN-linked nursing model on the basis of the control group. The improvement effect of orofacial motor function， cognitive function， balance function， activities of daily living， swallowing function and nursing outcomes of the two groups were observed. Result： After intervention， the nordic orofacial test-screening （NOT-S） score of the observation group was significantly lower than that of the control group， mini-mental state examination （MMSE）， Berg balance scale （BBS）， and modified Barthel index were significantly higher than those in the control group， the differences were statistically significant （P<0.05）. The effective rate in the observation group （90.00%） was significantly higher than that of the control group （74.00%）， the difference was statistically significant （P<0.05）. After the follow-up， the nursing outcomes scores in terms of functional health， health knowledge and behavior， physiological health， psychological and social health， and family health of patients in the observation group were significantly higher than those in the control group， the differences were statistically significant （P<0.05）. Conclusion： NNN-linked nursing model combined with dual-task training applied to stroke patients can significantly improve the orofacial motor function， cognitive function and balance function of patients， enhance the activities of daily life of patients， improve swallowing function and nursing outcomes of patients.

[Key words] Stroke Dual task training NNN-linked nursing model Swallowing function Nursing outcomes

First-author's address： Department of Neurology， the 909th Hospital （Dongnan Hospital of Xiamen University）， Zhangzhou 363000， China

doi：10.3969/j.issn.1674-4985.2024.14.018

脑卒中具有发病急、病情危笃、致死率和致残率高等突出特点，是各医院急诊及外科常见的危重病症，其致死率高居全球致死疾病中的第二位，严重威胁人们的生命安全，其即使存活下来的患者中，也有很大一部分患者存在着轻重不一的后遗症，如吞咽障碍、认知功能受损、运动功能障碍等[1]。目前，脑卒中后吞咽障碍、运动功能障碍、认知功能受损等后遗症的康复依然是临床所面临的难点[2]。常规的康复训练已经无法满足脑卒中所导致后遗症的复杂病情和顽固病症，无法有效改善患者的预后，促进患者的康复[3]。双重任务训练是近年来脑卒中康复治疗的常用训练方案，常被用……