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时间:2019-06-21
《误吸风险评估与饮食分级护理预防高龄患者误吸》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、万方数据·38·基础护理··论著·JournalofNursingScienceApr.2015V01.30No.7误吸风险评估与饮食分级护理预防高龄患者误吸孙丽凯,陈俊春摘要:目的探讨饮食分级护理预防高龄患者进食误吸的效果。方法将126例高龄患者按入院时间排序分为干预组(2013年7~12月,63例)和对照组(2013年1~6月,63例)。对照组按照常规护理,干预组入院时行吞咽功能评分和误吸风险等级划分,并在此基础上根据误吸风险等级实施饮食分级护理。比较两组患者干预期间进食时误吸发生情况。结果两组入院时误吸风险比较,差异无统计学意义(P>0.05)。干预后,对照组共发生误吸170次,误吸发
2、生率为5.60%,其q-呛咳152次,噎食17次,窒息1次;干预组共发生误吸28次.误吸发生率为o.94%,其中呛咳25次,噎食3次,无窒息发生。两组误吸发生率比较差异有统计学意义(P<0.01)。结论对高龄患者行误吸风险分级,并实施相应的饮食分级护理措施,可有效降低误吸风险,保障高龄患者进食安全。关键词:高龄患者;误吸风险;标准吞咽功能评估;分级护理;饮食护理;患者安全;护理风险管理中图分类号:R471文献标识码:A文章编号:1001—4152(2015)07—0038—04DOI:10.3870/hlxzz.2015.07.038Aspirationriskassessmentandgr
3、adeddietarycaretopreventaspirationinelderlypatientsSunLikai,ChenJ1Anchgln.GeriatricU-nit,TongjiHospitalAffiliatedtoTongJiMedicalCollegeofHuazhongUniversityofScienceandTechnology,Wuhan430030.ChinaAbstract:ObjectiveToexploretheapplicationeffectofgradeddietarycareonaspirationpreventioninelderlypatient
4、s.MethodsAtotalof126elderlypatientswereselectedanddividedintoaninterventiongroup(admittedduringJulytoDecemberin2013,63ca—ses)andacontrolgroup(admittedduringJanuarytoJunein2013,63cases)accordingtohospitalizationtime.TheinterventiongroupwereassessedatadmissionwithStandardizedSwallowingAssessment(SSA)
5、toscreentheriskofaspiration,thentheyre—ceivedgradeddietarycarebasedontheassessmentresultsofaspirationrisks.Thecontrolgroupreceivedconventionalaspirationpreventionmeasures.Theincidenceofaspirationwasobservedduringtheintervention.ResultsTheaspirationriskbetweenthetwogroupshadnosignificantdifferenceon
6、admission(P>0.05).Aftertheintervention,therewere170timesofaspiration(152coughings,17chokings,and1asphyxia),withtheincidencerateofaspirationbeing5.60%,inthecontrolgroup,and28timesofaspiration(25coughings,3chokings,0asphyxia),withtheincidencerateofaspirationbeing0.94%,intheinterventiongroup.Theratesh
7、adsignificantdifference(P<0.01).ConclusionGradeddietarycarebasedonaspirationriskassessmentcaneffectivelymini—mizeaspirationrisk,reducetheincidencerateofaspirationintheelderlyandensuretheirsafety.Keywords:el
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