摘要
【目的】基于标准吞咽功能评估量表(SSA)评估下的风险分级护理在预防高龄吞咽功能障碍患者误吸中的应用价值。【方法】选择2021年3月至2022年3月本院精神科收治的88例高龄吞咽功能障碍住院患者,采用随机数字表法将其分为观察组和对照组,每组44例。对照组予以常规护理干预,观察组予以SSA评估下的风险分级护理,比较两组入院次日、住院6周后生活质量、误吸风险发生及吞咽功能变化。【结果】住院6周后,两组患者吞咽障碍指数(DHI)评分低于入院次日,且观察组低于对照组,差异有统计学意义(P<0.05);两组患者SSA评分低于入院次日,观察组低于对照组,且观察组误吸风险低于对照组,差异有统计学意义(P<0.05)。观察组吸入性肺炎、反流性食管炎发生率均低于对照组,差异有统计学意义(P<0.05)。【结论】基于SSA评估下的风险分级护理能够预防高龄患者误吸的发生,可改善其吞咽功能,提高其生活质量。
【Objective】To evaluate the application value of risk grading nursing based on the Standard Swallowing Function Assessment Scale(SSA)in preventing misaspiration in elderly patients.【Methods】A total of 88 elderly hospitalized patients admitted to the psychiatric department of our hospital from March 2021 to March 2022 were selected and randomly divided into an observation group and a control group using a random number table method,with 44 patients in each group.The control group received routine nursing intervention,while the observation group received risk graded nursing under SSA assessment.The quality of life,risk of aspiration,and changes in swallowing function were compared between the two groups on the day after admission and 6 weeks after hospitalization.【Results】After 6 weeks of hospitalization,the DHI scores of the two groups of patients were lower than the day after admission,and the observation group was lower than the control group,with a statistically significant difference(P<0.05);The SSA scores of the two groups of patients were lower than those on the day after admission,the observation group was lower than the control group,and the risk of misaspiration in the observation group was lower than the control group,with a statistically significant difference(P<0.05).The incidence of aspiration pneumonia and reflux esophagitis in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).【Conclusion】Risk graded nursing based on SSA assessment can prevent the occurrence of misaspiration in elderly patients,improve their swallowing function,and improve their quality of life.
作者
李娜
佘有勤
沈云霞
闵舒婷
鲍蕾
王健
LI Na;SHE You-qin;SHEN Yun-xia(Shanghai Putuo District Mental Health Center,Shanghai 200065)
出处
《医学临床研究》
CAS
2023年第6期852-854,858,共4页
Journal of Clinical Research
基金
2019年上海市普陀区卫生健康系统科技创新项目(ptkwws201914)。
关键词
误吸/护理
风险调节
老年人
Respiratory Aspiration/NU
Risk Adjustment
Aged
