【摘要】 目的：研究與分析吞咽功能評(píng)估在老年住院患者中的運(yùn)用及可行性。方法：選取本院2017年9-10月收治的老年住院患者189例，根據(jù)吞咽功能評(píng)估及護(hù)理干預(yù)的不同分為對(duì)照組（94例）和觀察組（95例）。觀察組行標(biāo)準(zhǔn)吞咽功能評(píng)估（SSA）+吞糊試驗(yàn)及針對(duì)性護(hù)理干預(yù)，對(duì)照組行洼田飲水試驗(yàn)及常規(guī)護(hù)理干預(yù)。對(duì)比兩組留置胃管例數(shù)、吸入性肺炎發(fā)生率、干預(yù)療效及住院時(shí)間等。結(jié)果：觀察組干預(yù)總有效率為88.42%（84/95）明顯高于對(duì)照組的69.15%（65/94），差異有統(tǒng)計(jì)學(xué)意義（P<0.05）；而觀察組留置胃管例數(shù)、吸入性肺炎發(fā)生率、住院時(shí)間等與對(duì)照組相比均顯著較少，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：針對(duì)老年住院患者采取SSA+吞糊試驗(yàn)測(cè)評(píng)其吞咽功能具有較高可行性，且根據(jù)測(cè)評(píng)結(jié)果對(duì)其實(shí)施針對(duì)性護(hù)理干預(yù)可促使其健康結(jié)局顯著改善，值得推廣應(yīng)用。
　　【關(guān)鍵詞】 吞咽功能評(píng)估； 老年住院患者； 可行性
　　Evaluation of Swallowing Function in Elderly Inpatients and Analysis of Feasibility/OU Xiaoming，LYU Yingbin，F(xiàn)ENG Wenying.//Medical Innovation of China，2018，15（07）：084-086
　　【Abstract】 Objective：To study and analyze the feasibility and feasibility of swallowing function assessment in elderly inpatients. Method：A total of 189 elderly inpatients with swallowing disorders admitted to our hospital from September to October 2017 were divided into control group（n=94） and observation group（n=95） according to the assessment of swallowing function and nursing intervention.The observation group was convicted and targeted nursing interventions，the control group was given Kubota drinking water test and routine nursing intervention.The number of indwelling gastric tube，the incidence of aspiration pneumonia，intervention efficacy and hospital stay of two groups were compared.Result：The effective rate of observation group was 88.42%（84/95），which was significantly higher than that of control group 69.15%（65/94），the difference was statistically significant（P<0.05）； in observation group，the number of gastric tube，the incidence of aspiration pneumonia，hospital stay were significantly less than those of control group，the differences were statistically significant（P<0.05）.Conclusion： It is feasible to evaluate the swallowing function of inpatients with senile swallowing disorder by taking the embezzlement test.According to the results of the evaluation，the targeted nursing intervention can promote the significant improvement of their health outcomes，which is worthy of popularizing and applying.
　　【Key words】 Swallowing function assessment； Elderly inpatients； Feasibility
　　First-author’s address：Heshan People’s Hospital，Heshan 529700，China
　　doi：10.3969/j.issn.1674-4985.2018.07.024
　　對(duì)于神經(jīng)系統(tǒng)疾病及肌病患者而言，吞咽困難是一種常見并發(fā)癥，其指的是食物通過咽部或食管時(shí)感到費(fèi)力，有咽不下、梗阻、障礙的感覺。由于其吞咽過程比較長(zhǎng)，且極易引發(fā)一系列病癥，如營(yíng)養(yǎng)不良、吸入性肺炎窒息等，甚至還可能會(huì)剝奪人的基本進(jìn)食需求，嚴(yán)重影響生活質(zhì)量[1-3]。而大多數(shù)老年住院患者由于疾病以及年齡等因素的影響，因而其大多存在吞咽功能障礙[4-5]。此類患者的特點(diǎn)主要為吞咽困難、飲水嗆咳等，其不僅會(huì)增加患者吸入性肺炎發(fā)生率以及病死率，且還會(huì)延長(zhǎng)患者的住院時(shí)間，從而嚴(yán)重影響患者的預(yù)后[6-8]。因此本文選取本院2017年9-10月收治的老年住院患者189例，根據(jù)吞咽功能評(píng)估及護(hù)理干預(yù)的不同分為對(duì)照組（94例）和觀察組（95例），即對(duì)吞咽功能評(píng)估在老年住院患者中的運(yùn)用及可行性進(jìn)行了研究與分析，現(xiàn)報(bào)道如下。

相關(guān)熱詞搜索：住院 吞咽 老年 患者 可行性分析