注射器给水法应用于老年患者饮水呛咳护理探讨

Nursing experience of feeding water to older patients with water chokedcough through syringes

目的比较注射器给水法与吸管给水法对吞咽障碍老年患者饮水呛咳的改善效果.方法：80 例脑卒中后饮水呛咳老年患者在常规吞咽功能训练指导及心理护理的基础上被随机分成两组,分别采用注射器给水法（注射器给水法组,n=40 例）及吸管给水法（吸管给水法组,n=40 例）每日进行饮水训练,2 个月后依据洼田饮水试验法评估并比较两组患者饮水呛咳的改善效果.结果：经训练治疗后两组患者吞咽功能均明显改善,注射器给水法组患者饮水呛咳的治疗总有效率为87.5%（35/40）,显著高于吸管给水法组（67.5%,27/40）,P〈0.05; 注射器给水法组基本治愈率为60%（24/40）,吸管给水法组基本治愈率为37.5%（15/40）,两者比较具有统计学差异（P〈0.05）.结论：对老年吞咽障碍患者在常规吞咽功能训练指导及心理护理的基础上,采用注射器给水法较吸管给水法能够更有效改善患者饮水呛咳状况.

Object Compare effects of feeding water to older patients with swallowing dysfunction through syringes and straws. Methods： 80 older patients with water chokedcough were randomly divided into two groups after regular swallowing function training and psychotherapy. Older patients in first group were fed water through syringes （n=40）, whilepatients in second group were fed water through straws （n=40）. Compare effects of improvement of both groups after two months of drinking training. Results： Both groups hadsignificant improvement of swallowing function. The total effective rate of first group is 87.5%（35/40）, which is dramatically higher than the second group （67.5%, 27/40）, p〈0.05; Thebasic curative rate is 60% （24/40） and 37.5% （15/40） respectively. There is a statistically significant difference between two groups （p〈0.05）. Conclusion： It is better to reduce waterchoked cough when feeding water to older patients with swallowing dysfunction through syringes than straws after regular swallowing function training and psychotherapy.