摘要
目的探讨饮食分级护理和预防听神经瘤术后患者进食误吸的护理效果。方法将100例听神经瘤术后患者按入院时间排序分为干预组(2015年7~12月,50例)和对照组(2015年1~6月,50例)。对照组按照常规护理,干预组术后采用吞误吸风险等级划分,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。结果在于预前,两组术后误吸风险比较,差异无统计学意义(P〉0.05)。干预后,对照组共发生误吸20次,误吸发生率为5.60%,其中呛咳18次,噎食3次,窒息1次;干预组共发生误吸8次,误吸发生率为0.94%,其中呛咳5次,噎食2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)。结论对听神经瘤术后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。
Objective To explore the application effect of graded dietary care on aspiration prevenuon m patients with acoustic neuronal surgery. Methods A total of 100 patients after acoustic neuroma surgery have been divided into an intervention group ( admitted during July to December in 2015,50 cases) and a control group (admitted during January to June in 2015, 50 cases). The intervention group was assessed with Standardized Swallowing Assessment (SSA) according to the risk of aspiration, and then they received graded dietary care based on the assessment results. The control group received conventional aspiration prevention measures. The feeding aspiration of the two groups of patients with intervention was compared. Result Compared the two groups of postoperative risk of aspiration, and the difference before intervention has no statistical significance ( P 〉 O. 05 ). After the intervention, there were 8 times of aspiration (5 coughing,2 choking,and 0 asphyxia) with the rate of 0.94% in the intervention group, however in the control group, and 20 times of aspiration (18 coughing,3 choking, 1 asphyxia) , with the incidence rate of aspiration being 5.6%. The rates has statistical significant difference ( P 〈 0.01 ). Conclusion Graded dietary care based on aspiration risk assessment can effectively minimize aspiration risk and reduce the incidence rate of aspiration in patients with acoustic neuronal surgery.
出处
《兵器装备工程学报》
CAS
2016年第4期169-171,共3页
Journal of Ordnance Equipment Engineering
关键词
听神经瘤术后患者
误吸风险
标准吞咽功能评估
饮食分级护理
患者安全护理风险管理
patients with acoustic neuronal surgery
aspiration risk
Standardized Swallowing Assessment (SSA)
graded nursing care in dietary
patient safety nursing risk management