摄食训练结合门德尔松手法用于老年痴呆合并吞咽功能障碍患者护理中的应用

Application of feeding training combined with Mendelssohn in the nursing of patients with Alzheimer’s disease complicated with swallowing dysfunction

目的探讨摄食训练结合门德尔松手法在老年痴呆合并吞咽功能障碍患者护理中的效果。方法选择2018年2月至2019年3月收治的60例老年痴呆合并吞咽功能障碍患者进行研究,以随机数字表法分为对照组与观察组各30例,对照组接受常规护理加摄食训练,观察组在对照组基础上加门德尔松手法,对两组患者干预前后洼田饮水试验结果及营养状态进行观察。结果两组干预前的吞咽功能分级无明显差异(P>0.05),观察组干预后的洼田饮水试验Ⅱ级占比明显较对照组高(P<0.05);两组干预前的营养水平无明显差异(P>0.05),观察组干预后的营养水平明显较对照组高(P<0.05)。结论摄食训练结合门德尔松手法可改善老年痴呆合并吞咽功能障碍患者吞咽障碍程度,也能改善其营养状态,值得推广。

Objective To explore the effect of feeding training combined with Mendelssohn’s technique in the care of patients with Alzheimer’s disease and swallowing dysfunction.Methods 60 patients with senile dementia complicated with swallowing dysfunction were enrolled from February 2018 to March 2019.They were randomly divided into control group and observation group.The group received routine nursing plus feeding training,and the observation group added Mendelssohn on the basis of the control group.The results of the drinking water test and nutritional status of the two groups before and after intervention were observed.Results There was no significant difference in the swallowing function grading between the two groups before intervention(P>0.05).The levelⅡof the Putian drinking water test in the observation group was significantly higher than that in the control group(P<0.05).There was no significant difference in the nutritional level between the two groups before intervention(P>0.05).The nutritional level of the observation group was significantly higher than that of the control group(P<0.05).Conclusions Ingestion training combined with Mendelssohn’s method can improve the degree of dysphagia in patients with Alzheimer’s disease and swallowing dysfunction,and also improve their nutritional status,which is worth promoting.