自制儿科误吸风险评估表在预判婴幼儿误吸中的应用

Application of self-made pediatric aspiration risk assessment form in predicting aspiration in infants

目的:探讨自制的误吸风险评估表在预判婴幼儿误吸与否中的应用价值。方法:以南通市通州区人民儿科及新生儿科收治的住院婴幼儿425例为研究对象。对所有纳入试验研究的患儿进行基线资料调查,同时对所有纳入试验研究的患儿给予自制的患儿误吸风险评估量表评估。统计分析基线资料与风险评估得分数据。结果:425例患儿发生误吸者32例,未发生误吸者393例,总误吸发生率为7.53%。32例发生误吸患儿的风险评分均分为(3.5±1.3)分;393例未发生误吸患儿的风险评分均分为(1.3±0.4)分,误吸患儿与未误吸患儿的风险评分比较,差异有统计学意义(t=9.536,P<0.001)。经单因素分析显示,发生误吸患儿与未发生误吸患儿在的月龄、饮食的性质、照顾者构成以及照顾者文化水平、风险评估得分因素上比较,差异均有统计学意义(P<0.05)。多因素Logistic回归分析显示,患儿的月龄、饮食性状以及风险评估得分是患儿发生误吸与否的独立危险因素。结论:患儿误吸风险评估量表能够有效评估患儿是否发生误吸情况,对护理工作有着较高的预见性与针对性,值得临床进一步研究探讨。

Objective To explore the application value of the self-made aspiration risk assessment form in predicting whether the infants inhale by mistake or not.Method 425 hospitalized infants and young children in Tongzhou District of Nantong City 2020 were selected as the research objects.The baseline data of all the children included in the experimental study were investigated.At the same time,all the children included in the experimental study were assessed with the self-made children's aspiration risk assessment scale.Statistical analysis of baseline data and risk assessment score data.Results There were 32 cases of aspiration in 425 cases and 393 cases without aspiration.The total incidence of aspiration was 7.53%.The average risk score of 32 children with aspiration was(3.5±1.3)and that of 393 children without aspiration was(1.3±0.4).There was significant difference in risk score between children with aspiration and those without aspiration(t=9.536,P<0.001).The univariate analysis showed that there were significant differences in the age of month,the nature of diet,the composition of caregivers,the educational level of caregivers and the risk assessment score between the children with and without aspiration(P<0.05).Multivariate logistic regression analysis showed that age,dietary traits and risk assessment score were independent risk factors for aspiration.Conclusion The risk assessment scale for children's aspiration can effectively assess whether there is aspiration in children,and it has high predictability and pertinence for nursing work,which is worthy of further clinical research and discussion.