摘要
目的探讨基于老年综合评估的家庭赋权方案对老年吞咽障碍患者主要照顾者的照顾准备度以及对患者的吞咽功能、营养状况的干预效果。方法采用便利抽样法,选择2016年1月—2017年6月在南京鼓楼医院住院的120例吞咽障碍患者和其120名主要照顾者为研究对象,采用随机数字表法分为对照组(n=60)和试验组(n=60),对照组采用常规护理,试验组在对照组基础上采用基于老年综合评估的家庭赋权方案,比较两组照顾者照顾准备度、患者吞咽功能和营养状况改善情况。结果研究过程中共13例患者退出,最终纳入试验组56例,对照组51例。干预后,试验组患者主要照顾者的照顾准备度得分(23.55±2.26)分,对照组(15.40±1.70)分,差异有统计学意义(t=-20.919,P<0.01)。试验组患者吞咽功能改善总有效率85.71%,对照组总有效率68.63%,两组比较差异有统计学意义(Z=-2.035,P<0.05)。干预后3个月,试验组血清白蛋白(34.360±1.978)g/L,血红蛋白(120.900±9.031)g/L,微型营养评定得分(7.450±1.638)分,均优于对照组,差异有统计学意义(t值分别为29.586、17.370、6.049;P<0.05)。结论基于老年综合评估的家庭赋权方案可以更好地提高老年吞咽障碍患者主要照顾者的照顾者准备度,更有效地改善吞咽障碍患者的吞咽功能及营养状况。
Objective To explore the effects of family empowerment program based on comprehensive geriatric assessment(CGA)on care readiness of main caregivers,patients'deglutition function and nutritional status among geriatric patients with dysphagia.Methods From January 2016 to June 2017,we selected 120 dysphagia patients and their 120 main caregivers of Nanjing Drum Tower Hospital as subjects by convenience sampling.All of the subjects were divided into control group(n=60)and experimental group(n=60)with the method of the random number table.Control group carried out routine nursing.On the basis of that in control group,experimental group applied family empowerment program based on CGA.The care readiness of caregivers,patients'deglutition function and nutritional status were compared between two groups.Results Through the course of study,a total of 13 patients quitted with 56 cases included in experimental group and 51 included in control group.After intervention,the scores of care readiness of main caregivers of experimental group and control group were(23.55±2.26)and(15.40±1.70)respectively with a statistical difference(t=-20.919,P<0.01).The total effective rate of the deglutition function improvement of experimental group and control group were 85.71%and 68.63%respectively with a statistical difference(Z=-2.035,P<0.05).Three months after intervention,blood albumin,hemoglobin and the score of mini nutritional assessment of experimental group were(34.360±1.978)g/L,(120.900±9.031)g/L and(7.450±1.638)respectively statistically superior than those of control group(t=29.586,17.370,6.049;P<0.05).Conclusions Family empowerment program based on CGA can effectively improve care readiness of main caregivers among geriatric patients with dysphagia,the deglutition function and nutritional status of dysphagia patients.
作者
蒋园园
练敏
邓小岚
Jiang Yuanyuan;Lian Min;Deng Xiaolan(Department of 12B Neurology,Nanjing Drum Tower Hospital,Nanjing 210008,China;Department of Geriatrics,Nanjing Drum Tower Hospital,Nanjing 210008,China)
出处
《中华现代护理杂志》
2019年第4期467-471,共5页
Chinese Journal of Modern Nursing
基金
国家临床重点专科建设项目护理专业(2011-872)
江苏省干部保健科研课题(BJ14024).
关键词
老年人
老年综合评估
家庭赋权方案
吞咽障碍
吞咽功能
营养状况
照顾准备度
Aged
Comprehensive geriatric assessment
Family empowerment program
Deglutition disorders
Deglutition function
Nutritional status
Care readiness
