摘要
【目的】了解浙江省温州市福利院老年人的吞咽功能现状,分析吞咽功能障碍发生的相关因素。【方法】选择2018年1月—2020年1月温州市3家福利院的507名≥60岁老年人为研究对象,采用自行设计的问卷进行调查,运用Hinds限时饮水试验进行吞咽障碍的筛查,采用多因素非条件logistic回归分析温州市福利院老年人吞咽功能障碍发生的相关因素。【结果】507名≥60岁老年人中发生吞咽功能障碍的有132人,发生率为26.04%。单因素分析显示,不同年龄、配偶情况、自理能力、健康状况、服用安眠药情况的老年人以及脑血管疾病、神经系统疾病、抑郁的患病情况不同的老年人吞咽功能障碍发生率比较,差异均有统计学意义(P<0.05)。多因素logistic回归分析显示,年龄≥80岁、服用安眠药、有脑血管疾病、有神经系统疾病、有抑郁是老年人吞咽功能障碍发生的相关因素。【结论】温州市福利院老年人吞咽功能障碍发生率较高,特别是年龄≥80岁的老年群体需要予以更多关注。此外,服用安眠药、有脑血管疾病、有神经系统疾病、有抑郁等均会增加吞咽功能障碍的发生风险,需要制定与之对应的预防与干预举措。
[Objective]To understand the swallowing function of the elderly in welfare homes of Wenzhou City,Zhejiang Province and to analyze the related factors of swallowing dysfunction.[Methods]A total of 507 elderly people aged 60 years and over were surveyed by questionnaires in three welfare homes of Wenzhou City from January 2018 to January 2020.Hinds time-limited water drinking test was used to screen dysphagia.Multivariate unconditional logistic regression analysis was used to analyze the related factors of swallowing dysfunction.[Results]The incidence of swallowing dysfunction was 26.04%(132 out of 507).Univariate analysis showed that there were significant differences in the incidence of swallowing dysfunction among the elderly in terms of age,spouse condition,self-care ability,health status,taking sleeping pills,cerebrovascular disease,nervous system disease and depression(P<0.05).Multivariate logistic regression analysis showed that the following factors were related to swallowing dysfunction among the elderly:age≥80 years old,taking sleeping pills,cerebrovascular diseases,nervous system diseases and depression.[Conclusion]The incidence of swallowing dysfunction in elderly people in welfare homes of Wenzhou City is high,especially those aged≥80 years who need more attention.In addition,taking sleeping pills,cerebrovascular diseases,nervous system diseases and depression all increase the risk of swallowing dysfunction.Corresponding preventive and intervention measures should be formulated.
作者
翁贤君
黄建平
叶一卫
包锦莹
胡玲琴
邵霞
麻慧靖
WENG Xian-jun;HUANG Jian-ping;YE Yi-wei;BAO Jin-ying;HU ling-qin;SHAO Xia;MA Hui-jing(Department of Rehabilitation,Lucheng District People's Hospital of Wenzhou City,Wenzhou,Zhejiang 325000,China;Department of Neurology,Wenzhou Central Hospital,Wenzhou,Zhejiang 325000,China)
出处
《上海预防医学》
CAS
2021年第8期750-753,757,共5页
Shanghai Journal of Preventive Medicine
基金
浙江省温州市科技计划经费自筹项目(Y20170343)。
关键词
福利院
老年人
吞咽功能
相关因素
welfare home
elderly
swallowing function
related factor
