摘要
目的:探讨基于吞咽功能分级的饮食安全管理在老年髋部骨折患者围手术期的效果,为提高髋部骨折患者围手术期进食安全,缩短患者住院时间提供依据。方法:选取2020年12月至2021年8月中国人民解放军总医院第一医学中心68例老年髋部骨折患者作为研究对象。根据住院号尾号单双数,分为试验组及对照组,每组34例,对照组进行常规饮食护理及进食安全健康教育,试验组根据吞咽功能评估结果进行分级饮食安全管理,比较2组患者住院期间呛咳、噎食发生情况、住院时间。结果:2组患者住院期间,对照组呛咳发生率为5.1%(78/1517),试验组为1.2%(17/1402),2组比较差异有统计学意义(χ^(2)=35.73,P<0.01);对照组噎食发生率为0.7%(11/1517),试验组为0.4%(5/1402),2组比较差异无统计学意义(χ^(2)=1.82,P>0.05);对照组住院时间为10(8,12)d,试验组为9(8,11)d,2组比较差异无统计学意义(Z=-1.33,P>0.05)。结论:对老年髋部骨折患者实施基于吞咽功能分级的饮食安全管理可以降低其住院期间呛咳的发生率,吞咽功能评估应纳入老年髋部骨折的评估中。
Objective To explore the effect of diet safety management based on swallowing function classification in perioperative period of elderly patients with hip fractures,so as to provide basis for improving perioperative food safety and shortening hospitalization time of patients with hip fracture.Methods A total of 68 elderly patients with hip fractures in the First Medical Center of PLA General Hospital from December 2020 to August 2021 were selected and divided into experimental group and control group according to even and odd-number of admission number,each group contained 34 patients.The control group was given routine diet nursing and food safety education.The experimental group was given graded diet safety management according to the swallowing function evaluation results.The incidence of aspiration and length of hospital stay were compared between the two groups.Results The incidence of chocking during hospitalization was 5.1%(78/1517)in the control group and 1.2%(17/1402)in the experimental group,and the difference was statistically significant(χ^(2)=35.73,P<0.01).The incidence of choking in the control group was 0.7%(11/1517),and 0.4%(5/1402)in the experimental group,and the difference was not statistically significant(χ^(2)=1.82,P>0.05).There was no significant difference in hospitalization time between the two groups,10(8,12)in the control group and 9(8,11)in the experimental group(Z=-1.33,P>0.05).Conclusions The implementation of diet safety management based on swallowing function classification in elderly patients with hip fractures can reduce the incidence of coughing.Evaluation of swallowing function should be included in the evaluation of hip fractures in the elderly.
作者
李佳惠
孔丹
陈雪梅
王文苏
尹鹏滨
高远
Li Jiahui;Kong Dan;Chen Xuemei;Wang Wensu;Yin Pengbin;Gao Yuan(Department of Orthopaedics,the First Medical Center of PLA General Hospital,Beijing 100089,China;Nursing Department,the First Medical Center of PLA General Hospital,Beijing 100089,China)
出处
《中国实用护理杂志》
2022年第22期1696-1700,共5页
Chinese Journal of Practical Nursing
基金
国家重点研发计划(2019YFC0840705)。
关键词
老年人
吞咽障碍
髋骨折
饮食护理
Aged
Deglutition disorders
Hip fractures
Dietary care
