多学科吞咽困难和营养管理系统在改善住院老年患者安全饮食中的应用

Guiyan Wen, Huixia Yu, Qiu-chen Huang, Xiulan Deng, Dongxiu Liang
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引用次数: 0

摘要

本研究旨在探讨多学科吞咽困难和营养管理系统对改善住院老年患者安全饮食的价值。我们组建了一个多学科团队,包括一个老年护理团队、一个医疗团队、一个康复团队、影像中心的专业人员和营养师。我们使用吞咽困难和营养管理系统对住院的老年患者进行吞咽和进食功能障碍筛查和评估,并对吞咽困难患者进行指导和吞咽练习。我们测量了吞咽困难患者的检出率和吸入性肺炎的发生率。通过应用多学科团队开发的吞咽困难及营养管理系统,吞咽困难患者的检出率明显提高。吞咽困难患者的干预可显著降低吸入性肺炎的发生率(P<0.05),改善患者的营养状况。我们的多学科吞咽困难和营养管理系统提高了吞咽困难患者的检出率,改善了老年患者的安全饮食,预防误吸,有效减少了吸入性肺炎。目前多学科合作吞咽进食护理体系在住院老年患者喂养安全方面的应用相对较少,希望对护理同行的临床工作起到一定的参考或指导作用。
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Application of a Multidisciplinary Dysphagia and Nutrition Management System to Improve Safe Eating in Hospitalized Geriatric Patients
This study aimed to explore the value of a multidisciplinary dysphagia and nutrition management system for the improvement of safe eating in hospitalized geriatric patients. We assembled a multidisciplinary team, consisting of a geriatric care team, a medical team, a rehabilitation team, professionals from the imaging center, and dietitians. Using the dysphagia and nutrition management system, we screened and assessed swallowing and eating dysfunction in geriatric patients admitted to our inpatient department and then provided instructions and swallowing exercises for patients with dysphagia. We measured the detection rate of patients with dysphagia and incidence of aspiration pneumonia. By applying the dysphagia and nutrition management system developed by our multidisciplinary team, the detection rate of patients with dysphagia increased significantly. Interventions of patients with dysphagia significantly decreased the incidence of aspiration pneumonia (P<0.05) and improved their nutritional status. Our multidisciplinary dysphagia and nutrition management system increased the detection rate of patients with dysphagia, improved safe eating, Prevention of aspiration and effective reduction of aspiration pneumonia in elderly patients. At present, the application of multidisciplinary cooperative swallowing and eating nursing system in the feeding safety of hospitalized elderly patients is relatively few, hoping to play a certain reference or guiding role in the clinical work of nursing peers.
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