安全吞咽管理在老年阿尔茨海默病进食困难患者中的应用  

Application of safety swallowing management in senile alzheimer disease patients with feeding difficulty

作　　者：谢振英[1] 陈玉娟[2] Xie Zhenying;Chen Yujuan(Department of Neurology,Wuxi Second People＇s Hospital,Jiangsu Province,Wuxi 214002,China;Client Service Center,Wuxi Second People＇s Hospital,Jiangsu Province,Wuxi 214002,China)

机构地区：[1]江苏省无锡市第二人民医院神经内科,214002 [2]江苏省无锡市第二人民医院客服中心,214002

出　　处：《中华现代护理杂志》2018年第23期2793-2796,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于吞咽功能分级的安全吞咽管理在老年期阿尔茨海默病进食困难患者中的应用效果。方法选取2016年11月一2017年4月在江苏省无锡市第二人民医院就诊的阿尔茨海默病患者72例，根据人院次序的单双数随机分为观察组和对照组，每组36例。对照组实施常规饮食护理；观察组实施安全吞咽管理，根据评估等级给予相应级别的安全吞咽管理措施。比较两组患者进食效果、营养状况、进食安全情况。结果干预3个月后，观察组患者每餐进食量（251．20±24．37）g，每餐饮水量为（141．50±12．27）ml，均高于对照组，差异有统计学意义“值分别为6．324、8．817；P〈0．01）；观察组血清前白蛋白为（202．44±12．56）m/L，对照组为（186．94±14．80）m/L，差异有统计学意义（t=4．611，P〈0．01）；观察组出现进食不安全事件发生率为8．33％，对照组为30．55％，差异有统计学意义（X^2=5．675，P〈0．05）。结论对老年期阿尔茨海默病患者实施基于吞咽功能分级的安全吞咽管理，有利于提高其饮食量，补充机体营养。Objective To explore the effects of safety swallowing management based on swallowing functional grading in senile Alzheimer disease patients with feeding difficulty. Methods From November 2016 to April 2017, a total of 72 Alzheimer disease patients in Wuxi Second People＇s Hospital of Jiangsu Province were selected. All of the patients were randomly divided into observation group and control group according to the singular, dual numbers of sequences being admitted to hospital, 36 cases in each group. Patients of control group received conventional diet nursing. Patients of observation group were treated with appropriate safety swallowing management on the basis of assessment level. The effect of feeding, nutrition and feeding safety of patients between two groups were compared. Results Three months after intervention, the food-intake each meal of patients was （251.20 ± 24.37） g in observation group, water-intake each meal was （141.50 ± 12.27） ml higher than those in control group with significant differences （t=6.324, 8.817; P 〈 0.01）. The serum prealbumin of observation group and control group was （202.44±12.56） mg/L and （186.94 ± 14.80） mg/L respectively with a significant difference （t=4.611, P 〈 0.01）. The incidence of unsafe feeding events of observation group and control group was 8.33% and 30.55% respectively with a significant difference （X^2=5.675, P 〈 0.05）. Conclusions Application of safety swallowing management based on swallowing functional grading in senile Alzheimer disease patients is favorable for imnroving food-intake and sunnlementing nutrition.

关 键 词：老年人 阿尔茨海默病 吞咽障碍 安全吞咽管理 

分 类 号：R473.74[医药卫生—护理学]