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集束化护理对吞咽功能障碍老年患者的干预效果研究

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目的 探讨集束化护理对吞咽功能障碍老年患者的干预效果。方法 选取2022年8月-2023年12月本院老年医学科收治的105例洼田饮水试验(WST)≥3级、Fried衰弱表型量表(FP)评分≥33分的老年患者为研究对象,将其随机分为研究组55例和对照组50例。对照组进行常规吞咽障碍护理,研究组接受集束化护理。比较干预1个月后2组衰弱状况、吞咽障碍和生活质量状况。结果 因病情变化,对照组脱落2例,研究组脱落3例,最终研究组52例,对照组48例。2组一般资料比较,差异无统计学意义(P>0。05)。干预前,2组WST不同分级患者占比比较,差异无统计学意义(P>0。05);干预1个月后,2组WST分级为3、4、5级的患者占比与干预前比较,差异有统计学意义(P<0。05)。干预1个月后,2组WST不同分级患者占比比较,差异有统计学意义(P<0。05)。干预前,研究组吞咽障碍特异性生活质量量表(SWAL-QOL)评分为(108。47±19。99)分,对照组为(109。17±20。34)分。2组干预前SWAL-QOL评分差异无统计学意义(P>0。05)。干预1个月后,研究组SWAL-QOL评分为(143。07±16。55)分,对照组为(133。52±21。06)分;2组SWAL-QOL评分均较干预前提高,且研究组高于对照组,差异有统计学意义(P<0。05)。结论 对合并衰弱的老年吞咽障碍患者实施集束化护理,可有效改善衰弱状况、吞咽功能及生活质量。
Effect of cluster nursing for elderly patients with swallowing dysfunction
Objective To explore the effect of cluster nursing intervention in elderly patients with swallowing dysfunction.Methods A total of 105 elderly patients with a Water Swallowing Test(WST)score of ≥3 and a Fried Frailty Phenotype(FP)score of ≥33 admitted to the department of geriatrics in our hospital from August 2022 to December 2023 were selected as research subjects and randomly divided into study group(n=55)and control group(n=50).The control group received routine nursing care for swallowing dysfunction,while the study group received cluster nursing care.The frailty status,swallowing disorders,and quality of life were compared between the two groups af-ter 1 month of intervention.Results Due to changes in the condition,2 cases dropped out from the control group and 3 cases from the study group,leaving 52 cases in the study group and 48 cases in the control group.There was no statistically significant difference in general information between the two groups(P>0.05).Before the intervention,there was no statistically significant difference in the proportion of patients with different WST grades between the two groups(P>0.05).After 1 month of intervention,there was a statistically significant difference in the proportion of patients with WST grades 3,4,and 5 compared to before the intervention(P<0.05).After 1 month of intervention,there was a statistically significant difference in the proportion of patients with different WST grades be-tween the two groups(P<0.05).Before the intervention,the Swallowing-Quality of Life(SWAL-QOL)score of the study group was(108.47±19.99)points,and was(109.17±20.34)points in the control group.There was no statistically significant difference in SWAL-QOL scores between the two groups before the intervention(P>0.05).After 1 month of intervention,the SWAL-QOL score of the study group was(143.07±16.55)points,and was(133.52±21.06)points in the control group.The SWAL-QOL scores of both groups improved compared to before the intervention,and the study group had a higher score than the control group(P<0.05).Conclusion Cluster nursing for elderly patients with swallowing disorders and frailty can effectively improve their frailty status,swal-lowing function,and quality of life.

cluster nursingfrailtyswallowing disordersquality of lifeWater Swallowing TestFried Frailty Phenotype

屈丽颖、张炜、胡洁琼、屈小伶、刘岩

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首都医科大学附属北京友谊医院医保内科,北京,100050

集束化护理 衰弱 吞咽障碍 生活质量 洼田饮水试验 Fried衰弱表型量表

2024

实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
年,卷(期):2024.28(23)