Application of precise feeding management based on V-VST in elderly patients with dysphagia of schizophrenia
Objective To explore the application of precise feeding management program based on Vol-ume-Viscosity Swallowing Test(V-VST)in elderly patients with dysphagia due to schizophrenia,so as to im-prove the safety and effectiveness of patients'diet.Methods From June 2022 to May 2023,116 elderly schizo-phrenic patients with dysphagia grade Ⅱ-Ⅲ(all confirmed by Kubota drinking water test)hospitalized in the Department of Psychiatry,the Affiliated Brain Hospital of Guangzhou Medical University were selected.The patients were divided into control group and observation group by random number table method,with 58 cases in each group.The patients in the control group were given routine nursing and dietary guidance,and the patients in the observation group were combined with V-VST on the basis of Kubota drinking water test to provide a safe and effective accurate feeding plan for patients.After 30 days of intervention,the incidence of aspiration,improvement of swallowing function,nutritional level and quality of life were compared between the two groups.Results After 30 days of intervention,the incidence of aspiration in the observation group was lower than that in the control group,the effective rate of dysphagia improvement,the levels of serum pre-protein(PA)and albumin(ALB)and other nutritional indicators were significantly higher than those in the control group,and the quality of life was also significantly higher than that in the control group,the differ-ences were statistically significant(P<0.05).Conclusion The precise feeding management based on V-VST can reduce the incidence of aspiration in elderly patients with dysphagia and effectively improve their swallo-wing function and nutritional status,thus improving their quality of life.
DysphagiaVolume-Viscosity Swallowing TestFeeding managementQuality of lifeSchizophreniaThe elderly