[1]许晨,魏继鸿,陈蓓.老年痴呆患者吞咽功能全程管理方案的应用研究[J].军事护理,2023,40(05):49-53.[doi:10.3969/j.issn.2097-1826.2023.05.012]
　XU Chen,WEI Jihong,CHEN Bei.Application of Whole-Process Care Plan for Management of Swallowing Dysfunction in Alzheimer's Patients[J].Nursing Journal Of Chinese People's Laberation Army,2023,40(05):49-53.[doi:10.3969/j.issn.2097-1826.2023.05.012]
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老年痴呆患者吞咽功能全程管理方案的应用研究
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《军事护理》[ISSN:2097-1826/CN:31-3186/R]

卷:
40
期数:
2023年05期
页码:
49-53
栏目:
论著
出版日期:
2023-05-15

文章信息/Info

Title:
Application of Whole-Process Care Plan for Management of Swallowing Dysfunction in Alzheimer's Patients
文章编号:
2097-1826(2023)05-0049-05
作者:
许晨1; 魏继鸿1; 陈蓓2
(1.绵阳市中心医院 康复医学科,四川 绵阳 621000; 2.绵阳市中心医院 神经内科)
Author(s):
XU Chen1; WEI Jihong1; CHEN Bei2
(1.Department of Rehabilitative Medicine,Mianyang Central Hospital,Mianyang 621000,Sichuan Province,China; 2.Department of Neurology,Mianyang Central Hospital)
关键词:
老年痴呆;  吞咽功能;  全程管理
Keywords:
Alzheimer's disease;  swallowing dysfunction;  whole-process care
分类号:
R473.59
DOI:
10.3969/j.issn.2097-1826.2023.05.012
文献标志码:
A
摘要:
目的 构建老年痴呆患者吞咽功能全程管理模式,并探讨其应用效果。方法 采用便利抽样法,选择绵阳市某三级甲等医院就诊的老年痴呆患者为研究对象,其中2020年1-10月的512例为对照组,予以常规管理; 2021年2-11月的482例作为观察组,实施全程管理方案。比较两组患者认知功能筛查率、吞咽功能评估率、吞咽障碍者吸入性肺炎发生率。结果 老年人认知功能筛查率:门诊患者由27%上升至80%,住院患者由41%上升至95%; 老年痴呆患者吞咽功能评估率:门诊患者由32%上升至78%,住院患者由46%上升至82%; 老年痴呆吞咽障碍患者吸入性肺炎发生率由22.5%下降至9.6%以上,上述差异均有统计学意义(均P<0.05)。结论 老年痴呆患者吞咽功能全程管理模式,可提高医务人员对老年痴呆吞咽障碍患者的关注度,降低老年痴呆吞咽障碍患者并发症发生率。
Abstract:
Objective To develop the whole-process care plan for management of swallowing dysfunction in Alzheimer's patients, and explore its application effects.Methods Convenient sampling was used to select Alzheimer's patients from a tertiary hospital in Mianyang City.A total of 512 patients who received treatment from January to October,2020 were divided into the control group and given routine care; 482 patients who received treatment from February to November,2021 were divided into the observation group and given the whole-process care plan.The cognitive function screening rate,swallowing function assessment rate,and incidence of aspiration pneumonia with dysphagia were compared between the patients of the two groups.Results The cognitive function screening rate of elderly outpatients went up to 80% from 27%,and the rate of elderly inpatients rose from 41% to 95%.The swallowing function assessment rate of Alzheimer's outpatients went up to 78% from 32%,and the rate of inpatients rose from 46% to 82%.The incidence of aspiration pneumonia with dysphagia among Alzheimer's patients decreased from 22.5% to 9.6%.All the differences were statistically significant(P<0.05).Conclusions The whole-process care plan for management of swallowing dysfunction in Alzheimer's patients can draw more attention on those Alzheimer's patients with dysphagia from medical staff,and reduce the incidence of complications among Alzheimer's patients with dysphagia.

参考文献/References:

[1] 农青芳,陈国英,谢兴,等.老年痴呆非药物治疗研究进展[J].护理研究,2020,34(20):3669-3673.
[2] WHO.Mental health and older adults[EB/OL].(2016-04-01).[2022-01-14].http://www.who.int/mediacentre/factsheets/fs381/en/.
[3] ALAGIAKRISHNAN K,BHANJI R A,KURIAN M,et al.Evaluation and management of oropharyngeal dysphagia in different types of dementia:a systematic review[J].Arch Gerontol Geriatr,2013,56(1):1-9.
[4] 窦祖林.吞咽障碍评估与治疗[M].2版.北京:人民卫生出版社,2017:7-11.
[5] LIVESAY S,RUPPERT S D.Pneumonia and encephalopathy in a patient with progressing Parkinson's disease and dementia[J].Crit Care Nurs,2012,35(2):160-172.
[6] 中华医学会神经病学分会,,中华医学会神经病学分会脑血管病学组.中国脑血管疾病分类2015[J].中华神经科杂志,2017,50(3):168-171.
[7] 国家卫生健康委员会.探索老年痴呆防治特色服务工作方案[EB/OL].(2020-9-11)[2022-01-14].https://baijiahao.baidu.com/s?id=1677518623293091088&wfr=spider&for=pc.
[8] 韩侨,赵春善,高玲.音乐疗法对老年痴呆患者激越行为影响的Meta分析[J].现代预防医学,2019,46(13):2410-2414.
[9] 刘艳存,吴小佳,周同.团体怀旧疗法对老年痴呆患者影响的Meta分析[J].解放军护理杂志,2017,34(9):1-7.
[10]中国吞咽障碍康复评估与治疗专家共识组.中国吞咽障碍评估与治疗专家共识(2017年版)第二部分治疗与康复管理篇[J].中华物理医学与康复杂志,2018,40(1):1-10.
[11]徐俊,石汉平.阿尔茨海默病脑健康营养干预专家共识[J].中国科学:生命科学,2021,51(12):1762-1788.
[12]佘君,丁建文,申捷,等.成人吸入性肺炎诊断和治疗专家建议[J].国际呼吸杂志,2022,42(2):86-96.
[13]田金洲,解恒革,王鲁宁,等.中国阿尔茨海默病痴呆诊疗指南(2020年版)[J].中华老年医学杂志,2021,40(3):269-283.
[14]米娅莉,陈惠刚,李建平,等.老年阿尔茨海默病患者吞咽功能障碍发生情况及其影响因素[J].中国老年学杂志,2022,42(20):5060-5062.
[15]徐晓燕,陈悦霞,徐精彩.综合吞咽功能训练改善阿尔茨海默症患者吞咽障碍的效果观察[J].护理与康复,2014,13(6):594-595.
[16]SEO Z W,MIN J H,HUH S,et al.Prevalence and severity of dysphagia using videofluoroscopic swallowing study in patients with aspiration pneumonia[J].Lung,2021,199(1):55-61.
[17]HIGASHIKAWA T,,SHIGEMOTO K,,GOSHIMA K,,et al.Risk factors for the development of aspiration pneumonia in elderly patients with femoral neck and trochanteric fractures:a retrospective study of a patient cohort[J].Medicine,2020,99(7):e19108.
[18]曾莹,许艳,曹大丽,等.阿尔兹海默症患者合并吸入性肺炎的病原学分析[J].公共卫生与预防医学,2022,33(5):61-64.
[19]崔丽萍,王素萍.综合护理对老年痴呆合并吞咽障碍患者吞咽功能的影响[J].中国药物与临床,2018,18(9):1638-1639.
[20]夏萍,袁培云,崔爱红,等.吞咽功能训练对老年痴呆合并吞咽障碍患者的影响[J].护理实践与研究,2017,14(22):156-157.

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备注/Memo

备注/Memo:
【 收稿日期 】2022-05-09 【 修回日期 】2023-03-27
【 基金项目 】四川省医学科研课题计划(S19068); 四川省卫生健康委员会科研课题(20PJ261)
【 作者简介 】许晨,本科,主管护师,电话:0816-2203278
【 通信作者 】魏继鸿,电话:0816-2203280
更新日期/Last Update: 2023-05-15