CAJ | 학술논문

目的对家庭随访指导老年患者鼻饲护理的效果进行评价。方法对已经通过科研项目验收的“家庭随访指导提高院外老年鼻饲病人家庭管理能力”的技术进行临床推广。采用方便取样法，将2009年1月-12月金华市5家县市级医院出院的45例老年鼻饲病人设为对照组，实施常规护理指导。将2010年1月-12月金华市5家县市级医院出院的45例老年鼻饲病人设为观察组，采用电话随访、上门家访形式进行家庭随访指导。评价家庭随访指导后院外家庭老年病人鼻饲相关并发症、意外拔管发生率、吞咽功能有没有改善。结果家庭随访指导后鼻饲相关并发症明显低于对照组（P＜0.01），意外拔管发生率明显低于对照组（P＜0.01），吞咽功能明显改善（P＜0.01）。结论家庭随访指导能明显减少鼻饲相关并发症和意外拔管的发生率，改善吞咽功能，值得临床推广。
목적대가정수방지도노년환자비사호리적효과진행평개。방법대이경통과과연항목험수적“가정수방지도제고원외노년비사병인가정관리능력”적기술진행림상추엄。채용방편취양법，장2009년1월-12월금화시5가현시급의원출원적45례노년비사병인설위대조조，실시상규호리지도。장2010년1월-12월금화시5가현시급의원출원적45례노년비사병인설위관찰조，채용전화수방、상문가방형식진행가정수방지도。평개가정수방지도후원외가정노년병인비사상관병발증、의외발관발생솔、탄인공능유몰유개선。결과가정수방지도후비사상관병발증명현저우대조조（P＜0.01），의외발관발생솔명현저우대조조（P＜0.01），탄인공능명현개선（P＜0.01）。결론가정수방지도능명현감소비사상관병발증화의외발관적발생솔，개선탄인공능，치득림상추엄。
Objective: To evaluate the effects of health education during follow-up on nasal tube feeding in elder patients. Methods: The technology generated from the scientific project"Enhancing family management on nasal tube feeding in out-of-hospital elder patients by health education during follow-up"was put into clinical practice. Convenient sampling was applied in the study for sample selection. 45 patients under nasal tube feeding discharged from 5 county-level hospitals in Jinhua City during January and December of 2009 were assigned to the control group given routing nursing care. 45 patients under nasal tube feeding discharged from 5 county-level hospitals in Jinhua City during January and December of 2010 were assigned to the observation group given health education during telephone or household follow-up visits. The complication rate, unplanned extubation rate and swallowing function were evaluated in the study. Results:After health education, the observation group had significantly lower complication rate (P<0.01), lower unplanned extubation rate (P<0.01) and improved swallowing function (P<0.01) than the control group. Conclusion:Health education during follow-up visits is conducive to reducing complication rate and unplanned extubation rate and improving swallowing function in patients under nasal tube feeding and thus it is worthy to be put into more clinical practice.