护理研究
護理研究
호리연구
NURSING RESEARCH
2014年
25期
3090-3092
,共3页
李君%凌慧芬%孙丽凯%陈俊春
李君%凌慧芬%孫麗凱%陳俊春
리군%릉혜분%손려개%진준춘
标准吞咽功能评价量表%脑梗死%误吸%吸入性肺炎%吞咽功能
標準吞嚥功能評價量錶%腦梗死%誤吸%吸入性肺炎%吞嚥功能
표준탄인공능평개량표%뇌경사%오흡%흡입성폐염%탄인공능
standardized swallowing assessment(SSA)%cerebral infarc-tion%aspiration%aspiration pneumonia%swallowing function
[目的]探讨标准吞咽功能评价量表(SSA)在预防老年脑梗死病人误吸中的应用效果。[方法]选取我院2011年4月-2013年4月老年脑梗死病人312例,按入院时间的单双数顺序分为两组,各156例,研究组在入院24 h内完成 SSA评分,在此基础上进行误吸风险预测,确定误吸发生的危险级别,分析其引起误吸的危险因素,采取预防措施；对照组只进行常规的误吸预防宣教。观察两组干预半年内吸入性肺炎的发生率。[结果]研究组半年内吸入性肺炎发生率7.7%,对照组半年内吸入性肺炎发生率28.2%,两组差异有统计学意义(χ2=19.33,P<0.05)。[结论]对脑梗死病人使用 SSA进行吞咽功能评估,并进行误吸风险预测,及早发现吞咽障碍病人,并实施有针对性的护理措施,可以有效降低吸入性肺炎的发生,对改善预后有积极的临床意义。
[目的]探討標準吞嚥功能評價量錶(SSA)在預防老年腦梗死病人誤吸中的應用效果。[方法]選取我院2011年4月-2013年4月老年腦梗死病人312例,按入院時間的單雙數順序分為兩組,各156例,研究組在入院24 h內完成 SSA評分,在此基礎上進行誤吸風險預測,確定誤吸髮生的危險級彆,分析其引起誤吸的危險因素,採取預防措施；對照組隻進行常規的誤吸預防宣教。觀察兩組榦預半年內吸入性肺炎的髮生率。[結果]研究組半年內吸入性肺炎髮生率7.7%,對照組半年內吸入性肺炎髮生率28.2%,兩組差異有統計學意義(χ2=19.33,P<0.05)。[結論]對腦梗死病人使用 SSA進行吞嚥功能評估,併進行誤吸風險預測,及早髮現吞嚥障礙病人,併實施有針對性的護理措施,可以有效降低吸入性肺炎的髮生,對改善預後有積極的臨床意義。
[목적]탐토표준탄인공능평개량표(SSA)재예방노년뇌경사병인오흡중적응용효과。[방법]선취아원2011년4월-2013년4월노년뇌경사병인312례,안입원시간적단쌍수순서분위량조,각156례,연구조재입원24 h내완성 SSA평분,재차기출상진행오흡풍험예측,학정오흡발생적위험급별,분석기인기오흡적위험인소,채취예방조시；대조조지진행상규적오흡예방선교。관찰량조간예반년내흡입성폐염적발생솔。[결과]연구조반년내흡입성폐염발생솔7.7%,대조조반년내흡입성폐염발생솔28.2%,량조차이유통계학의의(χ2=19.33,P<0.05)。[결론]대뇌경사병인사용 SSA진행탄인공능평고,병진행오흡풍험예측,급조발현탄인장애병인,병실시유침대성적호리조시,가이유효강저흡입성폐염적발생,대개선예후유적겁적림상의의。
Obj ective:To probe into the application effect of standardized swallowing assessment scale(SSA)in prevention of aspiration of senile cerebral infarction patients.Methods:A total of 3 1 2 cases of elderly pa-tients with cerebral infarction were selected in our hospital from April in 2011 to April in 2013 and they were divided into research group and con-trol group according to hospitalization time by even odd sequence.Pa-tients in research group completed SSA score in hospitalized 24 h and they received aspiration risk prediction,and then to determine the risk level of aspiration occurrence,analyze the risk factors inducing aspiration and take preventive measures;only conventional aspiration prevention education was carried out for patients in control group.The incidence of aspiration pneumonia was observed within six months of intervention. Results:The incidence of aspiration pneumonia was 7.7% in a half year in research group,28.2% in control group,and the difference between them was statistically significant(χ2=19.33,P<0.05).Conclusion:It can effectively reduce the incidence of aspiration pneumonia and has a positive clinical significance for improving the prognosis that to assess the swallowing function of cerebral infarction patients by using the SSA and then carry out the aspiration risk prediction,to find out the patients with dysphagia in time and implement targeted care measures.
