CAJ | 학술논문

目的：探讨延续护理在吞咽障碍患者留置胃管鼻饲中的应用效果,以减少并发症和再入院率。方法选择应用胃管进行鼻饲饮食的出院患者60例,分为观察组和对照组,各30例。观察组由院外延续护理小组主动实施护理。对照组回归家庭,由院外延续护理小组被动实施护理。比较两组患者鼻饲2个月后的鼻饲并发症、患者满意度、再就诊率、主动咨询率、吞咽功能的康复等指标。结果观察期内,观察组腹胀/腹泻、鼻咽黏膜损伤、误吸、肺部感染发生分别为1,2,2,1例,对照组为6,9,8,7例,两组比较差异有统计学意义(χ2值分别为4.04,5.45,4.32,5.19；P <0.05)。观察组急诊就诊率、再入院率、主动咨询率分别为0%,6.7%,50%,对照组为13.3%,26.7%,6.7%,两组比较差异有统计学意义(χ2值分别为4.28,4.32,13.87；P <0.05)。两组延续护理后满意度比较,观察组优于对照组,差异有统计学意义(U =2.121,P <0.05)。结论对吞咽障碍留置胃管患者实施院外延续护理提高了护理质量、患者满意度和主动咨询率,减少了患者再就诊率。
목적：탐토연속호리재탄인장애환자류치위관비사중적응용효과,이감소병발증화재입원솔。방법선택응용위관진행비사음식적출원환자60례,분위관찰조화대조조,각30례。관찰조유원외연속호리소조주동실시호리。대조조회귀가정,유원외연속호리소조피동실시호리。비교량조환자비사2개월후적비사병발증、환자만의도、재취진솔、주동자순솔、탄인공능적강복등지표。결과관찰기내,관찰조복창/복사、비인점막손상、오흡、폐부감염발생분별위1,2,2,1례,대조조위6,9,8,7례,량조비교차이유통계학의의(χ2치분별위4.04,5.45,4.32,5.19；P <0.05)。관찰조급진취진솔、재입원솔、주동자순솔분별위0%,6.7%,50%,대조조위13.3%,26.7%,6.7%,량조비교차이유통계학의의(χ2치분별위4.28,4.32,13.87；P <0.05)。량조연속호리후만의도비교,관찰조우우대조조,차이유통계학의의(U =2.121,P <0.05)。결론대탄인장애류치위관환자실시원외연속호리제고료호리질량、환자만의도화주동자순솔,감소료환자재취진솔。
Objective To investigate the application of continuing care in the indwelling gastric tube feeding of patients with dysphagia in order to improve the patients′ satisfaction and reduce complication as well as the readmission rate. Methods A total of 60 discharged patients undergoing indwelling gastric tube feeding were selected as the study subjects. Out-of-hospital nursing team conducted active care in the observation group consisting of 30 patients while the control group with 30 patients went back home and received passive care from the out-of-hospital nursing team. Indexes of the two groups were collected including complications after two-month indwelling gastric tube feeding, patients′ satisfaction, re-attendance rate, active consultation rate and swallowing rehabilitation and so on. Results The observation period, the observation group abdominal distension / diarrhea, nasopharyngeal mucosa injury, aspiration, lung infection were 1, 2, 2 and 1 cases, control group 6, 9, 8 and 7 cases with significant difference between two groups ( χ2 = 4. 04,5. 45,4. 32,5. 19, respectively; P < 0. 05). In the observation group, the rates of ED visits, readmission rate, active consultation rates were 0% , 6. 7% and 50% while these of the control group were 13. 3% ,26. 7% and 6. 7% . There was significant difference between two groups (χ2 = 4. 28,4. 32,13. 87, respectively; P < 0. 05); the two group continuity nursing satisfaction, the observation group than in the control group ( U = 2. 121, P < 0. 05). Conclusions The continuing nursing care outside the hospital can improve the caring quality for patients experiencing indwelling gastric tube feeding, patients′ satisfaction and active consultation rate, and reduce the re-attendance rate.