CAJ | 학술논문

目的：探讨对老年患者照护者饮食护理知识教育培训的方法及其效果.方法便利抽样法选取2013年6月至2014年5月在东莞市凤岗医院需要在进食方面给予帮助的照顾老年患者的照护者68名为研究对象.自行设计调查问卷，对照护者饮食护理知识的了解情况、对患者吞咽功能评估、喂食技能、误吸的认知及照护者对误吸处置应对等进行调查，了解其饮食护理知识及基本技能的掌握程度.针对其薄弱环节成立由护士长及5名高级护士组成的培训小组对其教育培训及检查监督，对培训前后照护者饮食护理知识和基本技能掌握情况进行比较，调查培训前后患者对照护者护理的满意度.结果培训后，照护者对饮食护理知识和基本技能掌握程度明显提高，差异有统计学意义(P＜0．01)，误吸率明显降低，差异有统计学意义(P＜0．05).结论有针对性地对照护者进行饮食护理知识及基本技能教育培训，能有效预防因喂食不当所造成的老年患者并发症的发生.
목적：탐토대노년환자조호자음식호리지식교육배훈적방법급기효과.방법편리추양법선취2013년6월지2014년5월재동완시봉강의원수요재진식방면급여방조적조고노년환자적조호자68명위연구대상.자행설계조사문권，대조호자음식호리지식적료해정황、대환자탄인공능평고、위식기능、오흡적인지급조호자대오흡처치응대등진행조사，료해기음식호리지식급기본기능적장악정도.침대기박약배절성립유호사장급5명고급호사조성적배훈소조대기교육배훈급검사감독，대배훈전후조호자음식호리지식화기본기능장악정황진행비교，조사배훈전후환자대조호자호리적만의도.결과배훈후，조호자대음식호리지식화기본기능장악정도명현제고，차이유통계학의의(P＜0．01)，오흡솔명현강저，차이유통계학의의(P＜0．05).결론유침대성지대조호자진행음식호리지식급기본기능교육배훈，능유효예방인위식불당소조성적노년환자병발증적발생.
Objective To study the method and evaluate of dietary nursing education training for care pro-viders of elderly patients.Methods Totally 68 care providers were enrolled by random selection and were evaluated by using self-design questionnaire to understand the care giver’s general information,knowledge of dietary nursing,deglutition function evaluation,feeding,aspiration and solutions to aspiration.A training team comprised of the head nurse and 5 senior nurses trained the care providers and supervised them on the weak link.The care providers’knowledge and basic skills of dietary nursing for elderly patients were evalu-ated before and after the training by the training team.A survey was conducted among the patients to in-vestigate their satisfaction to care providers before and after the training.Results The care providers’ knowledge and basic skills of dietary nursing for elderly patients were significantly improved after the training (P<0.01)and the rate of aspiration was reduced (P<0.05).Conclusion Specific training for care providers in knowledge and basic skills of dietary nursing for elderly patients can help reduce the complica-tions of inappropriate feeding.