目的 探讨水吞咽试验在预防老年患者吸入性肺炎中的应用效果.方法 选取2011年1月至6月住院患者54例为对照组,2011年7月至12月住院患者52例为干预组.对照组采用常规护理,干预组采用水吞咽评估法,筛选吞咽和咳嗽反射能力差的患者,提前进行护理干预.比较两组呛咳、误吸和吸入性肺炎发生率.结果 观察组患者呛咳、误吸和吸入性肺炎的发生率均低于对照组(P<0.05).结论 早期评估患者的吞咽功能并进行及时干预,可有效预防老年患者吸入性肺炎的发生.%Objective To explore the application and effects of water swallowing test in reducing the occurrence of aspiration pneumonia among older patients. Methods Fifty -four inpatients were selected as control group from 2011 January to June, and 52 inpatients were selected as intervention group from 2011 July to December. The control group received routine nursing, while the intervention group received water swallowing assessment. Patients with poor swallowing and cough reflexes ability were screened and received nursing interventions beforehand. The incidences of choking, aspiration and aspiration pneumonia between two groups were compared. Results The incidence rates of choking, aspiration and aspiration pneumonia among patients in the observation group were sig-nifiantly lower than the control group ( P < 0.05). Conditions Early assessment of the patients swallowing function and timely intervention can effectively prevent the occurrence of aspiration pneumonia among older patients.
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