目的 探讨家庭随访对居家老年鼻饲患者吞咽功能改善的影响.方法 按随机数字表法将2006年3月至2010年3月金华市中心医院神经内科出院的老年鼻饲患者128例分为对照组62例和观察组66例,出院后分别实施常规的护理指导和患者家庭随访.应用自行设计的调查问卷,评价家庭随访后对居家老年鼻饲患者吞咽功能的影响.结果 干预后,观察组患者吞咽功能为Ⅰ～Ⅱ级和Ⅲ～Ⅳ级的分别为26例、40例,对照组患者分别为14例、48例,两组比较,差异有统计学意义(χ2=4.21,P<0.05).结论 家庭随访有助于改善居家老年鼻饲患者的吞咽功能,提高其生活质量.%Objective To investigate on the effects of family follow-up guidance in improving swallowing function in elderly patients with nasal feeding. Methods From March 2006 to March 2010,128 patients discharged from the hospital were randomized into control group (w = 62) to receive the routine nursing guidance for swallowing function improvement and observational group (w=66) to receive family follow-up guidance for swallowing function improvement. The patients (w = 62) discharged from March 2006 to March 2008 received the routine nursing guidance. The patients (w=66) discharged from April 2008 to March 2010 with family follow-up guidance received swallowing function training and evaluation by self-designed questionnaires, telephone follow-up and home visit. The effect of family follow-up guidance in improving swallowing function in elderly patients with nasal feeding was evaluated. Results The swallowing function was significantly improved in the observational group compared with the control group(P展开▼
