Contemporary Nursing
Contemporary Nursing. 2024; 5: (4) ; 10.12208/j.cn.20240175 .
总浏览量: 387
西安大兴医院老年医学七八九科 陕西西安
*通讯作者: 宁琳,单位:西安大兴医院老年医学七八九科 陕西西安;
目的 浅析通过鼻肠管鼻饲法对于降低高危老年患者吸入性肺炎发生率的意义。方法 样本对象为50例高危老年住院患者,根据鼻饲方式分为鼻胃管组和鼻肠管组,分析两组患者的误吸以及吸入性肺炎发生率;对比两组患者生活质量。结果 鼻肠管组误吸以及吸入性肺炎发生率分别为13.64%及4.55%;鼻胃管组分别为32.14%及17.86%,两组数据差异具有统计学意义(P<0.05);鼻肠管组组患者生活质量明显优于鼻胃管组(P<0.05)。结论 高危老年鼻饲过程中给予鼻肠管鼻饲方式能够明显降低吸入性肺炎发生率,对于改善患者生活质量具有重要意义,值得推荐使用。
Objective To analyze the significance of using nasogastric feeding method to reduce the incidence of aspiration pneumonia in high-risk elderly patients. Methods The sample subjects were 50 high-risk elderly hospitalized patients, who were divided into a nasogastric tube group and a nasogastric tube group based on nasal feeding methods. The incidence of aspiration and aspiration pneumonia in the two groups of patients was analyzed; Compare the quality of life between two groups of patients. Results The incidence of aspiration and aspiration pneumonia in the nasogastric group was 13.64% and 4.55%, respectively; The rates of the nasogastric tube group were 32.14% and 17.86%, respectively, and the difference in data between the two groups was statistically significant (P<0.05); The quality of life of patients in the nasogastric tube group was significantly better than that in the nasogastric tube group (P<0.05). Conclusion Nasogastric feeding in high-risk elderly patients can significantly reduce the incidence of aspiration pneumonia, which is of great significance for improving the quality of life of patients and is recommended for use.
[1] 陈瑞云,杨慧,李红燕,等.回授法在预防老年食管癌术后患者鼻肠管脱出健康教育中的应用[J].中华护理教育,2021,18(6):490-494.
[2] 莫凤影. 探讨鼻胃管与鼻空肠管对ICU重症病人预防反流、误吸的效果[J]. 首都食品与医药, 2020, 27(02): 107.
[3] 马春敏. 两种管饲法在脑卒中吞咽障碍患者预防并发吸入性肺炎的临床观察[J]. 医药论坛杂志, 2019, 40(09): 44-46.
[4] 王 欣.鼻肠管鼻饲法在老年吸入性肺炎患者中的应用效果探讨[J].实用妇科内分泌电子杂志,2020,12(7):169+173.
[5] 秦运顺. 盲插鼻肠管管道位置判断方法在老年吸入性肺炎的比较分析[J]. 医药前沿, 2019, 9(013):28-30.
[6] 崔丽萍,冯晓芳,陈晓青,等.吞咽功能评估表及早期康复训练对降低老年吞咽障碍病人吸入性肺炎发生率的效果分析[J].护理研究,2016,30(36):4548-4550.
[7] 杨红梅,马新维. 误吸护理干预降低误吸高危老年患者吸入性肺炎发生率的应用分析[J]. 中国医药指南,2016, 14(19):258-259.