A study on the application effect of position management combined with enhanced oral care in preventing aspiration in elderly bedridden patients with pneumonia
体位管理联合强化口腔护理在老年卧床肺炎患者误吸预防中的应用效果研究

摘要

目的 探讨体位管理联合强化口腔护理在老年卧床肺炎患者误吸预防中的应用效果。方法 选取42例2024年10月-2025年12月在本院呼吸与危重症老年医学科治疗的老年卧床肺炎患者，计算机生成随机序列后分作两组，对照组21例行常规护理，干预组21例在常规护理基础上实施体位管理联合强化口腔护理，对比两组口腔清洁度、误吸发生情况、预后情况。结果 干预组护理后口腔清洁度较对照组高（P＜0.05）；干预组误吸发生率（4.76%）较对照组（28.57%）低（P＜0.05）；干预组护理后临床肺部感染评分（CPIS）、急性生理功能和慢性健康状况评分系统II（APACHEII）评分较对照组低（P＜0.05）。结论 在老年卧床肺炎患者中，予以体位管理联合强化口腔护理可促进其口腔清洁度有效提升，降低误吸发生率，并进一步改善其预后。

Abstract

Objective To explore the application effect of position management combined with intensive oral care in preventing aspiration in elderly bedridden pneumonia patients.
Methods A total of 42 elderly bedridden pneumonia patients treated in the Department of Respiratory and Critical Care Geriatric Medicine of our hospital from October 2024 to December 2025 were selected. After computer-generated randomization, they were divided into two groups. The control group (21 cases) received routine nursing care, while the intervention group (21 cases) received position management combined with intensive oral care on the basis of routine nursing care. The oral cleanliness, incidence of aspiration, and prognosis were compared between the two groups.
Results The oral cleanliness in the intervention group after nursing was higher than that in the control group (P < 0.05); the incidence of aspiration in the intervention group (4.76%) was lower than that in the control group (28.57%) (P < 0.05); and the Clinical Pulmonary Infection Score (CPIS) and the Acute Physiology and Chronic Health Evaluation II (APACHE II) scores in the intervention group after nursing were lower than those in the control group (P < 0.05).
Conclusion   In elderly bedridden pneumonia patients, position management combined with intensive oral care can effectively improve oral cleanliness, reduce the incidence of aspiration, and further improve prognosis.