Clustered nursing care measures to prevent aspiration in super-elderly long-term nasal feeding patients
超高龄长期鼻饲患者预防误吸的集束化护理措施

摘要

目的 探析将集束化护理用于超高龄长期鼻饲患者预防误吸中的实际效果。方法 在本次研究中纳入研究对象50例，均为超高龄长期鼻饲患者，为达成研究目的，对50例患者随机分组，最终将其分配为两个小组，即对照组、观察组，并分别在其临床护理中实施常规护理、集束化护理，并统计比较两组的误吸检出率。结果 据统计数据显示，观察组、对照组的误吸检出数分别为23例、21例，检出率分别为92%、84%，观察组的误吸检出率明显高于对照组（P＜0.05）；与此同时，也对比统计了两组的吸入性肺炎发生率，据统计数据显示，观察组的吸入性肺炎发生率明显低于对照组（P＜0.05）。结论 对超高龄长期鼻饲患者实施集束化护理有助于提高误吸风险识别率，进而能够显著降低吸入性肺炎风险。

Abstract

Objective To explore the practical effect of clusterized nursing care used in the prevention of aspiration in ultra-elderly long-term nasal feeding patients.
Methods 50 cases of research subjects were included in this study, all of them were super-elderly long-term nasal feeding patients. In order to achieve the research purpose, 50 cases of patients were randomly grouped, and finally assigned to two groups, i.e., the control group and the observation group, and implemented conventional nursing care and intensive nursing care in their clinical care, and statistically compared the detection rate of aspiration of the two groups.
Results According to the statistical data, the number of cases of aspiration detection in the observation group and the control group was 23 cases and 21 cases respectively, and the detection rate was 92% and 84% respectively, and the detection rate of aspiration in the observation group was significantly higher than that in the control group (P＜0.05); at the same time, the incidence rates of aspiration pneumonia in the two groups were also compared, and according to the statistical data, the incidence rate of aspiration pneumonia in the observation group was significantly lower than that in the control group (P＜0.05). 0.05).
Conclusion   The implementation of intensive nursing care for super-elderly long-term nasal feeding patients can help to improve the identification of the risk of aspiration, which in turn can significantly reduce the risk of aspiration pneumonia.