摘要
目的 讨论及研究叙事视频联合回授法阶段性干预在预防老年患者误吸中的应用效果。方法 选择我院在2023年11月份至2024年10月份于我院接受治疗的80例患者的照顾者进行研究，随机分成对照组和实验组，每组40例，对照组常规预防误吸的口头宣教，实验组为叙事视频联合回授法阶段性干预的健康教育评估，对比两组照顾者对预防知识掌握度；患者误吸发生率。结果 实验组照顾者对预防知识的掌握度更高，误吸发生率更低，p<0.05。结论 将叙事视频联合回授法阶段性干预应用在预防老年患者误吸中，可以提升照顾者对相关知识的掌握度，降低误吸风险。
关键词： 叙事视频；回授法阶段性干预；老年患者；误吸；应用效果
Abstract
Objective To investigate the effectiveness of staged intervention using narrative video combined with feedback method in preventing aspiration in elderly patients. Methods A total of 80 caregivers of hospitalized patients treated at our hospital from November 2023 to October 2024 were selected for this study. Participants were randomly divided into a control group (40 caregivers) and an experimental group (40 caregivers). The control group received standard oral education for aspiration prevention, while the experimental group underwent staged intervention through narrative video combined with feedback method. The study compared caregivers 'knowledge retention of prevention measures and the incidence of aspiration between the two groups. Results Caregivers in the experimental group demonstrated higher knowledge retention of prevention measures and lower incidence of aspiration, with statistically significant differences (p<0.05). Conclusion Implementing staged intervention using narrative video combined with feedback method in preventing aspiration among elderly patients can enhance caregivers' knowledge retention and reduce aspiration risks.
Key words： Narrative video; Feedback method stage-based intervention; Elderly patients; Aspiration; Application effects
参考文献 References
[1] 谭盼盼.循证护理干预在误吸老年患者吞咽障碍康复训练中的实施价值分析[J].黑龙江医学,2023,47(7):875-877.
[2] 顾卉,任芬.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效果评价[J].中文科技期刊数据库（文摘版）医药卫生,2023(3):126-129.
[3] 蔡玲玲,徐琴鸿,谢浩芬,林郁清,柴建淑.叙事视频联合回授法对专职陪护人员预防误吸知信行水平的影响[J].中华现代护理杂志,2021,27(3):340-344.
[4] Hancock W D ,Haussner W ,Chang I S E , et al.Elder Mistreatment Documentation by Prehospital Clinicians: An Analysis of the National Emergency Medical Services Information System Database.[J].Prehospital emergency care,2024,29(6):11-10.
[5] 赵佳,延艳娜,马鹏举,王丽静,王正辉,张会敏.叙事干预联合微视频回授法对脑卒中偏瘫患者康复锻炼依从性及负性情绪的影响[J].临床心身疾病杂志,2023,29(4):43-47.
[6] 许洋,李焕.基于马斯洛层次理论的护理干预结合视频回授法教育对老年糖尿病肾病患者自我管理能力及生活质量的影响[J].临床医学研究与实践,2023,8(12):117-119.
[7] 徐慧,刘莉.预防老年吞咽功能障碍患者误吸的护理对策及效果评价[J].中国医药科学,2023,13(6):101-104.
[8] 崔建英.老年误吸患者吞咽障碍康复训练中应用循证护理的效果探究[J].每周文摘·养老周刊,2023(20):109-111.
[9] 李娜,佘有勤,沈云霞,闵舒婷,鲍蕾,王健.基于SSA评估下的风险分级护理在预防高龄吞咽功能障碍患者误吸中的应用价值[J].医学临床研究,2023,40(6):852-854，858.
[10] Dan W ,Peng Z ,YanXin L , et al.Predicting ventilator-associated pneumonia in elderly patients requiring mechanical ventilation through the detection in tracheal aspirates.[J].Postgraduate medicine,2023,135(8):831-841.