Shanley C, O'Loughlin G
CERA, Concord Hospital C25, Concord, Australia 2139.
J Gerontol Nurs. 2000 Aug;26(8):35-48. doi: 10.3928/0098-9134-20000801-09.
The literature suggests that 40% to 60% of nursing home residents have some degree of dysphagia, i.e., difficulty in swallowing. Poorly managed, this can lead to aspiration pneumonia; choking; chronic malnutrition; decreased quality of life; and frustration for residents, family, and staff. This article reviews the nursing literature on dysphagia management and then describes a comprehensive protocol to assess and manage patients with swallowing problems in long term care.
文献表明,40%至60%的养老院居民存在一定程度的吞咽困难,即吞咽障碍。若管理不善,这可能导致吸入性肺炎、窒息、慢性营养不良、生活质量下降,以及给居民、家属和工作人员带来挫败感。本文回顾了关于吞咽困难管理的护理文献,然后描述了一套用于评估和管理长期护理中吞咽问题患者的综合方案。