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养老院居民的吞咽困难:评估与管理方案

Dysphagia among nursing home residents: an assessment and management protocol.

作者信息

Shanley C, O'Loughlin G

机构信息

CERA, Concord Hospital C25, Concord, Australia 2139.

出版信息

J Gerontol Nurs. 2000 Aug;26(8):35-48. doi: 10.3928/0098-9134-20000801-09.

DOI:10.3928/0098-9134-20000801-09
PMID:11276612
Abstract

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.

摘要

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。

相似文献

1
Dysphagia among nursing home residents: an assessment and management protocol.养老院居民的吞咽困难:评估与管理方案
J Gerontol Nurs. 2000 Aug;26(8):35-48. doi: 10.3928/0098-9134-20000801-09.
2
Dysphagia among nursing home residents.养老院居民的吞咽困难
Geriatr Nurs. 1999 Mar-Apr;20(2):77-82; quiz 84. doi: 10.1053/gn.1999.v20.97011.
3
Methods for managing residents with dysphagia.吞咽困难患者的管理方法。
Nurs Older People. 2015 May;27(4):29-33. doi: 10.7748/nop.27.4.29.e694.
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Swallowing problems in the nursing home: a novel training response.养老院中的吞咽问题:一种新型训练应对措施。
Dysphagia. 1998 Summer;13(3):172-83. doi: 10.1007/PL00009569.
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Effects of the Evidence-Based Nursing Care Algorithm of Dysphagia for Nursing Home Residents.基于循证护理的吞咽困难护理算法对养老院居民的影响。
J Gerontol Nurs. 2015 Nov;41(11):30-9. doi: 10.3928/00989134-20151015-04.
6
Take a swallow.
Nurs Times Nurs Homes. 1999 Sep-Oct;1(3):26-7.
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It's tough to swallow: a practical approach to nutritional care of dysphagia.吞咽困难:吞咽困难营养护理的实用方法
Director. 2002 Summer;10(3):107-10.
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Supporting safe swallowing of care home residents with dysphagia: How does the care delivered compare with guidance from speech and language therapists?支持吞咽困难的养老院居民安全吞咽:提供的护理与言语治疗师的指导相比如何?
Int J Lang Commun Disord. 2024 Jul-Aug;59(4):1478-1488. doi: 10.1111/1460-6984.13015. Epub 2024 Jan 23.
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Managing the patient with dysphagia.吞咽困难患者的管理
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Association between Oropharyngeal Dysphagia and Malnutrition in Dutch Nursing Home Residents: Results of the National Prevalence Measurement of Quality of Care.荷兰养老院居民的口咽吞咽困难与营养不良之间的关联:护理质量全国患病率测量的结果。
J Nutr Health Aging. 2018;22(10):1246-1252. doi: 10.1007/s12603-018-1103-8.

引用本文的文献

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Approach to Patients with Dysphagia: Clinical Insights.吞咽困难患者的诊疗方法:临床见解
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Contained Rupture of a Thoracic Aortic Aneurysm: A Rare and Life-Threatening Cause of Dysphagia.胸主动脉瘤的局限性破裂:吞咽困难的一种罕见且危及生命的病因。
Cureus. 2024 Mar 20;16(3):e56517. doi: 10.7759/cureus.56517. eCollection 2024 Mar.
3
Association between teeth loss and nasogastric tube feeding dependency in older adults from Taiwan: a retrospective cohort study.
台湾老年人牙齿缺失与经鼻胃管喂养依赖的关系:一项回顾性队列研究。
BMC Geriatr. 2021 Nov 12;21(1):640. doi: 10.1186/s12877-021-02596-x.
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Chronic Microaspiration and Frailty: A Geriatric Smoking Gun?慢性微量误吸与衰弱:老年群体的关键线索?
Fed Pract. 2020 Aug;37(8):384-387. doi: 10.12788/fp.0022.
5
Evaluation of swallowing movement using ultrasonography.使用超声检查评估吞咽运动。
Radiol Phys Technol. 2020 Mar;13(1):62-68. doi: 10.1007/s12194-019-00547-1. Epub 2019 Nov 30.
6
Prevalence and risk factors for dysphagia: a USA community study.吞咽困难的患病率及危险因素:一项美国社区研究。
Neurogastroenterol Motil. 2015 Feb;27(2):212-9. doi: 10.1111/nmo.12467. Epub 2014 Nov 6.
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Nutritional assessment of residents in long-term care facilities (LTCFs): recommendations of the task force on nutrition and ageing of the IAGG European region and the IANA.长期护理机构(LTCFs)中居民的营养评估:国际老年学协会欧洲区域营养与老龄化特别工作组及国际老年营养学会的建议
J Nutr Health Aging. 2009 Jun;13(6):475-83. doi: 10.1007/s12603-009-0097-7.
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Lansoprazole oro-dispersible tablet : pharmacokinetics and therapeutic use in acid-related disorders.兰索拉唑口腔崩解片:在酸相关性疾病中的药代动力学及治疗应用
Drugs. 2005;65(10):1419-26. doi: 10.2165/00003495-200565100-00007.