School of Family Studies and Human Services, Kansas State University, USA.
Am J Nurs. 2010 Nov;110(11):26-33; quiz 34-5. doi: 10.1097/01.NAJ.0000390519.83887.02.
Dysphagia can lead to malnutrition, dehydration, aspiration pneumonia, and even death. The condition has diverse causes and symptoms vary widely. Nurses are likely to encounter patients with dysphagia in various settings, including acute care medical units, rehabilitation centers, and skilled nursing facilities. Dietary modification--altering the consistency of foods and liquids--is a fundamental aspect of dysphagia management. This article describes normal and impaired swallowing, discusses several types and levels of dietary modification, and offers readers a concise list of nursing considerations.
吞咽困难可导致营养不良、脱水、吸入性肺炎,甚至死亡。该病症有多种病因,症状差异很大。护士在各种环境中都可能遇到吞咽困难的患者,包括急性医疗护理单位、康复中心和熟练护理设施。饮食调整——改变食物和液体的稠度——是吞咽困难管理的一个基本方面。本文描述了正常和异常的吞咽,讨论了几种类型和水平的饮食调整,并为读者提供了一份简明的护理要点清单。