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[护士进行的筛查以识别神经科患者的吞咽困难]

[Nurse-performed screening to identify dysphagia for neurological patients].

作者信息

Nitschke Johanna, Eichhorn Juliane

机构信息

1 Brandenburgische-Technische Universität Cottbus-Senftenberg, Senftenberg.

2 Carl-Thiem-Klinikum Cottbus akademisches Lehrkrankenhaus der Charité, Cottbus.

出版信息

Pflege. 2019 Aug;32(4):201-207. doi: 10.1024/1012-5302/a000679. Epub 2019 Jun 3.

Abstract

Nurse-performed screening to identify dysphagia for neurological patients Dysphagia is often underestimated, although it can have serious consequences if it is not treated. In the literature a multidisciplinary approach is often recommended in the diagnosis of dysphagia, with care playing an increasingly major role. A quick and easy assessment of the risk of dysphagia is absolutely essential. Identification of screening tools for the detection of neurogenic dysphagia by nurses and to describe the psychometric characteristics. A literature review was carried out in 2017 between June and the end of July, resulting in 14 included studies. A total of seven screening tools were identified. Due to its good practicability and psychometric properties, the RBWH DST appears to be particularly suitable for the use of screening in the nursing context, especially when the studies are given differentiated consideration. The relevant validation of already existing tools, aimed at creating a standard for the early detection of dysphagia, is not yet available. When this is concluded, the nursing staff need to be trained in the correct use of the tools.

摘要

护士对神经科患者进行吞咽困难筛查 吞咽困难常常被低估,然而若不加以治疗可能会产生严重后果。文献中常推荐采用多学科方法诊断吞咽困难,护理在其中发挥着越来越重要的作用。对吞咽困难风险进行快速且简便的评估绝对至关重要。确定护士用于检测神经源性吞咽困难的筛查工具并描述其心理测量特征。2017年6月至7月底进行了一项文献综述,最终纳入14项研究。共确定了7种筛查工具。由于其良好的实用性和心理测量特性,RBWH吞咽困难筛查测试似乎特别适合在护理环境中用于筛查,尤其是在对各项研究进行差异化考量时。目前尚无针对现有工具的相关验证,以建立吞咽困难早期检测的标准。当完成此项验证后,护理人员需要接受关于正确使用这些工具的培训。

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