Hugo Wijnen, MD, is Geriatrician, Department of Orthopedics, Geriatrics and Speech-Language Pathology, Rijnstate Hospital Arnhem, Arnhem, the Netherlands.
Peter P. Schmitz, MD, is Doctor, Department of Orthopedics, Geriatrics and Speech-Language Pathology, Rijnstate Hospital Arnhem, Arnhem, the Netherlands.
Orthop Nurs. 2021;40(2):94-101. doi: 10.1097/NOR.0000000000000743.
Oropharyngeal dysphagia (OD) is commonly encountered in elderly patients with hip fracture. It is easily overlooked and predisposes patients to life-threatening postoperative pneumonia. The aim of this study was to evaluate whether OD screening by nurses results in a better recognition of patients at risk for OD. After the introduction of the Standardized Swallowing Assessment by nurses, the incidence of increased risk for OD and the prevention of OD complications were monitored (intervention group; N = 92) and compared with a historical control group (N = 81). The risk for OD was diagnosed in 27 patients (29%) in the intervention group in comparison with 12 patients (15%) in the control group (p < .05). The number of diet modifications increased from 12 (15%) in the control group to 25 (27%) in the intervention group (p < .05). A simple screening test results in better recognition of increased OD risk and, in turn, the early initiation of measures to avoid aspiration.
口咽吞咽困难（OD）在老年髋部骨折患者中很常见。它很容易被忽视，并使患者易患术后危及生命的肺炎。本研究旨在评估护士进行 OD 筛查是否能更好地识别有 OD 风险的患者。在引入护士标准化吞咽评估后，监测了 OD 风险增加的发生率和 OD 并发症的预防（干预组；N = 92），并与历史对照组（N = 81）进行了比较。在干预组中，27 名患者（29%）被诊断为 OD，而对照组中有 12 名患者（15%）（p <.05）。饮食调整的数量从对照组的 12 名（15%）增加到干预组的 25 名（27%）（p <.05）。简单的筛查测试可更好地识别 OD 风险增加，并及时采取措施避免吸入。
