Furuzawa Yukie, Watanabe Norio, Yoshikawa Shiho
Management in Nursing, Gifu College of Nursing, Japan.
Department of Pharmaceutical Sciences, School of Pharmacy, Aichi Gakuin University, Japan.
J Rural Med. 2024 Oct;19(4):215-220. doi: 10.2185/jrm.2023-048. Epub 2024 Oct 1.
This review seeks to identify trends and issues in preventing aspiration for the elderly overseas in the hopes of gathering information regarding how a similar level of care may be provided in Japan.
The authors used the CHINAL Ultimate database to review academic publications from December 2012 to December 2022. Four terms, one from each of four sets of keywords, were combined as search criteria: (1) "dysphagia", "aspiration", "choking", "airway obstruction asphyxia", "swallowing function", or "pneumonia", (2) "aged" or "elderly people", (3) "nursing" or "nursing care", and (4) prevention. Papers that did not directly relate to the purpose of this review were excluded.
The authors identified fourteen publications regarding preventative care for aspiration in the elderly. According to the reports, preventative care mainly consisted of ensuring proper oral care, screening to assess swallowing function, and taking steps at meals to prevent aspiration.
Our research showed that the primary ways of preventing aspiration in the elderly overseas included (1) screening for oral conditions and swallowing function to prevent pneumonia and (2) providing proper oral care coupled with support during meals.
本综述旨在确定海外老年人误吸预防方面的趋势和问题，以期收集有关如何在日本提供类似护理水平的信息。
作者使用CHINAL Ultimate数据库检索2012年12月至2022年12月的学术出版物。从四组关键词中各选取一个词，组合成检索标准：（1）“吞咽困难”“误吸”“窒息”“气道梗阻性窒息”“吞咽功能”或“肺炎”，（2）“老年人”，（3）“护理”，（4）“预防”。与本综述目的无直接关联的论文被排除。
作者确定了14篇关于老年人误吸预防护理的出版物。根据报告，预防护理主要包括确保适当的口腔护理、进行吞咽功能筛查以及在进餐时采取措施预防误吸。
我们的研究表明，海外预防老年人误吸的主要方法包括：（1）筛查口腔状况和吞咽功能以预防肺炎；（2）提供适当的口腔护理并在进餐时给予支持。
