改良间歇经口管饲法在重度痴呆患者中的应用
摘要
目的探讨改良间歇经口管饲法(IOE)对重度痴呆患者的临床疗效。方法选择住院且符合纳入标准的50例重度痴呆患者,将其分为改良组和IOE组,每组25例。患者均给予痴呆的常规治疗,其中改良组采用改良间歇经口管饲法进食,IOE组采用间歇经口管饲法进食。两组患者分别比较置管成功率、成功置管时间、置管并发症,比较30 d后患者营养状况等。结果置管成功率及置管成功时间改良组明显优于IOE组(P<0.01),置管并发症方面改良组明显少于IOE组(P<0.05),改良组30 d后营养状况优于IOE组(P<0.05)。结论改良的IOE比常规的IOE更适合改善重度痴呆患者的营养状况及病情。
引文
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[3] Zanini M,Bagnasco A,Catania G,et al.A Dedicated Nutritional Care Program (NUTRICARE) to reduce malnutrition in institutionnalised dysphagic older people:A quasi-experimental study[J].J Clin Nurs,2017,26(23/24):4446-4455.
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[5] Agrawal D,Kern M,Edeani F,et al.Swallow strength training exercise for elderly:A health maintenance need[J].Neurogastroenterol Motil,2018,30(10):e13382.
[6] Mitchell G,Agnelli J.Person-centred care for people with dementia:Kitwood reconsidered[J].Nurs Stand,2015,30(7):46-50.
[7] Alagiakrishnan K,Bhanji RA,Kurian M.Evaluation and management of oro-pharyngeal dysphagia in different types of dementia:a systematic review[J].Arch Gerontol Geriatr,2013,56(1):1-9.
[8] Kim H,Suh Y.Changes in the dysphagia and nutritional status of patients with brain injury[J].J Clin Nurs,2018,27(7/8):1581-1588.
[9] Palese A,Grassetti L,Bandera D,et al.High feeding dependence prevalence in residents living in Italian nursing homes requires new policies:Findings from a regionally based cross-sectional study[J].Health Policy,2018,122(3):301-308.
[10] Cabré M,Serra-Prat M,Force L,et al.Oropharyngeal dysphagia is a risk factor for readmission for neumonia in the very elderly persons:observational prospective Study[J].J Gerontol A Biol Sci Med Sci,2014,69(3):330-337.
[11] Schwarz M,Coccetti A,Murdoch A,et al.The impact of aspiration pneumonia and nasogastric feeding on clinical outcomes in stroke patients:A retrospective cohort study[J].J Clin Nurs,2017,27(1/2):e235-e241.
[12] Mahoney C,Veitch L.Interventions for maintaining nasogastric feeding after stroke:an integrative review of effectiveness and acceptability[J].J Clin Nurs,2017,27(3/4):e427-e436.
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[14] 温梦玲,李春霞,岳利群,等.间歇性经口胃管置管鼻饲对吞咽障碍患者的影响[J].广东医学,2017,38(S1):57-59.
[15] 黄绍宽,宋汉聪,陈智超.老年期痴呆死亡原因临床分析[J].广东医学,2006,27(7):1061-1062.
[16] 由佳玉,李兴强,孙晓红.血管性轻度认知障碍的研究进展[J].山东医药,2018,58(10):92-94.