Prevention and nursing measures of aspiration pneumonia in patients with bedridden nasal feeding
卧床鼻饲患者并发吸入性肺炎的预防和护理对策

摘要

目的 分析预防性护理用于老年卧床鼻饲中对降低吸入性肺炎发生率的价值。方法 对 2020 年 4 月-2022 年 4 月本科接诊老年卧床鼻饲病人（n=74）进行随机分组，试验和对照组各 37 人，前者采取预防 性护理，后者行常规护理。对比吸入性肺炎发生率等指标。结果 关于吸入性肺炎，试验组发生率 2.7%，和 对照组数据 18.92%相比更低（P＜0.05）。关于 sf-36 评分，干预结束时：试验组数据（87.13±3.84）分，对 照组数据（81.68±4.05）分相比更高（P＜0.05）。关于满意度：试验组数据 97.3%，和对照组数据 78.38% 相比更高（P＜0.05）。关于护理质量这个指标：试验组数据（98.47±0.93）分，和对照组数据（92.13±1.49） 分相比更高（P＜0.05）。结论 老年卧床鼻饲病人用预防性护理，吸入性肺炎发生率更低，负性情绪缓解更 为迅速，满意度改善更加明显。

Abstract

Objective To analyze the value of preventive nursing for bed nasal feeding in the elderly to reduce the incidence of aspiration pneumonia.
Methods To randomized the elderly bed nasal feeding patients (n=74) from April 2020 to April 2022,37 patients were enrolled in the control group, the former took preventive care and the latter did routine care. Compare the incidence of aspiration pneumonia and other indicators.
Results Regarding aspiration pneumonia, the test group incidence rate was 2.7%, which was lower compared with the 18.92% data in the control group (P <0.05). Regarding the sf-36 score, at the end of the intervention: the trial group data (87.13 ± 3.84) score and the control group data (81.68 ± 4.05) score were higher (P <0.05). Regarding satisfaction: 97.3% of test group data, higher than 78.38% data in the control group (P <0.05). For this indicator of quality of care: the test group data (98.47 ± 0.93) score was higher than the control group data (92.13 ± 1.49) score (P <0.05).
Conclusion   The incidence of aspiration pneumonia was lower, improved negative mood more rapidly, and improved satisfaction.