多维度识别联合阶梯式干预在基层综合医院老年隐性误吸防控中的应用效果OA
Application effect of multidimensional identification combined with stepwise intervention in the prevention and control of silent aspiration among elderly patients in primary general hospitals
目的 探讨多维度识别联合阶梯式干预对在基层医院老年隐性误吸防控中的应用效果.方法 选择 2023 年1 月至2025 年3 月在江门市第二人民医院的老年患者 320 名,按随机数字表法分为 2 组,为观察组和对照组,各组均160 例.对照组采取常规预防隐性误吸干预,观察组实施多维识别联合阶梯式干预,2 组均连续干预 1 月.比较干预1 月后2 组的隐性误吸识别率、临床结局[肺部感染发生率、平均住院时间、营养不良发生率及功能性口服摄食量表(FOIS)评分]以及经济效益(新增康复干预成本、肺炎相关治疗费用、住院相关费用以及营养支持相关费用).结果 观察组隐性误吸识别率高于对照组(P<0.05),肺部感染及营养不良发生率均低于对照组(P 均<0.05),平均住院时间短于对照组(P<0.05),FOIS 评分高于对照组(P<0.05).观察组新增康复干预成本高于对照组(P<0.05),肺炎相关治疗费用、住院相关费用以及营养支持相关费用均低于对照组(P 均<0.05).结论 在基层综合医院老年患者长期照护中实施多维度识别与阶梯式干预可以提升患者隐性误吸识别率,改善患者临床结局,节约医疗资源,值得推广应用.
Objective To explore the application effect of multi-dimensional identification combined with stepwise intervention in the prevention and control of silent aspiration among elderly patients in primary general hospitals.Methods A total of 320 elderly patients admitted to NO.2 People's Hospital of Jiangmen from January 2023 to March 2025 were selected and randomly divided into two groups:an observation group and a control group,with 160 patients in each group.The control group received routine interventions for preventing silent aspiration,while the observation group was treated with multidimensional identification combined with stepwise intervention.Both groups were continuously intervened for 1 month.After the intervention,the detection rate of silent aspiration,clinical outcomes(incidence of pulmonary infection,average length of hospital stay,incidence of malnutrition,and Functional Oral Intake Scale[FOIS]score),and economic benefits(additional rehabilitation intervention costs,pneumonia-related treatment costs,hospitalization costs,and nutritional support-related costs)were compared between the two groups.Results The detection rate of silent aspiration in the observation group was higher than that in the control group(P<0.05).The incidence of pulmonary infection and the incidence of malnutrition in the observation group were lower than those in the control group(P<0.05),and the average hospital stay was shorter in the observation group than in the control group(P<0.05),and the FOIS score was higher in the observation group than in the control group(P<0.05).The cost of new rehabilitation intervention in the observation group was higher than that in the control group(P<0.05),and the costs related to pneumonia treatment,hospitalization and nutritional support in the observation group were all lower than those in the control group(P<0.05).Conclusion The implementation of multi-dimensional identification and stepwise intervention in the long-term care of the elderly in primary general hospitals can increase the detection rate of latent aspiration in patients,improve the clinical outcomes of patients,and save medical resources.It is worthy of promotion and application.
陈萍;陈祉安
江门市第二人民医院,广东 江门,529000江门市第二人民医院,广东 江门,529000
医药卫生
年患者长期照护隐性误吸多维度识别阶梯式干预
elderly patientlong-term caresilent aspirationmultidimensional identificationstepwise intervention
《中西医结合护理（中英文）》 2026 (3)
104-107,4
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