Application of the continuing care in dysphagia patients with indwelling gastric tube
10.3760/j.issn.1674-2907.2015.08.021
- VernacularTitle:延续护理在吞咽障碍留置胃管患者中的应用
- Author:
Huimin HUANG
1
;
Jianying ZHU
;
Yunyi LI
;
Yongxia GAO
Author Information
1. 210029 南京医科大学第一附属医院 EICU
- Keywords:
Dysphagia;
Continuing nursing care;
Indwelling gastric tube;
Nasal feeding
- From:
Chinese Journal of Modern Nursing
2015;21(8):926-928
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application of continuing care in the indwelling gastric tube feeding of patients with dysphagia in order to improve the patients′ satisfaction and reduce complication as well as the readmission rate. Methods A total of 60 discharged patients undergoing indwelling gastric tube feeding were selected as the study subjects. Out-of-hospital nursing team conducted active care in the observation group consisting of 30 patients while the control group with 30 patients went back home and received passive care from the out-of-hospital nursing team. Indexes of the two groups were collected including complications after two-month indwelling gastric tube feeding, patients′ satisfaction, re-attendance rate, active consultation rate and swallowing rehabilitation and so on. Results The observation period, the observation group abdominal distension / diarrhea, nasopharyngeal mucosa injury, aspiration, lung infection were 1, 2, 2 and 1 cases, control group 6, 9, 8 and 7 cases with significant difference between two groups ( χ2 = 4. 04,5. 45,4. 32,5. 19, respectively; P < 0. 05). In the observation group, the rates of ED visits, readmission rate, active consultation rates were 0% , 6. 7% and 50% while these of the control group were 13. 3% ,26. 7% and 6. 7% . There was significant difference between two groups (χ2 = 4. 28,4. 32,13. 87, respectively; P < 0. 05); the two group continuity nursing satisfaction, the observation group than in the control group ( U = 2. 121, P < 0. 05). Conclusions The continuing nursing care outside the hospital can improve the caring quality for patients experiencing indwelling gastric tube feeding, patients′ satisfaction and active consultation rate, and reduce the re-attendance rate.
