Application of safety swallowing management in senile alzheimer disease patients with feeding difficulty
10.3760/cma.j.issn.1674-2907.2018.23.015
- VernacularTitle:安全吞咽管理在老年阿尔茨海默病进食困难患者中的应用
- Author:
Zhenying XIE
1
;
Yujuan CHEN
Author Information
1. 214002,江苏省无锡市第二人民医院神经内科
- Keywords:
Aged;
Alzheimer disease;
Deglutition disorders;
Safety swallowing management
- From:
Chinese Journal of Modern Nursing
2018;24(23):2793-2796
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of safety swallowing management based on swallowing functional grading in senile Alzheimer disease patients with feeding difficulty.Methods From November 2016 to April 2017,a total of 72 Alzheimer disease patients in Wuxi Second People's Hospital of Jiangsu Province were selected.All of the patients were randomly divided into observation group and control group according to the singular,dual numbers of sequences being admitted to hospital,36 cases in each group.Patients of control group received conventional diet nursing.Patients of observation group were treated with appropriate safety swallowing management on the basis of assessment level.The effect of feeding,nutrition and feeding safety of patients between two groups were compared.Results Three months after intervention,the food-intake each meal of patients was (251.20 ± 24.37) g in observation group,water-intake each meal was (141.50 ± 12.27) ml higher than those in control group with significant differences (t=6.324,8.817;P ＜ 0.01).The serum prealbumin of observation group and control group was (202.44 ± 12.56)mg/L and (186.94 ± 14.80)mg/L respectively with a significant difference (t=4.611,P ＜ 0.01).The incidence of unsafe feeding events of observation group and control group was 8.33％ and 30.55％ respectively with a significant difference (x2=5.675,P ＜ 0.05).Conclusions Application of safety swallowing management based on swallowing functional grading in senile Alzheimer disease patients is favorable for improving food-intake and supplementing nutrition.
