Application of food flow test in swallowing-feeding safety management in patients with laryngeal neoplasms after surgery
10.3760/cma.j.cn115682-20200106-00098
- VernacularTitle:食物流动测试在喉癌术后患者吞咽-摄食安全管理中的应用
- Author:
Zhen LI
1
;
Changning XIE
;
Liqing YUE
;
Hanqing PENG
;
Qing ZHOU
Author Information
1. 中南大学湘雅医院耳鼻咽喉头颈外科，长沙 410008
- Keywords:
Laryngeal neoplasms;
Swallowing;
Feeding management;
Food flow test
- From:
Chinese Journal of Modern Nursing
2020;26(13):1728-1732
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of swallowing-feeding safety management of food flow test on improving postoperative swallowing function recovery of patients with laryngeal neoplasms.Methods:By the convenient sampling method, patients with laryngeal neoplasms who underwent open surgeries in Department of Otolaryngology Head and Neck Surgery in a Class Ⅲ Grade A hospital in Changsha from January to November 2019 were selected as research objects. A total of 33 patients who were admitted to hospital from January to May 2019 were set as the control group while 36 patients who were admitted from June to November 2019 were set as the experimental group. The control group was given regular diet guidance such as food type guidance, eating position and posture guidance, eating environment management, oral nursing and other routine eating guidance. The experimental group adopted a swallowing-feeding evaluation based on routine nursing and used the food flow test method to guide individualized eating plans based on the assessment results. The incidence of irritating cough during eating and days of gastric tube indwelling were compared between two groups. Functional Oral Intake Scale (FOIS) and Visual Analogue Scale (VAS) subjective score of eating sensation were used to compare intervention effects.Results:Difference in the incidence of irritating cough in patients with laryngeal neoplasms between two groups was statistically significant ( P<0.05) . The number of days of gastric tube indwelling in the experimental group was less than that in the control group, and the FOIS and VAS scores were higher than those in the control group, the differences between the two groups were statistically significant ( P<0.05) . Conclusions:Swallowing-feeding safety management of food flow test can provide accurate feeding guidance for patients with laryngeal neoplasms, which can improve the safety of eating, promote the recovery of swallowing function, reduce the retention time of the gastric tube and improve the subjective experience of eating.
