Application of dietary safety management based on swallowing function classification in elderly hip fractures
10.3760/cma.j.cn211501-20211216-03468
- VernacularTitle:基于吞咽功能分级的饮食安全管理在老年髋部骨折患者中的应用
- Author:
Jiahui LI
1
;
Dan KONG
;
Xuemei CHEN
;
Wensu WANG
;
Pengbin YIN
;
Yuan GAO
Author Information
1. 中国人民解放军总医院第一医学中心骨科，北京 100089
- Keywords:
Aged;
Deglutition disorders;
Hip fractures;
Dietary care
- From:
Chinese Journal of Practical Nursing
2022;38(22):1696-1700
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of diet safety management based on swallowing function classification in perioperative period of elderly patients with hip fractures, so as to provide basis for improving perioperative food safety and shortening hospitalization time of patients with hip fracture.Methods:A total of 68 elderly patients with hip fractures in the First Medical Center of PLA General Hospital from December 2020 to August 2021 were selected and divided into experimental group and control group according to even and odd-number of admission number, each group contained 34 patients. The control group was given routine diet nursing and food safety education. The experimental group was given graded diet safety management according to the swallowing function evaluation results. The incidence of aspiration and length of hospital stay were compared between the two groups.Results:The incidence of chocking during hospitalization was 5.1% (78/1 517) in the control group and 1.2% (17/1 402) in the experimental group, and the difference was statistically significant ( χ2=35.73, P<0.01). The incidence of choking in the control group was 0.7% (11/1 517), and 0.4% (5/1 402) in the experimental group, and the difference was not statistically significant ( χ2=1.82, P>0.05). There was no significant difference in hospitalization time between the two groups, 10 (8,12) in the control group and 9 (8,11) in the experimental group ( Z=-1.33, P>0.05). Conclusions:The implementation of diet safety management based on swallowing function classification in elderly patients with hip fractures can reduce the incidence of coughing. Evaluation of swallowing function should be included in the evaluation of hip fractures in the elderly.
