医院精心手工养计划减少了晚期痴呆症患者的输卵管使用
J K Yuen1, F H W Chan, T-C Chan
1Jacqueline K. Yuen, MD, Division of Geriatrics, LKS Faculty of Medicine, The University of Hong Kong, Department of Medicine, 4/F Professorial Block, Queen Mary Hospital, 102 Pokfulam Road, Pokfulam, Hong Kong SAR, China. E-mail: jkyuen@hku.hk Telephone: (852) 2255-4049.
The journal of nutrition, health & aging
|June 25, 2023
概括
一项针对晚期痴呆症患者的新手养计划显著降低了输液管养率. 大多数患者维持口服养,与输管养相比,医院再入院率相似.
科学领域:
- 老年病的医生 老年病的医生
- 抚慰性护理是一种缓解性护理.
- 临床营养学 临床营养学
背景情况:
- 输液养在晚期痴呆症中很常见,尽管对益处的证据有限.
- 这种人群的终身护理需要一种替代的养方法.
研究的目的:
- 评估一个精心的手工养计划对食管插入率的影响.
- 为了确定与输入管相关的风险因素.
- 为了比较口服养的可持续性和手工养和输管养之间的医院再入院率.
主要方法:
- 复杂痴呆症患者 (≥60岁) 的回顾性队列研究,这些患者因食问题而入院.
- 在计划实施之前和之后,食管插入率的比较.
- 使用后勤回归来确定输管养的风险因素.
主要成果:
- 食管插入率在计划实施后显著下降,从72%降至51% (p<.001).
- 输液养的关键风险因素包括入院时间,消化不良,以及缺乏事先的护理计划.
- 91%的精心用手养的患者在12个月内保持口服摄入量,与输管养相比,再入院率没有显著差异.
结论:
- 一个医院的谨慎的手动养计划有效地减少了晚期痴呆症的输卵管使用.
- 该计划为大多数患者提供了持续的口服养.
- 医院再入院率仍然很高,在手和输液管养组之间是可比的.
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