从延迟到检测:南非气管切除术的ICU患者的缺食模式
1Department of Speech-Language Pathology, Faculty of Humanities, University of the Witwatersrand, Johannesburg. nancy.barber@wits.ac.za.
概括
在南非的气管切除患者中,缺食症很常见,超过66%的人受到影响. 推迟转诊阻碍了及时诊断和治疗,强调需要在重症监护室 (ICU) 标准化护理协议.
科学领域:
- 关键护理医学 关键护理医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
背景情况:
- 吞障碍 (吞困难) 在气管切除患者中很普遍,特别是在像南非这样的资源有限的环境中.
- 由于推迟转诊和对仪器吞评估的访问有限,诊断不足是常见的.
- 在南非这个特定的患者群体中,关于食障碍的发生率和严重程度的数据有限.
研究的目的:
- 评估南非一家私人重症监护室 (ICU) 中的气管切除术患者中缺食症的发生率.
- 探索需要适合上下文,标准化的护理实践的需要,以气管切除患者的失.
主要方法:
- 追溯审查68名成年患者的档案,这些患者正在接受纤维光学内镜吞评估 (FEES).
- 在评估时提取了42名气管切除术患者的数据.
- 使用透-吸收量表 (PAS) 评估缺食症的严重程度;用于分析的描述性统计数据.
主要成果:
- 通过FEES评估的66.6%的气管支架切除患者呈现出食症.
- 帕斯得分显示出显著的变化,其中33.3%的正常 (得分1) 和28.6%的沉默渴望 (得分8).
- 平均转诊时间为25.7天,费用费用在32.4天后完成,这表明有很大的延误.
结论:
- 在气管切除患者中观察到高发 dysphagia 和实质性的转诊延迟.
- 需要制定标准化的护理方案,以促进早期诊断和治疗缺食症.
- 实施特定环境的协议可以提高南非ICU的转诊效率,资源利用率和患者的治疗结果.
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