护士管理的耶鲁吞协议在高风险的成年人住院治疗失调症:可行性和精细化
Yu-Chun Chang1,2, Chih-Hung Chang2,3,4, Tyng-Guey Wang5
1School of Nursing, National Taiwan University College of Medicine, Taipei, Taiwan.
Clinical rehabilitation
|December 29, 2025
概括
耶鲁吞协议是高风险患者的安全有效的吞障碍查工具. 改进提高了它的测量精度,使其成为一种有价值的临床资源.
科学领域:
- 临床医学 临床医学
- 语音语言病理学 语言病理学
- 老年病的医生 老年病的医生
背景情况:
- 缺食症是住院成年人的常见并发症,增加了发病率和死亡率.
- 现有的选工具可能缺乏效率或全面验证.
- 耶鲁吞协议是为了选食障碍而开发的,但需要进一步改进以获得最佳的临床使用.
研究的目的:
- 评估耶鲁海协议在多样化的住院人口中的可行性和安全性.
- 改进耶鲁海协议,以提高节和测量精度.
- 评估选性能并确定潜在的上限影响.
主要方法:
- 一项涉及502名患有失消症高风险的住院成年人的横截面研究.
- 耶鲁吞协议,包括禁忌,认知和口腔运动评估以及吞水挑战.
- 拉什模型被用来评估原始和改进的协议的测量精度.
主要成果:
- 该方案是可行的,安全的 (没有不良事件) 和快速的 (不到3分钟) 管理.
- 41.8%的故障率表明没有上限效应.
- 采用五个关键项目 (位置,年份,舌头突出,舌头运动,面部对称) 的精细方案,证明了更高的测量精度.
结论:
- 耶鲁吞协议是高风险住院患者的安全,快速和有效的吞障碍查工具.
- 该协议的改进,特别是通过项目选择,显著提高了它的测量精度.
- 优化的耶鲁吞协议提供了一种更精确,更有效的方法来识别临床环境中的吞障碍.
相关概念视频
Upper GI Series: Barium Swallow
1.4K
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
1.4K
Endoscopic Procedures I: Esophagogastroduodenoscopy
802
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
802
Endotracheal Intubation I: Procedure
7.0K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
7.0K
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
747
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
747
Esophageal Strictures-II: Clinical Features and Management
384
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
384
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
433
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
433


