摘要
Abstract
Objective To explore the application effect of multi-dimensional identification combined with stepwise intervention in the prevention and control of silent aspiration among elderly patients in primary general hospitals.Methods A total of 320 elderly patients admitted to NO.2 People's Hospital of Jiangmen from January 2023 to March 2025 were selected and randomly divided into two groups:an observation group and a control group,with 160 patients in each group.The control group received routine interventions for preventing silent aspiration,while the observation group was treated with multidimensional identification combined with stepwise intervention.Both groups were continuously intervened for 1 month.After the intervention,the detection rate of silent aspiration,clinical outcomes(incidence of pulmonary infection,average length of hospital stay,incidence of malnutrition,and Functional Oral Intake Scale[FOIS]score),and economic benefits(additional rehabilitation intervention costs,pneumonia-related treatment costs,hospitalization costs,and nutritional support-related costs)were compared between the two groups.Results The detection rate of silent aspiration in the observation group was higher than that in the control group(P<0.05).The incidence of pulmonary infection and the incidence of malnutrition in the observation group were lower than those in the control group(P<0.05),and the average hospital stay was shorter in the observation group than in the control group(P<0.05),and the FOIS score was higher in the observation group than in the control group(P<0.05).The cost of new rehabilitation intervention in the observation group was higher than that in the control group(P<0.05),and the costs related to pneumonia treatment,hospitalization and nutritional support in the observation group were all lower than those in the control group(P<0.05).Conclusion The implementation of multi-dimensional identification and stepwise intervention in the long-term care of the elderly in primary general hospitals can increase the detection rate of latent aspiration in patients,improve the clinical outcomes of patients,and save medical resources.It is worthy of promotion and application.关键词
年患者/长期照护/隐性误吸/多维度识别/阶梯式干预Key words
elderly patient/long-term care/silent aspiration/multidimensional identification/stepwise intervention分类
医药卫生
