[1]施海燕,张见平,柴 松.上海市松江区脑卒中陪护人员误吸认知现状调查[J].医学信息,2021,34(11):148-150.[doi:10.3969/j.issn.1006-1959.2021.11.041]
　SHI Hai-yan,ZHANG Jian-ping,CHAI Song.Investigation on the Status Quo of Aspiration Cognition of Stroke Escorts in Songjiang District,Shanghai[J].Medical Information,2021,34(11):148-150.[doi:10.3969/j.issn.1006-1959.2021.11.041]
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上海市松江区脑卒中陪护人员误吸认知现状调查()

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年11期
页码:
148-150
栏目:
调查分析
出版日期:
2021-06-01

文章信息/Info

Title:
Investigation on the Status Quo of Aspiration Cognition of Stroke Escorts in Songjiang District,Shanghai
文章编号:
1006-1959（2021）11-0148-04
作者:
施海燕; 张见平; 柴 松
（1.上海交通大学附属松江医院/上海市松江区中心医院康复医学科，上海 201600； 2.上海市第一人民医院康复医学科，上海 200081）
Author(s):
SHI Hai-yan; ZHANG Jian-ping; CHAI Song
(1.Department of Rehabilitation Medicine,Songjiang Hospital Affiliated to Shanghai Jiaotong University/ Songjiang District Central Hospital,Shanghai 201600,China; 2.Department of Rehabilitation Medicine,Shanghai First People’s Hospital,Shanghai 200081,China)
关键词:
脑卒中; 误吸; 陪护人员认知; CARF机构
Keywords:
Stroke; Aspiration; Accompany cognition; CARF institution
分类号:
R743.3
DOI:
10.3969/j.issn.1006-1959.2021.11.041
文献标志码:
A
摘要:
目的 探讨脑卒中陪护人员对误吸的认知现状及影响因素。方法 于2018年11月~2020年10月采用自行设计的调查问卷，对上海市松江地区620例脑卒中陪护人员进行误吸认知调查，分析误吸认知状况及误吸发生的影响因素。结果 共回收有效问卷602份，包含专职护工调查问卷259份，非专职护工调查问卷343份；性别、文化程度、陪护人员是否专职、有无CARF机构陪护经历以及是否发生肺炎与误吸认知得分有关，差异有统计学意义（P＜0.05）；脑卒中陪护人员对误吸认知实际调查得分为（51.23±6.22）分；脑卒中陪护人员对误吸表现认知得分最低的两项分别是进食或饮水后出现胸闷、气喘及进食或饮水后胸痛；脑卒中陪护人员对误吸危险因素认知得分最低的两项分别是进食体位与进食环境；脑卒中陪护人员得分总体较低，对鼻饲患者是否发生误吸认知度最低；多因素Logistic回归分析结果显示，陪护人员的文化程度、CARF机构陪护经历、是否发生肺炎是误吸认知总得分的影响因素（P＜0.05）。结论 应根据陪护人员的认知误区，由专业人员采取针对性措施提高陪护人员对误吸相关知识的识别及护理能力。
Abstract:
Objective To explore the status quo and influencing factors of stroke escorts about aspiration.Methods From November 2018 to October 2020, a self-designed questionnaire was used to investigate the aspiration cognition of 620 stroke escorts in Songjiang District, Shanghai, and analyze the cognitive status of aspiration and the influencing factors of aspiration.Results A total of 602 valid questionnaires were returned, including 259 questionnaires for full-time nursing workers and 343 questionnaires for non-full-time nursing workers;Gender, educational level, whether the caregivers were full-time, whether they had been accompanied by CARF institutions, and whether pneumonia occurs were related to the scores of aspiration perception,the difference was statistically significant (P＜0.05);The actual survey score of stroke escorts on aspiration cognition was (51.23±6.22) points;The two items with the lowest cognitive scores for aspiration performance of stroke escorts were chest tightness, asthma after eating or drinking, and chest pain after eating or drinking;The two items with the lowest cognitive scores for stroke escorts on risk factors of aspiration were eating position and eating environment; stroke escorts had overall low scores, and had the lowest awareness of whether aspiration occurred in patients with nasal feeding;The results of multivariate logistic regression analysis showed that the education level of the caregivers, the care experience of CARF institutions, and the occurrence of pneumonia were the influencing factors of the total score of aspiration perception (P＜0.05).Conclusion According to the misunderstanding of the accompany, the professionals should take targeted measures to improve the accompany’s recognition of aspiration related knowledge and nursing ability.

参考文献/References:

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更新日期/Last Update: 1900-01-01