Relationship between Aspiration Pneumonia and Feeding Care among Home Care Patients with an In-Dwelling Nasogastric Tube in Taiwan: A Preliminary Study.
Relationship between Aspiration Pneumonia and Feeding Care among Home Care Patients with an In-Dwelling Nasogastric Tube in Taiwan: A Preliminary Study.
复制标题
DOI：
10.3390/ijerph19095419
复制
发表时间：
2022-04-29
影响因子：
--
通讯作者：
Liu, Hsiu-Yueh
中科院分区：
文献类型：
--
作者：
Hsiao, Szu-Yu;Yao, Ching-Teng;Lin, Yi-Ting;Huang, Shun-Te;Chiou, Chi-Chen;Huang, Ching-Yu;Huang, Shan-Shan;Yen, Cheng-Wei;Liu, Hsiu-Yueh
家庭护理患者有吞咽功能障碍，依靠留置鼻胃管（NGT）补充口服食物摄入，补充饮食，并保持足够的营养状态。本研究旨在探讨居家照护之非糖基化转基因病患吸入性肺炎（AP）与喂食照护之关系。这项初步研究采用了横断面设计。有35名患者依靠住院NGT来补充他们的口服食物摄入（NGT-口服喂养）及其主要照顾者参加了这项研究。他们都在过去的一年里发展了AP。同时观察并记录家庭护理患者进餐时间的进食表现和护理人员提供的喂养护理。在与AP发病率单变量相关的六个危险因素中，在嘈杂的环境中进食、使用大勺子喂受试者、每口食物超过5毫升、进食持续时间> 30分钟、每口食物吞咽两次、每天至少咳嗽一次在逻辑回归模型中仍然显着（所有p < 0.05）。AP的四个危险因素与喂养护理相关;校正的危险比范围为6.17至14.96（所有p < 0.05）。除了每个人的食物摄入能力，不适当的喂养援助与AP的危险因素之间的家庭护理患者NGT口服喂养。因此，家庭照顾者应接受安全的经口喂养教育和培训。
Home care patients have swallowing dysfunction and rely on an in-dwelling nasogastric tube (NGT) to complement oral food intake, supplement their diet, and maintain adequate nutritional status. This study explored the relationship between aspiration pneumonia (AP) and feeding care among home care patients with an in-dwelling NGT. This preliminary study employed a cross-sectional design. There were 35 patients who relied on an in-dwelling NGT to complement their oral intake of food (NGT-oral feeding) and their primary caregivers participated in this study. All of them developed AP in the past year. Factors involving food intake performance during mealtime of the home care patients and feeding care provided by the caregivers were simultaneously observed and recorded. Among the six risk factors univariately correlated with the incidence of AP, feeding in a noisy environment, using a large spoon to feed the participants, more than 5 mL of food per mouthful, food intake duration lasting > 30 min, swallowing twice for each mouthful of food, and coughing at least once every day remained significant in the logistic regression model (all p < 0.05). Four risk factors for AP were correlated with feeding care; the adjusted risk ratio ranged from 6.17 to 14.96 (all p < 0.05). In addition to each individual’s food intake ability, improper feeding assistance was related to the risk factors for AP among home care patients with NGT-oral feeding. Thus, home caregivers should receive safe oral feeding education and training.
登录
查看更多内容
影响因子：
4.2
作者：
Lin, Li-Chan;Li, Mei-Hui;Watson, Roger
通讯作者：
Watson, Roger
影响因子：
3.3
作者：
Sugiyama, Michiko;Takada, Kento;Kuzuya, Masafumi
通讯作者：
Kuzuya, Masafumi
影响因子：
2.8
作者：
Chang, Hsiao-Ting;Lai, Hsiu-Yun;Hwang, Shinn-Jang
通讯作者：
Hwang, Shinn-Jang
影响因子：
2.6
作者：
Colodny, N
通讯作者：
Colodny, N
影响因子：
3.8
作者：
Lin, LC;Wang, SC;Wu, SC
通讯作者：
Wu, SC