目的：分析针对性护理在老年衰弱吞咽障碍患者中的应用效果。方法：选取2021年1月~2022年4月在某医院老年科住院的90例有吞咽障碍的老年衰弱患者为研究对象，随机分为对照组和观察组，对照组老年人接受常规口腔护理干预，观察组老年人接受针对性护理干预，每组各45例，对比两组患者的吞咽障碍、衰弱及并发症发生情况。结果：护理干预前，两组患者吞咽障碍、Fried衰弱表型评分比较差异不具有统计学意义(P > 0.05)，护理干预后，观察组吞咽障碍恢复评分明显高于对照组，差异具有统计学意义(P < 0.05)，观察组Fried衰弱表型评分低于对照组，但差异不具有统计学意义(P > 0.05)。护理期间观察组并发症发生率为11.11%，显著低于对照组的28.89%，差异具有统计学意义(P < 0.05)。结论：对老年衰弱吞咽障碍患者实施针对性护理可以提高吞咽障碍恢复效果，减少并发症发生，有利于预后。
Objective: To analyze the effect of
targeted nursing in the elderly patients with debilitating dysphagia. Methods:
90 senile patients with dysphagia hospitalized in the geriatrics department of
a hospital from January 2021 to April 2022 were selected as the research
objects. They were randomly divided into the control group and the observation
group. The elderly in the control group received routine oral care
intervention, and the elderly in the observation group received targeted
nursing intervention, with 45 cases in each group. The dysphagia, weakness and
complications of the two groups were compared. Results: Before nursing
intervention, there was no significant difference in the scores of dysphagia
and fried asthenia between the two groups (P > 0.05). After nursing
intervention, the recovery score of dysphagia in the observation group was
significantly higher than that in the control group (P < 0.05). The score of Fried asthenia in the observation group was lower than that in the control group, but the difference was not statistically significant (P > 0.05). During the nursing period, the incidence of
complications in the observation group was 11.11%, significantly lower
than 28.89% in the control group (P < 0.05). Conclusion: The implementation of targeted nursing care for elderly patients with debilitating dysphagia can improve the recovery effect of dysphagia, reduce the occurrence of complications, and is conducive to the prognosis.
