住院患者误吸危险因素评估量表的设计和应用

发布时间：2018-03-19 08:41

  本文选题：误吸　切入点：危险因素　出处：《广东医学》2016年13期 　论文类型：期刊论文

【摘要】：目的设计住院患者的误吸危险因素评估量表,提高对误吸反流的早期护理安全预警系统,确保患者的住院安全。方法选取呼吸科收治的285例患者,其中误吸患者34例作为观察组,非误吸患者251例作为对照组。对所有患者的基本资料进行回顾性分析,建立危险因素评估表的具体条目,对各条目的分析采用醊2检验,对有意义变量采用logistics回归分析,确定量表分值,采用受试者工作曲线(ROC)分析最佳截断值,确定分值和风险级别。结果既往误吸史、体位、人工气道、饮食方式、鼻饲方式等是发生误吸的主要危险因素。ROC曲线分析显示,分值3分时对发生误吸诊断的敏感性为90.9%、特异性为85.0%。结论制定误吸高风险的评估量表,可以让临床医务人员迅速而准确地评估住院患者的误吸风险,对有风险的患者及时采取针对性的预防措施,以减少误吸的发生,改善患者的临床结局,提高医疗和护理质量。
[Abstract]:Objective to design the risk factor assessment scale for inpatients with misaspiration, to improve the early nursing safety warning system for mis-aspiration reflux, and to ensure the safety of hospitalization. Methods 285 patients treated in respiratory department were selected. Among them, 34 cases were used as observation group and 251 cases as control group. The basic data of all patients were analyzed retrospectively, and the specific items of risk factor assessment table were established. The significant variables were analyzed by logistics regression analysis, the scale score was determined, the optimal truncation value was analyzed by using the operating curve of subjects, and the score and risk level were determined. The ROC curve analysis showed that the sensitivity and specificity of nasal feeding were 90.9 and 85.0 respectively. Conclusion the evaluation scale for high risk of false aspiration was developed, and the ROC curve showed that the sensitivity was 90.9 and the specificity was 85.0 when the score was 3. It is possible for clinical medical staff to evaluate the risk of aspiration miscarriage quickly and accurately, and to take timely preventive measures for the patients at risk, so as to reduce the occurrence of false aspiration, improve the clinical outcome of patients, and improve the quality of medical treatment and nursing care.
【作者单位】： 暨南大学附属第一医院呼吸科;
【基金】：暨南大学第一临床医学院护理科研专项基金立项课题(编号:2013413)
【分类号】：R472
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本文编号：1633507