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VitalStim电刺激联合吞咽训练治疗脑卒中后吞咽障碍疗效观察
引用本文:翁贤君, 黄建平, 叶一卫, 包锦莹, 胡玲琴, 邵霞, 麻慧靖. 温州市福利院老年人吞咽功能调查及相关因素分析[J]. 上海预防医学, 2021, 33(8): 750-753. DOI: 10.19428/j.cnki.sjpm.2021.20418
作者姓名:翁贤君  黄建平  叶一卫  包锦莹  胡玲琴  邵霞  麻慧靖
作者单位:1.温州市鹿城区人民医院康复科,浙江 温州 325000;2.温州市中心医院神经内科,浙江 温州 325000
基金项目:浙江省温州市科技计划经费自筹项目(Y20170343)
摘    要:
目的了解浙江省温州市福利院老年人的吞咽功能现状,分析吞咽功能障碍发生的相关因素。方法选择2018年1月—2020年1月温州市3家福利院的507名≥60岁老年人为研究对象,采用自行设计的问卷进行调查,运用Hinds限时饮水试验进行吞咽障碍的筛查,采用多因素非条件logistic回归分析温州市福利院老年人吞咽功能障碍发生的相关因素。结果507名≥60岁老年人中发生吞咽功能障碍的有132人,发生率为26.04%。单因素分析显示,不同年龄、配偶情况、自理能力、健康状况、服用安眠药情况的老年人以及脑血管疾病、神经系统疾病、抑郁的患病情况不同的老年人吞咽功能障碍发生率比较,差异均有统计学意义(P<0.05)。多因素logistic回归分析显示,年龄≥80岁、服用安眠药、有脑血管疾病、有神经系统疾病、有抑郁是老年人吞咽功能障碍发生的相关因素。结论温州市福利院老年人吞咽功能障碍发生率较高,特别是年龄≥80岁的老年群体需要予以更多关注。此外,服用安眠药、有脑血管疾病、有神经系统疾病、有抑郁等均会增加吞咽功能障碍的发生风险,需要制定与之对应的预防与干预举措。


关 键 词:福利院  老年人  吞咽功能  相关因素
收稿时间:2020-06-23

Factor structure of the Geriatric Depression Scale and measurement invariance across gender among Chinese elders
WENG Xian-jun, HUANG Jian-ping, YE Yi-wei, BAO Jin-ying, HU ling-qin, SHAO Xia, MA Hui-jing. Swallowing function and its related factors in elderly people in welfare homes of Wenzhou City[J]. Shanghai Journal of Preventive Medicine, 2021, 33(8): 750-753. DOI: 10.19428/j.cnki.sjpm.2021.20418
Authors:WENG Xian-jun  HUANG Jian-ping  YE Yi-wei  BAO Jin-ying  HU ling-qin  SHAO Xia  MA Hui-jing
Affiliation:1.Department of Rehabilitation,Lucheng District People's Hospital of Wenzhou City,Wenzhou,Zhejiang 325000,China;2.Department of Neurology,Wenzhou Central Hospital,Wenzhou,Zhejiang 325000,China
Abstract:
ObjectiveTo understand the swallowing function of the elderly in welfare homes of Wenzhou City,Zhejiang Province and to analyze the related factors of swallowing dysfunction.MethodsA total of 507 elderly people aged 60 years and over were surveyed by questionnaires in three welfare homes of Wenzhou City from January 2018 to January 2020.Hinds time-limited water drinking test was used to screen dysphagia. Multivariate unconditional logistic regression analysis was used to analyze the related factors of swallowing dysfunction.ResultsThe incidence of swallowing dysfunction was 26.04% (132 out of 507). Univariate analysis showed that there were significant differences in the incidence of swallowing dysfunction among the elderly in terms of age, spouse condition, self-care ability, health status, taking sleeping pills, cerebrovascular disease, nervous system disease and depression (P<0.05). Multivariate logistic regression analysis showed that the following factors were related to swallowing dysfunction among the elderly: age ≥80 years old, taking sleeping pills, cerebrovascular diseases, nervous system diseases and depression.ConclusionThe incidence of swallowing dysfunction in elderly people in welfare homes of Wenzhou City is high, especially those aged ≥80 years who need more attention. In addition, taking sleeping pills, cerebrovascular diseases, nervous system diseases and depression all increase the risk of swallowing dysfunction. Corresponding preventive and intervention measures should be formulated.
Keywords:welfare home  elderly  swallowing function  related factor
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