| 薛宇,程懿,蒋希乐,等.中国吞咽障碍指数在养老机构中的应用及其影响因素分析[J].中国临床保健杂志,2022,25(1):47-51. |
| 中国吞咽障碍指数在养老机构中的应用及其影响因素分析 |
| The application of C-DHI(Chinese version of DHI) in elderly care institutions and analysis of its influencing factors |
| 投稿时间：2021-12-02 |
| DOI：10.3969/J.issn.1672-6790.2022.01.011 |
| 中文关键词: 吞咽障碍 营养不良 生活质量 影响因素分析 老年人 |
| 英文关键词: Deglutition disorders Malnutrition Quality of life Root cause analysis Aged〖FL |
| 基金项目:国家重点研发计划项目(2018YFC2001804)；四川省干部保健科课题项目(川干研2019-104) |
| 作者 | 单位 | E-mail | | 薛宇 | 四川大学华西医院,临床营养科,,成都 610041 | xueyu032@163.com | | 程懿 | 四川大学华西医院,临床营养科,,成都 610041 | | | 蒋希乐 | 四川大学华西医院,临床营养科,,成都 610041 | | | 饶志勇 | 四川大学华西医院,临床营养科,,成都 610041 | | | 刘龚翔 | 四川大学华西医院 老年干部医疗中心,成都 610041 | | | 张聂 | 成都市成华区第六人民医院 | | | 夏晓芹 | 成都市成华区第六人民医院 | | | 魏芬 | 成都市成华区第六人民医院 | | | 胡雯 | 四川大学华西医院,临床营养科,,成都 610041 | wendy_nutrition@163.com |
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| 中文摘要: |
| 目的 验证中国吞咽障碍指数(C-DHI)量表应用于老年人群行吞咽障碍风险筛查,并分析其影响因素。方法 将DHI量表进行汉化,形成我国的C-DHI量表,并对其行信效度评价验证其质量及可靠性；纳入某基层养老机构146例老人,进行C-DHI筛查及营养综合评定,并分析影响C-DHI的相关因素。结果 C-DHI量表信效度良好,该机构老年人群吞咽障碍风险的发生率为100%,营养风险及营养不良的发生率为100%,一般线性回归结果显示,血清白蛋白(ALB)的标准回归系数=-0.210,P=0.018；MNA-SF的标准回归系数=-0.342,P=0.002；营养诊断的标准回归系数=-0.217,P=0.046；日常生活活动能力(ADL)的标准回归系数=-0.243,P=0.026,差异均有统计学意义,表明C-DHI量表与ALB、营养状况、ADL呈负相关。结论 养老机构老人吞咽障碍风险发生率高,营养状况不容乐观,C-DHI的得分越高,老人的吞咽障碍的发生风险越高,活动能力及生活质量越差。 |
| 英文摘要: |
| Objective To validate the C-DHI(Chinese version of dysphagia handicap index) scale and apply it to the elderly population for dysphagia risk screening,analyze the influencing factors,and promote and apply the C-DHI scale for the next step,so that the risk of dysphagia in the elderly in my country is discovered early Improve clinical outcome and quality of life.Methods The DHI scale was Chineseized to form my country′s C-DHI scale,and its reliability and validity were evaluated to verify its quality and reliability.At the same time,146 elderly people in a grass-roots elderly care institution were included for C-DHI screening and Comprehensive nutritional assessment and analysis of related factors affecting C-DHI.Results The reliability and validity of the C-DHI scale was good.The risk of swallowing disorders in the elderly population of this institution was 100%,the incidence of nutritional risk and malnutrition was 100%,C-DHI was negatively correlated with ALB,MNA-SF,nutritional diagnosis,ADL.Conclusions The risk of dysphagia among the elderly in nursing homes is high,and the nutritional status is not optimistic.The higher the C-DHI score,the worse the risk and prognosis of the elderly.The risk of dysphagia should be screened as soon as possible to detect the imparied swallowing in time. |
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