关键词: 神经系统肿瘤, 误吸, 护理评估, 表格和记录管理

Abstract:

Objective To design a misaspiration risk screening table for patients after neurologic tumor surgery,and to provide a scienfitic and effective tool for early screening the occurrence of misaspiration of those postoperative patients.Methods The literature analysis and Delphi method were used to establish the aspiration risk rate screening table for brain tumor surgery patients. Patients who underwent neurological tumor resection from January to June 2018 were selected as the control group,and patients who underwent neurological tumor resection from July to December 2018 were selected as the experimental group. The “Kubota drinking water test” was used in the control group for screening the aspiration risk rate;the experimental group was treated with aspiration risk rate screening table to investigate the aspiration risk. The detection rate of aspiration risk,the incidence of aspiration and the average length of hospital stay were compared in these two groups.Results The application of the aspiration rate screening table in patients after excision of brain tumor improved the detection rate of aspiration risk（P<0.001）,reduced the incidence of aspiration rate（P<0.001） and shortened the average length of hospital stay（P<0.05）.Conclusion The application of the aspiration rate screening table can increase the detection rate of aspiration risk,make nursing staff quickly and accurately assess the risk of aspiration of hospitalized patients and then apply the individualized prevention strategies according to different levels of risk in different patients to reduce the occurrence of aspiration,shorten the average length of hospital stay,and improve the quality of medical treatment and nursing.

Key words: Nervous System Neoplasms, Respiratory Aspiration, Nursing Assessment, Forms and Records Control