首页|多元化健康教育联合家庭参与式口咽操训练对脑卒中后吞咽障碍患者自我感受负担及吞咽功能的影响

多元化健康教育联合家庭参与式口咽操训练对脑卒中后吞咽障碍患者自我感受负担及吞咽功能的影响

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目的 探讨多元化健康教育联合家庭参与式口咽操训练对脑卒中后吞咽障碍(PSD)患者自我感受负担及吞咽功能的影响.方法 选取 2022年12月—2023 年 10 月于泰兴市人民医院就诊的 200 例PSD患者为研究对象,按照随机数字表法将其分为对照组和观察组,各 100 例.对照组采用常规干预,观察组在对照组基础上采用多元化健康教育联合家庭参与式口咽操训练干预.比较两组的自我感受负担、吞咽功能、营养指标及生活质量.结果 干预后,观察组中文版自我感受负担量表中身体负担评分(10.54±2.77)分、情感负担评分(10.43±2.25)分及经济负担评分(1.28±0.24)分,吞咽功能洼田饮水试验评分(2.73±0.40)分均低于对照组,血清白蛋白水平(44.63±3.97)g/L、血清前白蛋白水平(257.92±30.15)g/L均高于对照组,吞咽障碍特异性生活质量量表评分(179.51±15.35)分高于对照组,组间差异有统计学意义(P<0.05).结论 对PSD患者应用多元化健康教育联合家庭参与式口咽操训练,可有助于帮助患者减轻自我感受负担,提升吞咽功能及营养状况,提升生活质量.
Effect of Diversified Health Education Combined with Family Participatory Oral and Pharyngeal Exercise Training on the Self Perceived Burden and Swallowing Function of Patients with Post-Stroke Dysphagia
Objective To explore the effects of diversified health education combined with family participatory oral and pharyngeal exercise training on the self perceived burden and swallowing function of patients with post-stroke dysphagia(PSD).Methods A total of 200 PSD patients who visited Taixing People's Hospital from December 2022 to October 2023 were selected as the research subjects.They were randomly divided into a control group and an observation group,with 100 patients in each group,using a random number table method.The control group received routine intervention,while the observation group received diversified health education combined with family participation oral and pharyngeal exercises training on the basis of the control group.Compare the self perceived burden,swallowing function,nutritional indicators and quality of life,between two groups.Results After intervention,the physical burden score(10.54±2.77)points,emotional burden score(10.43±2.25)points,economic burden score(1.28±0.24)points of the Self-perceived Burden Scale,and Water Swallow Test score(2.73±0.40)points in the observation group,which were lower than those in the control group,while the serum albumin level(44.63±3.97)g/L and serum prealbumin level(257.92±30.15)g/L were higher than those in the control group,the Swallowing Quality of Life Scale score(179.51±15.35)points was higher than that of the control group,and the difference between the groups were statistical differences(P<0.05).Conclusion The application of diversified health education combined with family participation oral and pharyngeal exercises training for PSD patients can help alleviate their self perceived burden,improve swallowing function and nutritional status,and improve their quality of life.

StrokeSwallowing disordersDiversified health educationFamily participatory oral and pharyngeal exercises trainingSelf perceived burdenSwallowing function

罗琴、徐颖

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泰兴市人民医院康复医学科,江苏泰兴 225400

脑卒中 吞咽障碍 多元化健康教育 家庭参与式口咽操训练 自我感受负担 吞咽功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(13)