首页|远程康复干预对脑卒中吞咽障碍患者吞咽功能及日常生活能力的影响

远程康复干预对脑卒中吞咽障碍患者吞咽功能及日常生活能力的影响

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目的 探讨远程康复对脑卒中吞咽障碍患者吞咽功能及日常生活能力的影响.方法 选取64例脑卒中吞咽功能患者,均为病情稳定且经过系统康复治疗后即将出院回家的患者,采用随机数字表法分为两组,均为32例.对照组接受常规电话随诊和门诊复诊,研究组接受远程康复干预以进行居家康复.通过比较出院前和出院8周后患者的标准吞咽功能评价量表(SSA)评分、不良事件发生率和改良Barthel指数(MBI)评分来评估疗效.结果 与出院前相比,两组患者在出院8周时的SSA评分和MBI评分均有所提高(P<0.05);出院8周后,研究组的SSA评分及不良事件发生率数据均较对照组低,且MBI评分较对照组高(P<0.05).结论 远程康复能够更好地改善脑卒中吞咽障碍患者出院后的吞咽功能,降低不良事件发生率,并提高患者的日常生活能力.
Effect of Tele-rehabilitation Intervention in Swallowing Function and Daily Living Ability of Stroke Patients with Dysphagia
Objective To investigate the effects of tele-rehabilitation on swallowing function and daily living ability of stroke patients with dysphagia.Methods A total of 64 stroke patients with dysphagia who were about to go home after systematic rehabilitation were selected and divided into control group and study group by random number table method,with 32 cases in each group.The control group was given routine telephone follow-up and outpatient follow-up,while the study group was treated with tele-rehabilitation.Standardized swallowing assessment(SSA)scores,adverse event rates,and modified Barthel index(MBI)scores were compared before discharge and 8 weeks after discharge.Results Compared with before discharge,SSA score and MBI score of two groups were improved at 8 weeks after discharge(P<0.05).Eight weeks after discharge,the SSA score of the study group was lower than that of the control group,the incidence of adverse events was lower than that of the control group,and the MBI score was higher than that of the control group(P<0.05).Conclusion Tele-rehabilitation can better improve the swallowing function of stroke patients with dysphagia after discharge,reduce the incidence of adverse events,and improve their daily living ability.

tele-rehabilitationstrokedysphagia

陈雅卓

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郑州大学第一附属医院,河南郑州 450000

远程康复 脑卒中 吞咽障碍

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(1)
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