首页|励-协夫曼言语干预对脑卒中并吞咽障碍患者嗓音障碍情况与吞咽功能的影响

励-协夫曼言语干预对脑卒中并吞咽障碍患者嗓音障碍情况与吞咽功能的影响

扫码查看
目的 分析励-协夫曼言语干预对脑卒中并吞咽障碍患者嗓音障碍情况与吞咽功能的影响。方法 收集2019年 1月至 2022 年 1 月收治的 120 例脑卒中并吞咽障碍患者,根据电脑随机数字表法将其分为对照组和观察组,各 60 例。对照组给予常规护理,观察组在对照组基础上给予励-协夫曼言语干预。比较两组的护理效果。结果 护理 3 个月后,两组的嗓音障碍指数(VHI)各维度评分及总分均降低,且观察组低于对照组(P<0。05)。护理 3 个月后,两组的洼田饮水试验分级改善,且观察组优于对照组(P<0。05)。护理3个月后,两组的标准吞咽功能评定量表(SSA)、吞咽功能障碍筛查表(EAT-10)评分降低,电视X线透视吞咽功能检查(VFSS)评分均升高,且观察组优于对照组(P<0。05)。护理3个月后,两组的吞咽障碍生活质量量表(EDQoL)评分均降低,且观察组低于对照组(P<0。05)。结论 励-协夫曼言语干预应用于脑卒中并吞咽障碍患者中可取得显著效果,不仅能改善嗓音障碍情况及吞咽功能,还能促进患者生活质量进一步提高。
Effects of Lee Silverman voice intervention on voice disorder and swallowing function in stroke patients with dysphagia
Objective To analyze the effects of Lee Silverman voice intervention on voice disorders and swallowing function in stroke patients with dysphagia.Methods A total of 120 stroke patients with dysphagia admitted from January 2019 to January 2022 were collected and divided into control group and observation group according to the computer random number table method,with 60 cases in each group.The control group was given routine nursing,and the observation group was given Lee Silverman voice intervention on the basis of the control group.The nursing effects of the two groups were compared.Results After 3 months of nursing,the scores of each dimension and total score of Voice Handicap Index(VHI)in the two groups decreased,and those in the observation group were lower than the control group(P<0.05).After 3 months of nursing,the grading of water swallow test in the two groups improved,and that in the observation group was better than the control group(P<0.05).After 3 months of nursing,the scores of Standardized Swallowing Assessment(SSA)and 10-Item Eating Assessment Tool(EAT-10)in the two groups decreased,and the score of Video Fluoroscopic Swallowing Study(VFSS)increased,and those in the observation group were better than the control group(P<0.05).After 3 months of nursing,the score of Eating Disorders Quality of Life Scale(EDQoL)in the two groups decreased,and that in the observation group was lower than the control group(P<0.05).Conclusion Lee Silverman voice intervention applied in stroke patients with dysphagia can achieve significant effect.It can not only improve the voice disorder and swallowing function,but also promote the further improvement of the quality of life of patients.

Lee Silverman voice interventionstrokedysphagiavoice disorderswallowing functionquality of life

柯嫦、郭洋、李华、陈支会

展开 >

安康市中医医院针灸康复科,陕西 安康,725000

陕西省结核病防治院综合内科,陕西 西安,710100

励-协夫曼言语干预 脑卒中 吞咽障碍 嗓音障碍 吞咽功能 生活质量

陕西省重点研发计划项目

S2020-YF-YBSF-0165

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(23)