首页|正念音乐训练结合穴位按摩对脑卒中后吞咽障碍患者的疗效观察

正念音乐训练结合穴位按摩对脑卒中后吞咽障碍患者的疗效观察

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目的 探讨正念音乐训练结合穴位按摩对脑卒中后吞咽障碍(PSD)患者负性情绪、疲乏的影响。方法 选择2020年4月至2022年8月PSD患者120例,分为常规组和观察组,每组各60例。常规组行吞咽训练及认知护理,观察组在常规组基础上开展正念音乐训练联合穴位按摩。比较两组汉密顿焦虑、抑郁量表(HAMA、HAMD)评分、疲劳严重程度量表(FSS)评分、训练依从性及洼田饮水试验(WST)分级。结果 两组干预前后HAMA、HAMD评分、FSS评分比较差异有统计学意义(P<0。05),且观察组各项评分均明显低于常规组(P<0。05);观察组训练依从率高于常规组(P<0。05),但两组WST分级比较差异无统计学意义(P>0。05)。结论 正念音乐训练结合穴位按摩可有效调节PSD患者负性情绪、改善疲乏、提高功能训练依从性,但在吞咽功能的改善上与常规干预效果相近。
Objective To explore the effect of mindfulness music training combined with acupoint massage on negative emotion and fatigue in patients with dysphagia after stroke(PSD).Methods 120 cases of PSD patients were selected from April 2020 to August 2022 and were divided into the control and the observation group,with 60 cases in each group.The control group were treated with swallowing training and cognitive nursing.Based on the control group,the observation group were treated with mindfulness music training combined with acupoint massage.The Hamilton anxiety and depression scale(HAMA,HAMD)scores,fatigue severity scale(FSS)scores,training compliance and water swallow test(WST)grading were compared between the two groups.Results After 4 weeks of intervention,the scores of HAMA,HAMD and FSS in the two groups were lower than those before the intervention(P<0.05),and the scores in the study group were significantly lower than those in the conventional group(P<0.05).The training compliance rate of the study group was 96.43%,which was significantly higher than 84.21%of the conventional group(P<0.05),but there was no significant difference in WST classification between the two groups(P>0.05).Conclusion Mindfulness music training combined with acupoint massage can effectively regulate negative emotions,improve fatigue and improve functional training compliance of PSD patients,but the improvement of swallowing function is similar to that of conventional intervention.

Mindfulness music trainingAcupoint massagePost-stroke dysphagiaNegative emotionsFatigue

刘桂洪、朱红波、吕秀芸、范旭莉

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321000 浙江中医药大学附属金华中医院

正念音乐训练 穴位按摩 脑卒中后吞咽障碍 负性情绪 疲乏

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(8)