正向激励联合吞咽训练在脑梗死后吞咽障碍患者中的应用  

Application of Positive Stimulation Combined with Swallowing Training in Dysphagia Patients after Cerebral Infarction

作　　者：李彤[1] 司新艳[1] 赵书会[1] 武珍[1] Li Tong;Si Xinyan;Zhao Shuhui(Zhengzhou People′s Hospital,Zhengzhou Henan 450000,China)

机构地区：[1]郑州人民医院,河南郑州450000

出　　处：《齐鲁护理杂志》2022年第1期9-12,共4页Journal of Qilu Nursing

摘　　要：目的:探讨正向激励联合吞咽训练在脑梗死后吞咽障碍患者中的应用效果。方法:选取2018年1月1日~2020年8月1日收治的120例脑梗死后吞咽障碍患者为研究对象,随机分为联合组68例和对照组52例;对照组给予吞咽训练,联合组给予正向激励联合吞咽训练,均连续干预2个月。比较两组疗效、病耻感[采用慢性病病耻感量表(SSCI)]、吞咽功能[采用标准吞咽功能评价量表(SSA)]、生活质量[采用脑卒中影响量表(SIS)]及依从性。结果:联合组总有效率高于对照组(P<0.05);干预后,两组SSCI、SSA评分低于干预前(P<0.05),且联合组低于对照组(P<0.01);干预后,两组SIS评分高于干预前(P<0.05),且联合组高于对照组(P<0.05,P<0.01);联合组依从率高于对照组(P<0.05)。结论:正向激励联合吞咽训练可缓解脑梗死后吞咽障碍患者的病耻感,恢复吞咽功能,提高生活质量,改善其治疗依从性。Objective:To explore the application effect of positive stimulation combined with swallowing training in dysphagia patients after cerebral infarction.Methods:A total of 120 dysphagia patients after cerebral infarction admitted during January 1,2018 to August 1,2020 were recruited as the study objects,were randomly divided into the combination group with 68 cases and the control group with 52 cases.The control group was given swallowing training.And the combination group was given positive stimulation combined with swallowing training,with continuous intervention for 2 months.The curative effect,stigma by SSCI,swallowing function by SSA,quality of life by SIS and compliance were compared between the two groups.Results:The total effective rate in the combination group was higher than that in the control group(P<0.05).After intervention,the scores of Stigma Scale for Chronic Illness(SSCI)and Standardized Swallowing Assessment(SSA)in the combination group were lower than those before intervention(P<0.05),and lower in the combination group than those in m the control group(P<0.01).After intervention,the scores of Stroke Impact Scale(SIS)were higher in both groups than those before intervention(P<0.05),and higher in the combination group than those in the control group(P<0.01),and the compliance rate was higher in the combination group than that in the control group(P<0.05).Conclusion:Positive stimulation combined with swallowing training can reduce stigma in dysphagia patients after cerebral infarction,promote the recovery of swallowing function,improve their quality of life and treatment compliance.

关 键 词：脑梗死 吞咽障碍 正向激励 吞咽训练 病耻感 

分 类 号：R473.54[医药卫生—护理学]