正念放松理念在脑卒中吞咽障碍患者吞咽功能训练中的应用  

Application of mindfulness relaxation concept in swallowing function training of stroke patients with dysphagia

作　　者：史优波 何松彬[1] 吴舟娜[1] 戴方瑜[1] SHI Youbo;HE Songbin;WU Zhouna;DAI Fangyu(Department of Neurology/Rehabilitation Medicine,Zhoushan Hospital in Zhejiang Province,Zhoushan 316000,China)

机构地区：[1]浙江省舟山医院神经内科/康复医学科,浙江舟山316000

出　　处：《中国现代医生》2021年第36期158-163,共6页China Modern Doctor

基　　金：浙江省科技计划项目(2017C33188);浙江省舟山市科技计划项目(2018C11044)。

摘　　要：目的研究正念放松理念在脑卒中吞咽障碍患者吞咽功能训练中的应用效果。方法选取2018年10月至2020年5月本科室收治的脑卒中合并吞咽障碍患者70例,分别纳入观察组和对照组,每组各35例,对照组进行吞咽训练及常规护理,观察组在此基础上实行正念放松训练;比较两组干预后吞咽障碍程度及干预前后脑卒中患者功能锻炼依从性量表、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、生活质量健康调查简表(SF-36)评估结果。结果观察组干预后无吞咽障碍患者比例(40.00%)显著高于对照组(17.14%),差异有统计学意义(P<0.05)。观察组干预后身体锻炼依从为(15.11±2.05)分、锻炼检测依从(7.37±1.26)分,显著高于对照组[(14.14±1.97)分、(6.71±1.34)分],差异有统计学意义(P<0.05)。观察组干预后HAMA为(6.83±1.58)分、HAMD(5.66±0.84)分,显著低于对照组[(7.57±1.40)分、(6.14±0.85)分],差异有统计学意义(P<0.05)。观察组干预后活力为(17.51±2.17)分、社会功能(8.23±1.03)分、精神健康(22.31±2.36)分,显著高于对照组[(16.20±2.24)分、(7.23±1.59)分、(20.14±2.58)分],差异有统计学意义(P<0.05)。结论正念放松理念可有效增强脑卒中吞咽障碍患者吞咽功能训练依从性,临床价值较高。Objective To study the application effect of mindfulness relaxation concept in swallowing function training for stroke patients with dysphagia.Methods A total of 70 patients with stroke complicated with dysphagia admitted to our department from October 2018 to May 2020 were divided into the observation group and the control group,with 35 cases in each group.The control group received dysphagia training and conventional nursing,while the observation group received mindfulness relaxation training on this basis.The degree of dysphagia after intervention and the evaluation results of functional exercise compliance scale,Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)and 36-Item Short Form Health Survey(SF-36)of the stroke patients before and after intervention were compared between the two groups.Results After the intervention,the proportion of the patients without dysphagia was significantly higher in the observation group(40.00%)than that in the control group(17.14%),and the difference was statistically significant(P<0.05).After intervention,the scores of compliance with physical activity and the compliance with exercise test were(15.11±2.05)points and(7.37±1.26)points,respectively in the observation group,which were significantly higher than those in the control group[(14.14±1.97)points and(6.71±1.34)points],with statistically significant differences(P<0.05).HAMA and HAMD scores were significantly lower in the observation group[(6.83±1.58)points,(5.66±0.84)points]than those in the control group[(7.57±1.40)points,(6.14±0.85)points]after intervention,and the differences were statistically significant(P<0.05).After intervention,the scores of vitality,social function and mental health were significantly higher in the observation group[(17.51±2.17)points,(8.23±1.03)points and(22.31±2.36)points]than those in the control group[(16.20±2.24)points,(7.23±1.59)points,(20.14±2.58)points],with statistically significant differences(P<0.05).Conclusion Mindfulness relaxation concept can effectively enha

关 键 词：正念放松理念 脑卒中 吞咽障碍 吞咽康复训练 

分 类 号：R473.5[医药卫生—护理学]