引导式健康教育对吞咽障碍合并构音障碍患者吞咽、语言康复训练的效果分析  

Effects Analysis of Guided Health Education on Swallowing and Language Rehabilitation in Patients with Dysphagia and Dysarthria

作　　者：夏小玲[1] 王修敏[1] 曹晓光[1] 茆丽 邢娜娜[1] XIA Xiao-ling;WANG Xiu-min;CAO Xiao-guang;MAO Li;XING Na-na

机构地区：[1]合肥市第二人民医院,合肥230001

出　　处：《中国听力语言康复科学杂志》2023年第3期306-309,共4页Chinese Scientific Journal of Hearing and Speech Rehabilitation

摘　　要：目的探讨引导式健康教育对吞咽障碍合并构音障碍患者吞咽、语言康复效果的影响。方法选取2021年8月~2022年7月我院收治的吞咽障碍合并构音障碍患者66例,根据随机数字表法分为研究组(33例)与对照组(33例),对照组给予吞咽、语言康复训练,研究组给予引导式健康教育联合吞咽、语言康复训练,比较两组患者吞咽功能、语言功能、生活质量及不良事件发生情况。结果研究组吞咽功能较对照组更优(P<0.05);干预后,两组Frenchay构音障碍评定量表(frenchay dysarthria assessment,FDA)评分显著降低(P<0.05),研究组显著低于对照组(P<0.05);干预后,两组吞咽障碍特异性生活质量量表(swallowing quality of life,SWAL-QOL)评分显著提高(P<0.05),研究组显著高于对照组(P<0.05);研究组不良事件发生率(3.03%)显著低于对照组(24.24%)(P<0.05)。结论吞咽障碍合并构音障碍患者给予引导式健康教育联合吞咽、语言康复训练,能够改善患者吞咽功能及语言功能,提高生活质量,降低不良事件发生率。Objective To explore the effects of guided health education combined with swallowing and language rehabilitation training on the rehabilitation in patients with dysphagia and dysarthria.Methods 66 patients with dysphagia and dysarthria admitted to our hospital from August 2021 to July 2022 were selected,and divided into the study group(33 cases)and the control group(33 cases)by the random number table method.The control group was given swallowing and language rehabilitation training.The study group was given guided health education combined with swallowing and language rehabilitation training.The swallowing functions,language functions,quality of life and adverse events of the two groups were compared.Results In comparision of the control group,the swallowing function of the study group was better(P<0.05).After intervention,the scores of Frenchay Dysarthria Assessment(FDA)in both groups were significantly decreased(P<0.05),and in comparision of the control group,the study group was significantly lower(P<0.05).After intervention,the Swallowing Quality of Life(SWAL-QOL)scores in both groups were significantly improved(P<0.05),and in comparision of the control group,the study group was significantly higher(P<0.05).In comparision of the control group(24.24%),the incidence of adverse events in the study group(3.03%)was significantly lower(P<0.05).Conclusion Guided health education combined with swallowing and language rehabilitation training for patients with dysphagia and dysarthria can improve their swallowing and language functions,improve their quality of life and reduce the incidence of adverse events.

关 键 词：吞咽障碍 构音障碍 引导式健康教育 吞咽康复训练 语言康复训练 

分 类 号：R473.74[医药卫生—护理学]