摘要
目的探讨任务导向训练结合康复训练对改善脑卒中后吞咽困难的效果。方法选取2017年8月至2019年8月江南大学附属医院收治的110例脑卒中吞咽障碍患者作为研究对象,按照双色球法分为两组:蓝色球作为对照组,进行常规吞咽功能康复训练;红色球作为研究组,在接受常规康复训练基础上进行任务导向训练。连续干预训练3个月,评估两组患者疗效及吞咽功能、生活质量改善情况。结果研究组临床治疗总有效率(94.55%)远比对照组(78.18%)更佳(P<0.05);训练后两组洼田饮水试验(KD-WT)、标准吞咽功能评定量表(SSA)评分均明显改善,研究组KD-WT评分明显高于对照组,SSA评分明显低于对照组(P<0.05);训练后两组患者生活质量综合评定问卷表(GQOLI-74)评分均显著升高,且研究组均显著高于对照组(P<0.05)。结论任务导向训练结合康复训练可有效促进脑卒中后吞咽困难患者吞咽功能恢复,改善其生活质量,具有较高的临床推广价值。
Objective To explore and analyze the nursing effect of task-oriented training combined with rehabilitation training in improving dysphagia after stroke.Methods A total of 110 stroke patients with dysphagia admitted in the Affiliated Hospital of Jiangnan University from August 2017 to August 2019 were selected as the research objects,and were divided into two groups according to the two-color ball method:the blue ball was used as the control group,and routine swallowing function rehabilitation training was performed.The red ball serves as the research group and conducts task-oriented training on the basis of routine rehabilitation training.Continuous intervention training was conducted for 3 months to evaluate the efficacy and improvement of swallowing function and quality of life of the two groups of patients.Results The total effective rate of clinical treatment in the study group(94.55%)was far better than that of the control group(78.18%)(P<0.05).After training,the scores of the two groups of Watian drinking test(KD-WT)and standard swallowing assessment(SSA)scale were significantly improved.The KD-WT score of the study group was significantly higher than that of the control group,and the SSA score was significantly lower than that of the control group(P<0.05).After training,the scores of the two groups of patients on the Generic Quality of Life Inventory-74(GQOLI-74)increased significantly,and the study group was significantly higher than the control group(P<0.05).Conclusions Task-oriented training combined with rehabilitation training can effectively promote the recovery of swallowing function of patients with dysphagia after stroke,and improve the quality of their life,which is of high clinical promotion value.
作者
邵杨扬
李超生
陆建芳
SHAO Yangyang;LI Chaosheng;LU Jianfang(Department of Neurology, Affiliated Hospital of Jiangnan University, Wuxi 214000,China)
出处
《医药高职教育与现代护理》
2022年第1期55-58,共4页
Medical Higher Vocational Education and Modern Nursing
基金
无锡市卫健委科研项目(MS201955)。
关键词
任务导向训练
康复训练
脑卒中
吞咽困难
吞咽功能
生活质量
Task-oriented training
Rehabilitation training
Stroke
Dysphagia
Swallowing function
Quality of life
