Outcomes of individualized interventions in patients with severe eating difficulties.

Outcomes of individualized interventions in patients with severe eating difficulties.
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DOI:
10.1177/105477389700600104
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发表时间:
1997-02-01
影响因子:
1.7
通讯作者:
Wenngren, B I
Wenngren, B I
中科院分区:
医学4区
文献类型:
--
作者:
Jacobsson, C;Axelsson, K;Wenngren, B I

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本案例研究的目的是描述对严重进食困难患者进行个体化干预的结果。参与者是15名中风或脑瘤后严重进食困难的患者,他们正在接受口服喂养或管状喂养。干预的重点是训练进食所需的功能、进食活动以及与患者的讨论。特别注意到饮食活动的改善,以及口腔运动和营养状况的一些改善。在干预之前,没有一名患者吃常规食物;之后,有六名患者吃了,其中四名患者的饲管被拔掉。患者说,吃东西更容易,而且他们可以安全地吃东西。此外,他们还感谢在用餐期间对他们的体验的关注。尽管损伤并不总是得到缓解,但患者找到了应对饮食困难的方法。
The aim of this case study is to describe the outcomes of individualized interventions for patients with severe eating difficulties. The participants were 15 patients who had severe eating difficulties following a stroke or brain tumor and were receiving oral feeding or tube feeding. Interventions focused on training functions needed for eating, activities in eating, and discussions with the patient. Improvements were especially noted in eating activities, and some improvements were noted in oral movements and nutritional status. Before the interventions, none of the patients ate regular food; afterward, six did, and in four patients, the feeding tube was removed. The patients said eating was easier, and they could eat in a safe way. Furthermore, they appreciated the attention to their experience during meals. Although the impairments were not always alleviated, the patients found means to cope with their eating difficulties.