Efficacy of swallowing training for residents following stroke
Efficacy of swallowing training for residents following stroke
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DOI：
10.1046/j.0309-2402.2003.02830.x
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发表时间：
2003-12-01
影响因子：
3.8
通讯作者：
Wu, SC
中科院分区：
文献类型：
--
作者：
Lin, LC;Wang, SC;Wu, SC
背景吞咽困难的存在与死亡、营养不良、脱水、肺功能受损和残疾的风险增加相关。适当的吞咽训练可以建立最佳的营养状态，消除或降低与吞咽障碍相关的医疗并发症的风险。本研究的目的是检查吞咽训练对住院卒中患者吞咽困难的功能性吞咽和营养效果。设计和方法。采用准实验平行群集设计。选择了7个床位大小相似的机构。实验组接受结构化吞咽训练。实验组40例，每天进行30 min的吞咽训练，每周6 d，共8周。对照组（n = 21）不接受任何训练。吞咽训练后，实验组训练前后的每秒吞咽量、每次吞咽量、中臂围和体重的平均差异显著高于对照组，而实验组的神经功能检查和进餐时窒息频率的平均差异显著低于对照组。本研究使用客观定时吞咽测试、吞咽问卷和神经系统检查来评估吞咽训练的效果。然而，视频荧光镜检查通常被认为是评估吞咽的咽部和食管阶段的最佳方法，建议在未来的研究中引入这项技术。此外，建议护理专业人员应在中风患者中进行吞咽训练方案，以帮助预防吞咽困难引起的误吸。
Background. The presence of dysphagia is associated with an increased risk of mortality, malnutrition, dehydration, compromised pulmonary function, and disability. Appropriate swallowing training can establish optimal nutritional status and eliminate or reduce the risk of developing medical complications associated with swallowing impairment.Aim(s) of the study. The aim of this study was to examine the functional swallowing and nutritional outcomes of swallowing training in institutionalized stroke residents with dysphagia.Design and methods. A quasi-experimental parallel cluster design was used. Seven institutions with similar bed sizes were selected. All subjects in the experimental group received a structured swallowing training programme. The subjects in the experimental group (n = 40) received 30 minutes of swallowing training each day for 6 days per week for 8 weeks. The control group (n = 21) did not receive any training.Results. After swallowing training, mean differences in volume per second, volume per swallow, mid-arm circumference and body weight between pre- and post-training of the experimental group were significantly higher than for the control group, while mean differences in neurological examination and choking frequency during meals for the experimental group were significantly lower than in the control group.Conclusion. This study used objective timed swallowing tests, a swallowing questionnaire, and a neurological examination to evaluate the effects of swallowing training. However, videofluroscopy is generally considered the best method for evaluating the pharyngeal and esophageal stages of swallowing, and introducing this technique is recommended for future studies. Furthermore, it is recommended that nursing professionals should conduct swallowing training protocols in stroke patients to help prevent aspiration from dysphagia.