摘要
目的:探讨励‐协夫曼言语训练(LSVT)对脑梗死后吞咽障碍病人吞咽功能、嗓音质量和日常生活能力的影响。方法:选取2019年1月1日—2020年12月31日某三级甲等医院收治的210例脑梗死后吞咽障碍病人为研究对象,按照入组顺序采用随机数字表法将入组病人随机分为观察组和对照组,各105例,对照组采取常规言语干预,观察组在常规干预基础上给予LSVT,两组均持续干预3个月。比较干预前后两组病人的吞咽功能、言语功能、嗓音质量及日常生活能力(ADL)。结果:干预后,观察组吞咽功能评分为(1.09±0.22)分,对照组为(2.35±0.35)分,两组比较差异有统计学意义(P<0.001);观察组GRBAS嗓音量表的总嘶哑度、粗糙度、气息度、无力度、紧张度评分均低于对照组(P<0.01);观察组嗓音障碍指数(VHI)量表总分以及功能、生理、情感各维度评分均低于对照组(P<0.001);观察组Barthel指数评分高于对照组(P<0.001)。结论:LSVT干预有助于提高脑梗死后吞咽障碍病人的吞咽功能,改善病人的嗓音质量和言语功能,提高其日常生活能力,进而提高病人的生活质量。
Objective:To investigate the effect of Lee Silverman voice treatment(LSVT)on swallowing function,voice quality,and ability of daily living(ADL)in patients with dysphagia after cerebral infarction.Methods:From January 1,2019,to December 31,2020,a total of 210 patients with dysphagia after cerebral infarction admitted to a tertiary grade A hospital was selected as the research objects.According to the random number table method,the patients were divided into the observation group and the control group,with 105 cases in each.The control group received routine speech intervention,and the observation group received LSVT based on routine intervention.Both groups continued the intervention for 3 months.The swallowing function,speech function,voice quality,and ADL of the two groups of patients before and after the intervention were compared.Results:After the intervention,the swallowing function score of the observation group was(1.09±0.22)points,and the control group was(2.35±0.35)points.The difference between the two groups was statistically significant(P<0.001).The scores of the overall grade of degree,roughness,breathiness,asthenia,and strained in the GRBAS Scale were all lower than those of the control group(P<0.01).The total scores of the Voice Handicap Index(VHI)of the observation group and the scores of functional,physiological,and emotional dimensions were all lower than those of the control group(P<0.001).The Barthel index score of the observation group was higher than that of the control group(P<0.001).Conclusions:LSVT intervention could help to improve the swallowing function,voice quality and speech function,and ADL of patients with dysphagia after cerebral infarction,and then improve the quality of life of the patient.
作者
张有文
杨凌
白岫丹
张陇平
成连春
肖文铃
潘春柳
陈杰
罗雨田
李星宇
李宝珍
姚晚侠
ZHANG Youwen;YANG Ling;BAI Xiudan;ZHANG Longping;CHENG Lianchun;XIAO Wenling;PAN Chunliu;CHEN Jie;LUO Yutian;LI Xingyu;LI Baozhen;YAO Wanxia(The First Affiliated Hospital of Xi'an Jiaotong University,Shaanxi 710061 China)
出处
《护理研究》
北大核心
2021年第16期2864-2868,共5页
Chinese Nursing Research
基金
陕西省自然科学基础研究计划,编号:2021JM-526
深圳市萨米医疗中心科研基金资助课题,编号:SSMC-2020-B3
关键词
脑梗死
吞咽障碍
励‐协夫曼言语训练
护理
吞咽功能
嗓音质量
言语功能
日常生活能力
cerebral infarction
dysphagia
Lee Silverman voice treatment
nursing
swallowing function
voice quality
speech function
ability of daily living
