《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (10): 998-1000.

• 康复护理 • 上一篇    

家属强化教育对卒中后吞咽障碍患者营养状况的影响

牛敬雪，谢家兴，张红云，卜宏伟，王微平，李淑会
   

  1. 1.首都医科大学康复医学院，北京市100068；2.中国康复研究中心北京博爱医院，北京市100068
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-10-25 发布日期:2014-10-25

Effect of Intensive Health Education among Families on Nutritional Status of Stroke Patients with Dysphagia

NIU Jing-xue, XIE Jia-xing, ZHANG Hong-yun, BU Hong-wei, WANG Wei-ping, LI Shu-hui.
  

  1. Capital Medical University School of Rehabilitation Medicine,Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-10-25 Online:2014-10-25

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摘要： 目的探讨卒中后吞咽障碍患者家属的强化教育对患者营养状况的影响。方法经纳入标准吞咽功能评估诊断为吞咽障碍的脑卒中患者42 例，将患者及其家属随机分成干预组(21 对)和对照组(21 对)。干预组陪护家属给予强化教育，每次5~10min，每周1 次，持续1 个月；对照组家属仅进行常规健康教育。两组患者均接受药物及常规吞咽功能训练。1 个月后比较两组患者的血红蛋白(Hb)、血清白蛋白(ALB)、健侧肱三头肌皮褶厚度(TSF)、健侧上臂肌围(AMC)。结果干预组患者的Hb、ALB、健侧
TSF和AMC均高于对照组(P<0.05)。结论对卒中后吞咽障碍患者的家属进行吞咽障碍康复管理的强化教育，可有效改善卒中后吞咽障碍患者的营养状况。

关键词: 脑卒中, 吞咽障碍, 强化教育, 营养状况

Abstract: Objective To investigate the effect of intensive education among the families on nutritional status of the stroke patients with dysphagia. Methods 42 stroke patients with dysphagia diagnosed with Standard Swallowing Assessment were enrolled in the study. The patients and their families were randomly divided into intervention group (21 pairs) and control group (21 pairs). The families of the intervention group were given the intensive health education, 5~10 minutes each time, once a week for 1 month. The families of the control group were only given routine health education. The two groups of patients received conventional drug and swallowing function training. Hemoglobin (Hb), serum albumin (ALB), contralateral brachial triceps skin fold thickness (TSF) and arm muscle circumference (AMC) were measured 1 month latter. Results Hb, ALB, TSF and AMC in the intervention group were higher than in the control group (P<0.05). Conclusion Intensive education among the families may improve the nutritional status of stroke patients with dysphagia.

Key words: stroke, dysphagia, intensive education, nutritional status