行动研究法结合CSSET指导下的直接摄食训练对脑卒中后吞咽功能障碍患者吞咽功能及进食情况的影响

Effects of action research method combined with direct food intake training under the guidance of CSSET on swallowing function and eating statusin patients with swallowing dysfunction after stroke

目的探讨行动研究法结合中国人吞咽安全有效性测试(CSSET)指导下的直接摄食训练对脑卒中后吞咽功能障碍患者吞咽功能及进食情况的影响。方法根据随机数字表法将90例脑卒中后吞咽功能障碍患者分为对照组(n=45)及观察组(n=45)。对照组给予常规吞咽训练护理,观察组在对照组基础上给予行动研究法结合CSSET指导下的直接摄食训练。比较两组的干预效果。结果干预后,两组的FOIS评分均升高,SSA评分均降低,且观察组优于对照组(P<0.05)。干预后,两组的自主进食时间、实际进食比例、进食平均振幅均改善,且观察组优于对照组(P<0.05)。观察组的并发症总发生率低于对照组(P<0.05)。结论行动研究法结合CSSET指导下的直接摄食训练在脑卒中后吞咽功能障碍患者中应用价值较高,可改善患者的吞咽功能,提升进食效果,减少并发症的发生。

Objective To explore the effects of action research method combined with direct food intake training under the guidance of Chinese swallowing safety effectiveness test(CSSET)on swallowing function and eating status in patients with swallowing dysfunction after stroke.Methods A total of 90 patients with swallowing dysfunction after stroke were divided into control group(n=45)and observation group(n=45)by random number table method.The control group was given routine swallowing training nursing,and the observation group was given action research method combined with direct food intake training under the guidance of CSSET on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the FOIS scores in the two groups increased,while the SSA scores decreased,and those in the observation group were better than the control group(P<0.05).After intervention,the autonomous eating time,the actual eating proportion and the average amplitude of eating in the two groups improved,and those in the observation group were better than the control group(P<0.05).The total incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Action research method combined with direct food intake training under the guidance of CSSET for patients with swallowing dysfunction after stroke has high application value,which can improve the swallowing function of patients,enhance the effect of eating,and reduce the occurrence of complications.