时效性激励联合吞咽摄食训练在脑胶质瘤术后吞咽功能障碍患者中的应用

Application of Time Effective Incentives Combined with Swallowing and Feeding Training in Patients with Postoperative Swallowing Dysfunction of Glioma

目的:探讨时效性激励联合吞咽摄食训练在脑胶质瘤术后吞咽功能障碍患者中的应用方法及效果。方法:选取2020年1月1日~2022年12月31日126例脑胶质瘤术后吞咽功能障碍患者,随机分为对照组和研究组各63例,对照组行常规吞咽摄食训练,研究组行时效性激励联合吞咽摄食训练;比较两组术后次日及术后1个月一般自我效能感量表(GSES)、吞咽功能评价量表(SSA)评分。结果:术后1个月,两组GSES评分高于术后次日(P<0.05),且研究组高于对照组(P<0.05);术后1个月,两组SSA评分低于术后次日(P<0.05),且研究组低于对照组(P<0.05)。结论:时效性激励联合吞咽摄食训练可有效提升脑胶质瘤术后吞咽功能障碍患者的自我效能,提升吞咽及摄食能力。

Objective:To explore the application method and effect of time effective incentives combined with swallowing and feeding training in patients with swallowing dysfunction after glioma surgery.Methods:A total of 126 patients with postoperative swallowing dysfunction of gliomas from January 1,2020 to December 31,2022 were randomly divided into control group and study group,with 63 cases in each group.The control group received routine swallowing and feeding training,while the study group received time effective incentives combined with swallowing and feeding training.The scores of general self-efficacy scale(GSES)and swallowing assessment(SSA)were compared between two groups on the day after surgery and one month after surgery.Results:One month after surgery,the GSES scores of both groups were higher than those of the day after surgery(P<0.05),and the study group has higher scores than the control group(P<0.05).One month after surgery,the SSA scores of both groups were lower than those of the day after surgery(P<0.05),and the study group has lower scores than the control group(P<0.05).Conclusion:Time effective incentives combined with swallowing and feeding training can effectively improve the self-efficacy of patients with swallowing dysfunction after glioma surgery,and enhance swallowing and feeding functions.