Effect of Collaborative Care on the Improvement of Daily Living Abilities and Reduction of Aspiration Pneumonia in Patients with Swallowing Disorders Following Cerebral Ischemic Stroke.

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Mojia Wu, Xiaohua Li
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引用次数: 0

Abstract

Objective: This study aimed to assess the efficacy of collaborative care in patients with dysphagia after cerebral infarction (CIS) and its preventive impact on aspiration pneumonia (AP), providing valuable clinical insights.

Methods: A total of 78 patients with swallowing disorders following CIS, treated at West China Hospital, Sichuan University, from March 2021 to March 2023, were included in this study cohort. The control group comprised 35 patients receiving conventional care, while the research group comprised 43 patients receiving collaborative care. Swallowing function pre- and post-care was compared between the groups, and AP incidence was statistically analyzed. The patients' daily living abilities and emotional well-being were assessed using the Activities of Daily Living (ADL) Scale, Self-rating Anxiety Scale (SAS), and Self-rating Depression Scale (SDS). Additionally, the care satisfaction level among patients was investigated.

Results: After care, the research group demonstrated significantly improved swallowing function and a notable reduction in AP incidence compared to the control group (P < .05). ADL scores increased in both groups, with higher scores observed in the research group (P < .05). Moreover, SAS and SDS scores decreased, with lower scores in the research group (P < .05). Additionally, care satisfaction was higher in the research group (P < .05).

Conclusions: Collaborative care proves effective in enhancing the recovery of patients with swallowing disorders following CIS and reducing the occurrence of AP. Its clinical use is recommended.

协作护理对改善脑缺血脑卒中后吞咽障碍患者日常生活能力和减少吸入性肺炎的影响
研究目的本研究旨在评估合作护理对脑梗死(CIS)后吞咽困难患者的疗效及其对吸入性肺炎(AP)的预防作用,为临床提供有价值的见解:本研究共纳入78例CIS后吞咽障碍患者,均于2021年3月至2023年3月在四川大学华西医院接受治疗。对照组包括35名接受常规治疗的患者,研究组包括43名接受合作治疗的患者。比较两组患者护理前后的吞咽功能,并对 AP 发生率进行统计分析。研究人员使用日常生活活动量表(ADL)、焦虑自评量表(SAS)和抑郁自评量表(SDS)评估了患者的日常生活能力和情绪健康状况。此外,还对患者的护理满意度进行了调查:护理后,与对照组相比,研究组的吞咽功能明显改善,AP 发生率显著降低(P < .05)。两组患者的 ADL 评分均有所提高,研究组的评分更高(P < .05)。此外,SAS 和 SDS 评分下降,研究组评分更低(P < .05)。此外,研究组的护理满意度更高(P < .05):合作护理能有效促进 CIS 后吞咽障碍患者的康复,并减少 AP 的发生。建议在临床上使用。
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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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