Efficacy of enhanced dysphagia assessment and dietary intervention in post-stroke dysphagia patients: a randomized controlled study.

IF 1.9 3区 医学 Q2 OTORHINOLARYNGOLOGY
Shuai Wang, Junyan Feng, Juan Bi, Xiaoyan Li, Jundan Tian, Bingqian Zhang
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引用次数: 0

Abstract

Objective: This study evaluated the effectiveness of an enhanced dysphagia assessment method combined with dietary interventions for patients experiencing dysphagia post-stroke.

Methods: A prospective randomized controlled trial was conducted with 98 hospitalized post-stroke patients suffering from dysphagia. Participants were randomly assigned into two groups: the study group (receiving enhanced dysphagia assessment and dietary interventions) and the control group (receiving standard nursing care), using a computer-generated randomization list. Swallowing function was assessed using the Mann Assessment of Swallowing Ability (mMASA), Dysphagia Severity Scale (DSS), and Wada's water swallowing test. Additionally, quality of life and nutritional status were evaluated for both groups, before and after the intervention.

Results: Post-intervention, the study group exhibited significantly better scores on mMASA and Wada's water swallowing test, and lower DSS scores compared to the control group (all P < 0.05). Initially, no significant differences were observed between the groups concerning aspiration symptoms, nutritional and respiratory dysfunction, psychological disorders, and total scores (all P > 0.05). However, post-intervention, the study group showed significant improvements in these parameters and lower scores compared to the control group (all P < 0.05). Additionally, the study group demonstrated higher BMI, albumin (ALB), and hemoglobin (Hb) levels post-intervention (all P < 0.05), and a markedly lower incidence of aspiration and aspiration pneumonia (all P < 0.05).

Conclusion: Enhanced dysphagia assessment combined with dietary interventions significantly improves swallowing function, quality of life, and nutritional status in post-stroke dysphagia patients. This approach also reduces the incidence of related complications, suggesting substantial clinical benefits.

增强吞咽困难评估和饮食干预对卒中后吞咽困难患者的疗效:一项随机对照研究。
目的:本研究评估强化吞咽困难评估方法结合饮食干预对卒中后吞咽困难患者的有效性。方法:对98例脑卒中后吞咽困难住院患者进行前瞻性随机对照试验。参与者被随机分为两组:研究组(接受强化的吞咽困难评估和饮食干预)和对照组(接受标准护理),使用计算机生成的随机列表。采用Mann吞咽能力评估(mMASA)、吞咽困难严重程度量表(DSS)和Wada水吞咽试验评估吞咽功能。此外,对干预前后两组患者的生活质量和营养状况进行评估。结果:干预后,研究组mMASA、Wada吞咽水测试得分显著高于对照组,DSS得分显著低于对照组(P均为0.05)。然而,干预后,研究组在这些参数上均有显著改善,得分较对照组低(均为P)。结论:强化吞咽困难评估结合饮食干预可显著改善脑卒中后吞咽困难患者的吞咽功能、生活质量和营养状况。这种方法还减少了相关并发症的发生率,表明具有实质性的临床益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.30
自引率
7.70%
发文量
537
审稿时长
2-4 weeks
期刊介绍: Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.
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