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功能失调查问卷对语音病理学输入的影响,使用跨学科方法对肺部康复计划中的慢性阻塞性肺部疾病患者进行跨学科方法
Ellie Orr1, Rishni Perera2, Alesha Sayner3,4
1Speech Pathology Department, Grampians Health-Ballarat, 1 Drummond St., Ballarat, VIC, 3350, Australia. ellie.orr@gh.org.au.
Dysphagia
|July 1, 2024
概括
在肺部康复计划中实施消化不良查问卷显著增加了慢性阻塞性肺病 (COPD) 患者的言语病理学转诊. 这种跨学科的方法有助于早期发现吞困难.
科学领域:
- 肺部医学 肺部医学
- 语音语言病理学 语言病理学
- 医疗保健审计 医疗保健审计
背景情况:
- 慢性阻塞性肺部疾病 (COPD) 患者在肺部康复计划 (PRPs) 中经常缺乏常规的失消症查.
- 慢性慢性肺炎的失调会导致严重的健康后果,但对语音病理学的转诊通常是反应性的,发生在急性入院期间.
- 目前的转诊模式突出显示,在PRP中,在主动识别和管理吞困难方面存在差距.
研究的目的:
- 调查一项新型跨学科的失调查问卷对PRP中COPD患者队列中的语音病理学转诊的影响.
- 评估主动,跨学科方法在识别患有缺食症风险的患者中的有效性.
- 为了量化语音病理学转诊率的变化,在实施语音失调查工具后.
主要方法:
- 这是一项准实验性研究,在实施问卷之前,在PRP (2014-2018) 中对563名COPD患者进行了追溯审计.
- 在引入跨学科的功能障碍查问卷后,与同一PRP (2021) 中的50名COPD患者队列进行比较.
- 使用费舍尔精确测试进行统计分析,以比较干预前后的转诊率.
主要成果:
- 在问卷调查之前,不到1% (4/563) 的PRP患者被转诊为语音病理学语音障碍症.
- 在实施失消症查问卷后,转诊率显著增加至16% (8/50).
- 查工具的引入导致语音病理学转诊人数增加了近8倍 (几率比 = 7.89,P < 0.05).
结论:
- 在PRP中引入失调查问卷显著提高了COPD患者的言语病理学转诊率.
- 采用查问卷的跨学科方法显示了早期检测COPD中缺食风险的潜力.
- 建议进行进一步的研究,以探索患者的动机和临床医生的自我有效性,以了解COPD的失管理.
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