简单吞训练计划对社区居住的老年人早期口腔喉功能障碍的影响:一项随机对照研究
Hongji Zeng1, Weijia Zhao2, Rui Wang2
1School of Public Health, Zhengzhou University, Zhengzhou, China; Dysphagia Research Institution, Zhengzhou University, Zhengzhou, China.
Journal of the American Medical Directors Association
|October 11, 2024
概括
一个简单的吞训练计划 (SSTP) 有效地改善了老年人的口腔喉乱 (OD) 和生活质量. 这项干预措施在社区住户老年人的吞功能和相关福祉方面显示出显著的好处.
科学领域:
- 老年学是一门学科.
- 临床营养学 临床营养学
- 康复医学 康复医学 康复医学
背景情况:
- 口腔喉乱症 (OD) 在社区居住的老年人中是一个重大挑战,因为它的开始是微妙的.
- 早期检测和干预对于管理OD和维持生活质量至关重要.
研究的目的:
- 为患有OD的老年人开发一个简单的吞训练计划 (SSTP).
- 通过一项随机对照试验,评估SSTP对吞功能和生活质量的疗效.
主要方法:
- 一个双臂随机对照试验,涉及248名社区住户的老年人,患有过度排泄症.
- 干预组每天两次进行SSTP,持续21天;对照组进行轻度体力活动.
- 主要结局:口吞屏幕 (Gugging Swallowing Screen,简称GUSS);次要结局:EAT-10,吞-QoL,舌头压力,能力,咬力和食时间.
主要成果:
- 与对照组相比,SSTP组在GUSS,EAT-10,SWAL-QoL,最大舌头压力和能力方面显著改善.
- 对饮食持续时间观察到显著的积极影响,干预组的持续时间缩短.
- 两组之间没有发现显著的基线差异,27名参与者在研究期间退出.
结论:
- 简单的吞训练计划 (SSTP) 是一种有效的干预措施,可以改善老年人早期的口腔喉功能障碍 (OD).
- SSTP显著增强了吞功能,并改善了社区居住的老年人群的吞相关的生活质量.
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