A Study on Quality of Life and the Influence of Different Positions on Swallowing Function in Patients with Stroke-Induced Dysphagia

Tianyun LIU; Kerong CHEN; Wengang ZHOU; Quanyue JI; Kun XU; Xiufang WANG; Hongling SHI; Sheng ZHOU

doi:10.12259/j.issn.2095-610X.S20240826

Volume 45 Issue 8

Aug. 2024

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Article Navigation > Journal of Kunming Medical University > 2024 > 45(8): 182-187

Tianyun LIU, Kerong CHEN, Wengang ZHOU, Quanyue JI, Kun XU, Xiufang WANG, Hongling SHI, Sheng ZHOU. A Study on Quality of Life and the Influence of Different Positions on Swallowing Function in Patients with Stroke-Induced Dysphagia[J]. Journal of Kunming Medical University, 2024, 45(8): 182-187. doi: 10.12259/j.issn.2095-610X.S20240826

Citation:

Tianyun LIU, Kerong CHEN, Wengang ZHOU, Quanyue JI, Kun XU, Xiufang WANG, Hongling SHI, Sheng ZHOU. A Study on Quality of Life and the Influence of Different Positions on Swallowing Function in Patients with Stroke-Induced Dysphagia[J]. Journal of Kunming Medical University, 2024, 45(8): 182-187. doi: 10.12259/j.issn.2095-610X.S20240826

Citation:

Tianyun LIU, Kerong CHEN, Wengang ZHOU, Quanyue JI, Kun XU, Xiufang WANG, Hongling SHI, Sheng ZHOU. A Study on Quality of Life and the Influence of Different Positions on Swallowing Function in Patients with Stroke-Induced Dysphagia[J]. Journal of Kunming Medical University, 2024, 45(8): 182-187. doi: 10.12259/j.issn.2095-610X.S20240826

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A Study on Quality of Life and the Influence of Different Positions on Swallowing Function in Patients with Stroke-Induced Dysphagia

doi: 10.12259/j.issn.2095-610X.S20240826

1.
Dept. of Nursing
2.
Dept. of Rehabilitation Medicine
3.
Dept. of Medical Administration，The 3rd People’s Hospital of Yunnan，Kunming Yunnan 650011
4.
School of Nursing，Yunnan University of Traditional Chinese Medicine，Kunming Yunnan 650500
5.
Dept. of Medical Records & Statistics，The 3rd People’s Hospital of Yunnan，Kunming Yunnan 650011，China

Received Date: 2023-12-14
Available Online: 2024-07-05
Publish Date: 2024-08-25

Abstract

Abstract

Objective To investigate the quality of life of stroke patients with dysphagia and find the appropriate position for swallowing. Methods From January to September 2023, 90 patients with dysphagia caused by stroke were selected from the Department of Geriatrics and Rehabilitation Medicine at the Third People's Hospital of Yunnan Province as study subjects. After the water swallowing test categorization, patients were randomly divided into 3 groups based on different levels of the test - 30° , 60° , 90° examination positions, with each group containing 30 cases. The patients were given a "Stroke Dysphagia Patient Quality of Life Survey" questionnaire to analyze the impact of different positions on swallowing function and the patients' quality of life. Results The proportion of patients with abnormal self-care ability was 91.11%, the rate of mild anxiety was 6.67%, the rate of mild depression was 16.67%, the rate of moderate nutritional risk was 91.11%, and the rate of gastroesophageal reflux was 36.67%. There were differences in self-care ability and gastroesophageal reflux among patients with different levels of swallowing dysfunction （P < 0.05）. There were differences in the incidence of leakage and aspiration in the 30° , 60° and 90° positions respectively （P < 0.05）. Conclusion The health status of stroke patients with dysphagia is concerning. The use of the 30° and 60° positions can effectively reduce the leakage and aspiration of the patients' swallowing. By enhancing patient health education and management, actively providing nutritional guidance and psychological support, as well as comprehensive measures such as medication, care, and rehabilitation training, the quality of life of patients can be further improved.
- Stroke,
- Dysphagia,
- Quality of life

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References(32)

References

[1]	中国吞咽障碍康复评估与治疗专家共识组. 中国吞咽障碍评估与治疗专家共识( 2017 年版)[J]. 中华物理医学与康复杂志,2018,40(1):1-10. doi: 10.3760/cma.j.issn.0254-1424.2018.01.001
[2]	朱颖. 卒中不同程度吞咽障碍的系统化饮食护理[J]. 实用临床医药杂志,2016,20(24):126-127. doi: 10.7619/jcmp.201624046
[3]	Horibe Y ,Watanabe Y ,Hirano H,et al. Relationship between masticatory function and frailty in community-dwelling Japanese elderly[J]. Aging Clinical & Experimental Research,2017,30(9): 1-7.
[4]	Wakabayashi H,Maeda K,Shamoto H. Swallowing function,skeletal muscle mass and sarcopenia in older adults requiring long-term care[J]. Geriatrics & Gerontology International,2016,16(10):1175-1176.
[5]	余丽丽. 老年患者吞咽障碍风险预测模型的建立[D]. 十堰: 湖北医药学院,2021.
[6]	闫梦凡. 吞咽障碍患者家庭照顾者照顾能力分析及影响因素研究[D]. 武汉: 武汉轻工大学,2021.
[7]	李莎,鄂建设,秦彩红. 吞咽障碍患者生活质量调查及其影响因素分析[J]. 重庆医学,2017,46(27):3816-3818. doi: 10.3969/j.issn.1671-8348.2017.27.022
[8]	赖小星,薄琳,朱宏伟,等. 老年吞咽障碍患者的生活质量及其影响因素[J]. 中国康复理论与实践,2020,26(11):6.
[9]	Alghadir A H,Zafar H,Al-Eisa E S,et al. Effect of posture on swallowing[J]. Afr Health Sci,2017,17(1):133-137. doi: 10.4314/ahs.v17i1.17
[10]	Costa M M,Lemme E M. Coordination of respiration and swallowing: Functional pattern and relevance of vocal folds closure[J]. Arq Gastroenterol,2010,47(1):42-48. doi: 10.1590/S0004-28032010000100008
[11]	Kagaya H ,Inamoto Y ,Okada S ,et al. Body positions and functional training to reduce aspiration in patients with dysphagia[J]. Japan Medical Association Journal,2011,54(1),35-38.
[12]	Yamaguchi-Komeyama K,Ayuse T,Mikushi S,et al. The pilot study examining the effects of swallowing position on lung volume fraction and the coordination between respiration and non-nutritive swallowing reflex[J]. Clinical and Experimental Dental Research,2020,6(3):296-304. doi: 10.1002/cre2.274
[13]	Tsuzuki H,Inamoto Y,Saitoh E,et al. Effects of bolus consistency and reclining position on kinematic swallowing events in analysis using 320-row area detector computed tomography[J]. Journal of Oral Science,2020,62(1):18-22. doi: 10.2334/josnusd.18-0377
[14]	Lawton M P,Brody E M. Assessment of older people: Self-maintaining and instrumental activities of daily living[J]. Gerontologist,1969,9(3):179-186.
[15]	王征宇,迟玉芬. 焦虑自评量表(SAS)[J]. 上海精神医学,1984,(2):73-74.
[16]	Andresen E M,Malmgren J A,Carter W B,et al. Screening for depression in well older adults: Evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale)[J]. American Journal of Preventive Medicine,1994,10(2):77-84. doi: 10.1016/S0749-3797(18)30622-6
[17]	Kondrup J,Allison S P,Elia M,et al. ESPEN guidelines for nutrition screening 2002[J]. Clin Nutr,2003,22(4): 415-421.
[18]	张声生,朱生樑,王宏伟,等. 胃食管反流病中医诊疗专家共识意见(2017)[J]. 中国中西医结合消化杂志,2017,25(5):321-326.
[19]	窦祖林. 吞咽障碍评估与治疗[M]. 北京: 人民卫生出版社,2009: 9.
[20]	孙莩金,徐童,罗荣,等. 我国西部地区农村老年人生活自理能力现状及影响因素分析[J]. 中国健康教育,2022,38(10):867-871,877.
[21]	刘玉琢,徐超,王啸宇,等. 山东省老年慢性病患者日常生活自理能力、心理健康状况及其影响因素[J]. 医学与社会,2023,36(4):139-144.
[22]	张礼礼,毕霞. 认知行为干预对脑卒中伴吞咽障碍患者施行心理状态和生活质量的影响研究[J]. 国际护理学杂志,2019,38(24):4.
[23]	钟璐莹,李军文,谢林娟,等. 中国社区老年人营养风险检出率的Meta分析[J]. 现代预防医学,2022,49(13):2341-2351.
[24]	姜雪,金善花,孙文霞,等. 延边地区卒中患者营养风险状况及相关因素分析[J]. 中国初级卫生保健,2020,34(11):49-51.
[25]	刘好,冯英璞,陈云霞,等. NUTRIC评分与NRS 2002在ICU老年卒中病人营养风险评估中的效果比较[J]. 护理研究,2023,37(8):1332-1337.
[26]	明州彦,马秋平,黄秀丹,等. 养老机构卒中吞咽障碍病人营养风险管理现象学研究[J]. 循证护理,2023,9(17):3168-3173.
[27]	周金池,赵曙光,王新,等. 中国部分地区基于社区人群胃食管反流病患病率Meta分析[J]. 胃肠病学和肝病学杂志,2020,29(9):1012-1020.
[28]	李慧灵,李义亮,克力木,等. 乌鲁木齐地区胃食管反流病患病状况调查[J]. 中华胃食管反流病电子杂志,2019,6(2):75-78.
[29]	陈科容,周文刚,施红伶,等. 吞咽功能障碍患者合并胃食管反流危险因素[J]. 昆明医科大学学报,2022,43(12):164-170.
[30]	申雪琴,尹建敏,于爱云. 健康管理对胃食管反流病患者生活质量的影响[J]. 北京医学,2018,40(2):186-188.
[31]	石海燕,李昌平,谭礼让,等. 腹式深呼吸训练配合莫沙必利及奥美拉唑治疗对胃食管反流病并慢性阻塞性肺疾病肺功能和吞咽功能的影响[J]. 安徽医药,2023,27(8):1641-1645.
[32]	饶利,吴海燕,敬仁芝. 预见性护理模式对老年卒中后胃食管反流患者的干预效果观察[J]. 实用医院临床杂志,2021,18(2):77-79.

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