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護理研究 MEDLINEScopus

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篇名 吞嚥訓練護理方案對改善巴金森氏病患者吞嚥障礙成效之前驅研究
卷期 8:4
並列篇名 The Effectiveness of Swallowing Training in Improving the Impaired Swallowing of Patients with Parkinson's Disease: A Pilot Study
作者 陳妙言盛華陸清松吳肖琪林麗嬋
頁次 396-409
關鍵字 巴金森氏病吞嚥障礙吞嚥訓練Parkinson's diseaseImpaired swallowingSwallowing trainingTSCIMEDLINEScopus
出刊日期 200008

中文摘要

本研究之目的在:1.探討巴金森氏病患者執行吞嚥訓練護理方案之效果。2.探討執行吞嚥訓練之成效與巴金森氏病患者基本屬性之關係。採單組重複測量的前實驗設計。以立意選樣方式取樣,樣本來源為台灣北區一家醫學中心之神經內科門診,共收案10名。吞嚥訓練過程為期八週,每週六天,每天進行三十分鐘,研究成效之評量指標有嗆咳頻率、150ml室溫水吞嚥測試、吞嚥障礙嚴重程度等級、憂鬱及體重。研究結果顯示實施吞嚥訓練護理方案後較訓練前在「減少嗆咳頻率」、「增加150ml室溫水吞嚥速度」、「改善吞嚥障礙嚴重程度等級」等項目進步情形皆有顯著之差異(p< .001; p< .001; p< .01) ,但在體重與憂鬱量表得分上並沒有差異。此外,研究對象主觀認為實施吞嚥訓練護理方案後對吞嚥障礙的改善有幫助。依據研究結果建議未來研究:增加樣本數及使用標準化的吞嚥攝影檢查,以增加評值吞嚥訓練成效之客觀性。

英文摘要

The purposes of this study were: (1) to investigate the effectiveness of a swallowing training program on patients with Parkinson's disease, and (2) to investigate the relationship between the training effectiveness and demographic data of patients with Parkinson's disease. The repeated measure pre-experimental design was used. Convenience sampling was employed to select the subjects who were from a neurological OPD at one medical center in northern Taiwan. Total subjects were 10. Subjects received swallowing training for 30 minutes per session, six days a week, for a total 8 weeks. The indicators of training effectiveness included frequency of choking, swallowing test of 150ml water, severity of impaired swallowing, depression scale, and body weight. The research results revealed that after performing swallowing training, there was significantly lower frequency of choking, increased speed of 150 ml water swallowing, reduced severity of impaired swallowing (2 < .001; 2 < .001; 2 < .01), but no significant improvement in body weight or scoreon depression. Subjects self-reported significant improvement in impaired swallowing after training. Recommendations for further study based on the research findings are to increase subject numbers and to add videoflouoroscopy examination as an objective indicator to evaluate the effectiveness after swallowing training.

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