Effect of a systemic intervention combined with a psychological intervention in stroke patients with oropharyngeal dysfunction

作     者：Jie Song Jian-Dong Wang Di Chen Jing Chen Jin-Feng Huang Mao Fang 

作者机构：Second WardDepartment of NeurologyThe Second Affiliated Hospital of Qiqihar Medical CollegeQiqihar 161006Heilongjiang ProvinceChina Third WardDepartment of NeurologyThe Second Affiliated Hospital of Qiqihar Medical CollegeQiqihar 161006Heilongjiang ProvinceChina 

出 版 物：《World Journal of Psychiatry》 (世界精神病学杂志)

年 卷 期：2024年第14卷第6期

页      面：904-912页

核心收录：

学科分类：1002[医学-临床医学] 100205[医学-精神病与精神卫生学] 10[医学] 

基　　金：Supported by Qiqihar City Science and Technology Plan Joint Guidance Project No.LSFGG-2022085 

主　　题：Stroke Oropharyngeal dysfunction Systemic interventions Psychological intervention Curative effect Negative emotion 

摘      要：BACKGROUND Stroke frequently results in oropharyngeal dysfunction(OD),leading to difficulties in swallowing and eating,as well as triggering negative emotions,malnutrition,and aspiration pneumonia,which can be detrimental to ***,routine nursing interventions often fail to address these issues *** and psychological interventions can improve dysphagia symptoms,relieve negative emotions,and improve quality of ***,there are few clinical reports of systemic interventions combined with psychological interventions for stroke patients with *** To explore the effects of combining systemic and psychological interventions in stroke patients with *** This retrospective study included 90 stroke patients with OD,admitted to the Second Affiliated Hospital of Qiqihar Medical College(January 2022–December 2023),who were divided into two groups:regular and *** function grading(using a water swallow test),swallowing function[using the standardized swallowing assessment(SSA)],negative emotions[using the selfrating anxiety scale(SAS)and self-rating depression scale(SDS)],and quality of life(SWAL-QOL)were compared between groups before and after the intervention;aspiration pneumonia incidence was *** Post-intervention,the coalition group had a greater number of patients with grade 1 swallowing function compared to the regular group,while the number of patients with grade 5 swallowing function was lower than that in the regular group(P0.05).Post-intervention,the SSA,SAS,and SDS scores of both groups decreased,with a more significant decrease observed in the coalition group(P0.05).Additionally,the total SWAL-QOL score in both groups increased,with a more significant increase observed in the coalition group(P0.05).During the intervention period,the total incidence of aspiration and aspiration pneumonia in the coalition group was lower than that in the control group(4.44%vs 20.00%;P0.05).CONCLUSION Systemic int