全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用：99美元
投递稿件

查看量下载量

相关文章

更多...

延续护理对脑卒中吞咽障碍患者应用效果的Meta分析
Efficacy of Transitional Care for Post-Stroke Patient with Dysphagia: A Meta-Analysis

DOI: 10.12677/NS.2020.94045, PP. 284-293

Keywords: 脑卒中，吞咽障碍，延续护理，Meta分析
Stroke, Dysphagia, Transitional Care, Meta-Analysis

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的：该文旨在评价延续性护理干预在脑卒中吞咽障碍患者中的应用效果。方法：计算机检索PubMed、Web of Science、EMBASE、Cochrane Library、中国期刊全文数据库(CNKI)、万方数据库等数据库有关延续性护理干预应用于脑卒中吞咽障碍患者的随机对照试验，采用Cochrane风险偏倚评估工具对文献质量进行评价，应用RevMan5.3对纳入文献进行Meta分析。结果：最终纳入10项研究，共1004名研究对象；Meta分析结果显示，延续性护理干预组在改善脑卒中吞咽障碍患者的吞咽功能恢复上[OR = 3.39, 95%CI: 2.75~5.63, P < 0.00001]、降低吸入性肺炎发生率[OR = 0.15, 95%CI: 0.05~0.49, P = 0.002]、误吸发生率[OR = 0.15, 95%CI: 0.07~0.32, P < 0.00001]、呛咳发生率[OR = 0.09, 95%CI: 0.04~0.20, P < 0.00001]、Barthel指数评分[MD = 5.25, 95%CI: 3.17~7.33, P < 0.00001]、ESCA评分[MD = 9.45, 95%CI: 8.17~10.74, P < 0.00001]方面优于对照组。结论：延续性护理干预能显著地促进脑卒中吞咽障碍患者吞咽功能的恢复，降低并发症发生率，提高患者日常生活能力和自理能力。
Objective: To evaluate the effect of transitional care in patients with dysphagia after stroke. Methods: Databases like PubMed, Web of Science, EMBASE, Cochrane Library, CNKI, Wanfang database were searched to random controlled trials (RCT) on continuity of care for post-stroke patients with dysphagia. The Cochrane risk bias assessment tool should be used to evaluate the quality of the included trials. Data was extracted and conducted by RevMan5.3. Results: Ultimately 10 articles and 1004 cases were included. Meta-analysis revealed that the clinical efficacy of transitional care group was superior to the control group in terms of swallowing function recovery [OR = 3.39, 95%CI: 2.75~5.63, P < 0.00001], the incidence rate of aspiration pneumonia [OR = 0.15, 95%CI: 0.05~0.49, P = 0.002], the incidence rate of aspiration [OR = 0.15, 95%CI: 0.07~0.32, P < 0.00001], the incidence rate of cough [OR = 0.09, 95%CI: 0.04~0.20, P < 0.00001], Barthel index scores [MD = 5.25, 95%CI: 3.17~7.33, P < 0.00001], and ESCA

References

[1]  Martino, R., Foley, N., Bhogal, S., et al. (2005) Dysphagia after Stroke: Incidence, Diagnosis, and Pulmonary Complica-tions. Stroke, 36, 2756-2763.
https://doi.org/10.1161/01.STR.0000190056.76543.eb
[2]  Lee, J.H., Kim, H.S., Yun, D.H., et al. (2016) The Relationship between Tongue Pressure and Oral Dysphagia in Stroke Patients. Annals of Rehabilitation Medicine, 40, 620-628.
https://doi.org/10.5535/arm.2016.40.4.620
[3]  Ko, K.R., Park, H.J., Hyun, J.K., et al. (2016) Effect of Laryngopharyngeal Neuromuscular Electrical Stimulation on Dysphonia Accompanied by Dysphagia in Post-stroke and Traumatic Brain Injury Patients: A Pilot Study. Annals of Rehabilitation Medicine, 40, 600-610.
https://doi.org/10.5535/arm.2016.40.4.600
[4]  Smithard, D.G., O’Neill, P.A., England, R.E., et al. (1997) The Natural History of Dysphagia Following a Stroke. Dysphagia, 12, 188-193.
https://doi.org/10.1007/PL00009535
[5]  Smithard, D.G., O’Neill, P.A., Parks, C., et al. (1996) Complications and Outcome after Acute Stroke. Does Dysphagia Matter? Stroke, 27, 1200-1204.
https://doi.org/10.1161/01.STR.27.7.1200
[6]  汤一帆, 顾则娟, 尹祥广, 等. 延续性护理方式对慢性伤口治疗效果的Meta分析[J]. 护理管理杂志, 2018, 18(8): 538-542.
[7]  1995年中华医学会第四届全国脑血管病学术会议. 各项脑血管病诊断要点[J]. 中华神经科杂志, 1996, 29(26): 376.
[8]  柯丽清. 出院计划对脑卒中吞咽障碍患者护理效果的影响[D]: [硕士学位论文]. 福州: 福建中医药大学, 2016.
[9]  哈丽旦？艾尔肯, 阿依仙木古丽？克里木. 延伸护理对脑卒中吞咽障碍患者康复的干预价值分析[J]. 世界最新医学信息文摘, 2016, 16(44): 258.
[10]  黄玉娟, 朱佩玉. 连续护理干预在脑卒中恢复期吞咽障碍中的应用[J]. 天津护理, 2015, 23(6): 499-500.
[11]  黎巧玲, 黄朝军, 胡晓红, 等. 脑卒中吞咽障碍患者居家护理模式及效果评价[J]. 中国康复, 2019, 34(6): 291-294.
[12]  刘娣. 冰刺激延续护理干预对改善脑梗死患者吞咽困难的效果分析[J]. 中国冶金工业医学杂志, 2019, 36(4): 401.
[13]  吕华. 延续分级护理对脑卒中吞咽障碍患者的影响[J]. 中国民康医学, 2019, 31(14): 144-146.
[14]  宋明明. 冰刺激延续护理对改善脑梗死患者合并吞咽困难的效果观察[J]. 中国医药指南, 2018, 16(36): 249.
[15]  杨启英. 脑卒中吞咽障碍患者采用延伸护理干预对吞咽功能的影响观察[J]. 右江民族医学院学报, 2014, 36(1): 150-152.
[16]  周娟, 吕晓燕. 连续护理干预对脑卒中伴吞咽障碍患者康复效果的影响评价[J]. 中国实用医药, 2018, 13(31): 147-148.
[17]  朱丽琴, 盛红英, 杨雅. 持续护理对脑卒中吞咽障碍患者吞咽功能康复的影响[J]. 中国药物经济学, 2015(z1): 194-195.
[18]  Altman, K.W., Richards, A., Goldberg, L., et al. (2013) Dysphagia in Stroke, Neurodegenerative Disease, and Advanced Dementia. Otolaryngologic Clinics of North America, 46, 1137-1149.
https://doi.org/10.1016/j.otc.2013.08.005
[19]  L, C.E., N, A.J., M, B.K., et al. (2017) Dysphagia with Second-Generation Antipsychotics: A Case Report and Review of the Literature. The Mental Health Clinician, 7, 56-64.
https://doi.org/10.9740/mhc.2017.03.056
[20]  Chen, S.Y., Chie, W.C., Lin, Y.N., et al. (2004) Can the As-piration Detected by Videofluoroscopic Swallowing Studies Predict Long-Term Survival in Stroke Patients with Dys-phagia? Disability and Rehabilitation, 26, 1347-1353.
https://doi.org/10.1080/09638280412331270407
[21]  Al-Khaled, M., Matthis, C., Binder, A., et al. (2016) Dys-phagia in Patients with Acute Ischemic Stroke: Early Dysphagia Screening May Reduce Stroke-Related Pneumonia and Improve Stroke Outcomes. Cerebrovascular Diseases, 42, 81-89.
https://doi.org/10.1159/000445299
[22]  Axelsson, K., Norberg, A. and Asplund, K. (1986) Relearning to Eat Late after a Stroke by Systematic Nursing Intervention: A Case Report. Journal of Advanced Nursing, 11, 553-559.
https://doi.org/10.1111/j.1365-2648.1986.tb01287.x
[23]  Choi, J.B., Shim, S.H., Yang, J.E., et al. (2017) Effects of Shaker Exercise in Stroke Survivors with Oropharyngeal Dysphagia. Neurorehabilitation, 41, 753-757.
https://doi.org/10.3233/NRE-172145
[24]  Connolly, T. and Mahoney, E. (2018) Stroke Survivors’ Experiences Transitioning from Hospital to Home. Journal of Clinical Nursing, 27, 3979-3987.
https://doi.org/10.1111/jocn.14563
[25]  Yeung, S.M., Wong, F.K. and Mok, E. (2011) Holistic Concerns of Chi-nese Stroke Survivors during Hospitalization and in Transition to Home. Journal of Advanced Nursing, 67, 2394-2405.
https://doi.org/10.1111/j.1365-2648.2011.05673.x
[26]  Bishop, L. and Bushnell, C. (2017) Post Hospital Dis-charge Care for Complex Chronic Conditions: The Unique Challenges Facing Stroke Patients in their Homes. Current Cardiovascular Risk Reports, 11, Article No. 36.
https://doi.org/10.1007/s12170-017-0560-7

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133