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首页> 外文期刊>European journal of oncology nursing: the official journal of European Oncology Nursing Society >Efficacy survey of swallowing function and quality of life in response to therapeutic intervention following rehabilitation treatment in dysphagic tongue cancer patients
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Efficacy survey of swallowing function and quality of life in response to therapeutic intervention following rehabilitation treatment in dysphagic tongue cancer patients

机译：吞咽困难舌癌患者康复治疗后吞咽功能和生活质量对治疗干预的疗效调查

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Purpose: This quasi-experimental parallel cluster study was carried out to investigate the utility of interdisciplinary swallowing therapy exercises in improving swallowing function and quality of life (QOL) in dysphagic cancer patients following tongue resection and subsequent rehabilitation treatment. Methods: All subjects in the experimental group underwent a structured swallowing training program. The subjects in the experimental group (n = 23) received 30 min of swallowing training each day, 6 days per week for 2 weeks. The control group (n = 23) received no training. Analysis of variance was used, and the M.D. Anderson Dysphagia Inventory (MDADI) discriminated between groups of subjects. Results: Patients who underwent structured swallowing training (n = 23) showed improvement in the overall MDADI score (P < 0.01) compared with the control population. Furthermore, a separate analysis of individual domains of the MDADI (global, emotional, functional, and physical) demonstrated improved QOL. Although the mean score for tongue rehabilitation indicated that ≥50% subjects in the functional subscale were improved compared with the control population, the difference was not statistically significant (P > 0.05). Conclusions: This study used objectively timed swallowing tests, an interdisciplinary swallowing therapy protocol, and a swallowing questionnaire to evaluate the effects of swallowing training. We found that implementation of swallowing education and exercises improved dysphagia and QOL in cancer patients following tongue resection and rehabilitation. Furthermore, this study indicated that swallowing safety and dysphagia training for nursing professionals is effective.
机译：目的：进行这项半实验性平行集群研究，以研究跨学科吞咽治疗对改善吞咽困难的患者在切除舌头和随后进行康复治疗后的吞咽功能和生活质量（QOL）的实用性。方法：实验组中的所有受试者均接受结构化的吞咽训练计划。实验组（n = 23）的受试者每天接受吞咽训练30分钟，每周6天，共2周。对照组（n = 23）未接受任何培训。使用方差分析，并在受试者组之间区分M.D. Anderson吞咽困难量表（MDADI）。结果：接受结构化吞咽训练（n = 23）的患者与对照组相比，总体MDADI得分有所改善（P <0.01）。此外，对MDADI的各个域（全局，情感，功能和身体）进行的单独分析显示，QOL有所改善。尽管舌头康复的平均得分表明功能性子量表中≥50％的受试者与对照组相比有所改善，但差异无统计学意义（P> 0.05）。结论：本研究使用客观定时的吞咽测试，一项跨学科吞咽治疗方案以及一项吞咽问卷来评估吞咽训练的效果。我们发现实施吞咽教育和运动可以改善舌切除和康复后癌症患者的吞咽困难和生活质量。此外，这项研究表明，对护理专业人员进行吞咽安全和吞咽困难培训是有效的。

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