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

The Effectiveness of Swallowing Training in Improving the Impaired Swallowing of Patients With Parkinson's Disease: A Pilot Study

陳妙言(Miao-Yen Chen) ； 盛華(Hwa Shen Chen) ； 陸清松(Ching-Sung Lu) ； 吳肖琪(Shiao-Chi Wu) ； 林麗嬋(Li-Chan Lin)

《護理研究》 8卷4期 (2000/08) Pp. 396-409

https://doi.org/10.7081/NR.200008.0396

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 l50ml 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 (p＜.001; p＜.001; p＜.01), but no significant improvement in body weight or score on 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.

關鍵字

巴金森氏病 ； 吞嚥障礙 ； 吞嚥訓練

並列摘要

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 l50ml 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 (p＜.001; p＜.001; p＜.01), but no significant improvement in body weight or score on 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.

並列關鍵字

parkinson's disease ； impaired swallowing ； swallowing training

參考文獻

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葉宗烈、廖以誠、楊延光、柯慧貞、張智仁、盧豐華()。

陳榮基()。