Axelsson K, Norberg A, Asplund K
J Adv Nurs. 1986 Sep;11(5):553-9. doi: 10.1111/j.1365-2648.1986.tb01287.x.
Using a training programme developed by Heimlich, we have attempted to train swallowing in a 78-year-old man who had been fed by a nasogastric tube for 3 years after a stroke. The training was successful and, during a follow-up of 1 year, the patient was eating normal food. The training process is analysed as a two-level communication between the patient and his trainer; the therapeutic relationship and the training programme. The development of the patient's attitudes during training is interpreted with reference to Erikson's theory of 'eight stages of man'.
我们采用由海姆利希研发的训练方案，尝试对一名78岁男性进行吞咽训练。该男子中风后通过鼻饲管进食长达3年。训练取得了成功，在为期1年的随访期间，患者能够正常进食。训练过程被分析为患者与其训练师之间的二级沟通，即治疗关系和训练方案。参考埃里克森的“人生八阶段”理论对患者在训练期间态度的转变进行了解读。
