Zhang Jian-Rong, Wu Yu-E, Huang Yan-Fang, Zhang Shu-Qing, Pan Wen-Li, Huang Jin-Xia, Huang Qing-Ping
Department of Nursing, Dongguan Houjie Hospital Affiliated to Guangdong Medical University, Dongguan, Guangdong, China.
Front Neurol. 2023 Jan 9;13:1110067. doi: 10.3389/fneur.2022.1110067. eCollection 2022.
OBJECTIVE: This study aimed to evaluate the effectiveness of smart health-based rehabilitation on patients with poststroke dysphagia (PSD). METHODS: We recruited 60 PSD patients and randomly allocated them to the intervention ( = 30) and control ( = 30) groups. The former received the smart health-based rehabilitation for 12 weeks, whereas the latter received routine rehabilitation. Water swallow test (WST), standardized swallowing assessment (SSA), swallow quality-of-life questionnaire (SWAL-QOL), stroke self-efficacy questionnaire (SSEQ), perceived social support scale (PSSS) and nutritional measurements including body weight, triceps skinfold thickness (TSF), total protein (TP), serum albumin (ALB) and serum prealbumin (PA) in both groups were measured. RESULTS: When the baseline WST, SSA, SWAL-QOL, SSEQ, PSSS and nutritional measurements were examined, there was no significant difference between the intervention group and the control group ( > 0.05). After rehabilitation interventions, the WST and SSA scores in the intervention group were significantly lower than those in the control group ( < 0.01). The SWAL-QOL, SSEQ and PSSS scores in the intervention group were significantly higher than in the control group ( < 0.01). Compared with the control group, the intervention group showed an increase in the serum levels of PA ( < 0.01). However, no statistically significant difference existed between the intervention group and the control group in terms of body weight, TSF, TP or ALB ( > 0.05). CONCLUSIONS: Overall, our data revealed that smart health-based rehabilitation is significantly beneficial to the swallowing function, quality of life, self-efficacy, and social support for PSD patients when compared with routine rehabilitation. However, nutritional measurements were not significantly improved in such patients under the smart health-based rehabilitation when compared the routine rehabilitation. In the future, it is necessary to extend the intervention time to further evaluate the long-term efficacy of smart health-based rehabilitation on nutritional measurements of PSD patients.
目的：本研究旨在评估基于智能健康的康复对脑卒中后吞咽障碍（PSD）患者的有效性。 方法：我们招募了60例PSD患者，并将他们随机分为干预组（n = 30）和对照组（n = 30）。前者接受基于智能健康的康复治疗12周，而后者接受常规康复治疗。测量两组的饮水试验（WST）、标准化吞咽评估（SSA）、吞咽生活质量问卷（SWAL-QOL）、脑卒中自我效能问卷（SSEQ）、感知社会支持量表（PSSS）以及包括体重、肱三头肌皮褶厚度（TSF）、总蛋白（TP）、血清白蛋白（ALB）和血清前白蛋白（PA）在内的营养指标。 结果：在检查基线WST、SSA、SWAL-QOL、SSEQ、PSSS和营养指标时，干预组和对照组之间没有显著差异（P > 0.05）。康复干预后，干预组的WST和SSA评分显著低于对照组（P < 0.01）。干预组的SWAL-QOL、SSEQ和PSSS评分显著高于对照组（P < 0.01）。与对照组相比，干预组的血清PA水平升高（P < 0.01）。然而，干预组和对照组在体重、TSF、TP或ALB方面没有统计学上的显著差异（P > 0.05）。 结论：总体而言，我们的数据显示，与常规康复相比，基于智能健康的康复对PSD患者的吞咽功能、生活质量、自我效能和社会支持有显著益处。然而，与常规康复相比，基于智能健康的康复对这类患者的营养指标改善不显著。未来，有必要延长干预时间，以进一步评估基于智能健康的康复对PSD患者营养指标的长期疗效。
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