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吞咽困难和构音障碍患者的生活:对运动神经元病患者及其照顾者观点的质性探索

Living with Dysphagia and Dysarthria: A Qualitative Exploration of the Perspectives of People with Motor Neuron Disease and Their Caregivers.

作者信息

Packer Rebecca, Rumbach Anna, Farrell Anna, Hutchinson Nicole, Verner-Wren Stacey, Henderson Robert, McCombe Pamela

机构信息

School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia 4072, Australia.

Centre for Motor Neuron Disease Research, The University of Queensland, St Lucia 4072, Australia.

出版信息

Healthcare (Basel). 2025 Sep 15;13(18):2306. doi: 10.3390/healthcare13182306.

DOI:10.3390/healthcare13182306
PMID:41008437
Abstract

: Dysphagia and dysarthria are common and distressing symptoms of motor neuron disease (MND) progression. The medical complications of dysphagia and the influence of dysarthria on communication effectiveness have been documented. The aim of the current study was to describe the lived experience of dysphagia and dysarthria from the perspectives of both people with motor neuron disease (pwMND) and their caregivers. : A qualitative descriptive study influenced by phenomenological principles was utilized in interviews with six pwMND and six caregivers. : Three themes were developed that captured participants' experiences of dysphagia and dysarthria: (1) "This is the way things are"; (2) Your whole life changes, but some things stay the same; (3) Juxtaposition to information and support. : The findings advance our understanding of the lived experience of dysphagia and dysarthria in MND. Health professionals need to consider broader assessment practices across both mealtimes and communicative interactions and each individual's unique information and support needs when providing healthcare information.

摘要

吞咽困难和构音障碍是运动神经元病(MND)进展过程中常见且令人痛苦的症状。吞咽困难的医学并发症以及构音障碍对沟通有效性的影响已有文献记载。本研究的目的是从运动神经元病患者(pwMND)及其护理人员的角度描述吞咽困难和构音障碍的生活体验。:采用受现象学原理影响的定性描述性研究方法,对6名运动神经元病患者和6名护理人员进行访谈。:形成了三个主题,涵盖了参与者吞咽困难和构音障碍的经历:(1)“事情就是这样”;(2)你的整个生活都变了,但有些事情保持不变;(3)与信息和支持并存。:这些发现增进了我们对运动神经元病患者吞咽困难和构音障碍生活体验的理解。医疗专业人员在提供医疗信息时,需要考虑在进餐时间和交流互动中进行更广泛的评估实践,以及每个个体独特的信息和支持需求。

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本文引用的文献

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Everyday Communication Experiences of Persons With Amyotrophic Lateral Sclerosis and Their Caregivers: Implications for Novel Speech Interventions.肌萎缩侧索硬化症患者及其照顾者的日常交流体验:对新型言语干预的启示
Muscle Nerve. 2025 Jul;72(1):158-165. doi: 10.1002/mus.28412. Epub 2025 Apr 24.
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New developments in the diagnosis and management of motor neuron disease.运动神经元病诊断与管理的新进展
Br Med Bull. 2024 Dec 12;152(1):4-15. doi: 10.1093/bmb/ldae010.
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Sensory Changes Related to Swallowing in Motor Neurone Disease.
运动神经元病中与吞咽相关的感觉变化
Dysphagia. 2025 Apr;40(2):407-418. doi: 10.1007/s00455-024-10742-x. Epub 2024 Aug 3.
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Towards a core outcome set for dysarthria after stroke: What should we measure?迈向脑卒中后构音障碍的核心结局集:我们应该测量什么?
Clin Rehabil. 2024 Jun;38(6):802-810. doi: 10.1177/02692155241231929. Epub 2024 Feb 19.
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Quality of life, cognitive and behavioural impairment in people with motor neuron disease: a systematic review.运动神经元病患者的生活质量、认知和行为障碍:系统评价。
Qual Life Res. 2024 Jun;33(6):1469-1480. doi: 10.1007/s11136-024-03611-5. Epub 2024 Feb 12.
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Informal Caregiving in Amyotrophic Lateral Sclerosis (ALS): A High Caregiver Burden and Drastic Consequences on Caregivers' Lives.肌萎缩侧索硬化症(ALS)中的非正式照料:照料者负担沉重,对其生活产生巨大影响。
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The who, why, when, where, what and how of using outcome measures in dysarthria: A qualitative exploration of speech-language pathologists' perspectives.构音障碍中使用结果测量的原因、对象、时间、地点、内容和方式:对言语语言病理学家观点的定性探索。
Int J Speech Lang Pathol. 2022 Feb;24(1):12-21. doi: 10.1080/17549507.2021.1924859. Epub 2021 May 17.
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