Jacobsson C, Axelsson K, Norberg A, Asplund K, Wenngren B I
Umeá University, Sweden.
Clin Nurs Res. 1997 Feb;6(1):25-44. doi: 10.1177/105477389700600104.
The aim of this case study is to describe the outcomes of individualized interventions for patients with severe eating difficulties. The participants were 15 patients who had severe eating difficulties following a stroke or brain tumor and were receiving oral feeding or tube feeding. Interventions focused on training functions needed for eating, activities in eating, and discussions with the patient. Improvements were especially noted in eating activities, and some improvements were noted in oral movements and nutritional status. Before the interventions, none of the patients ate regular food; afterward, six did, and in four patients, the feeding tube was removed. The patients said eating was easier, and they could eat in a safe way. Furthermore, they appreciated the attention to their experience during meals. Although the impairments were not always alleviated, the patients found means to cope with their eating difficulties.
本案例研究的目的是描述针对严重进食困难患者的个体化干预效果。参与者为15名中风或脑肿瘤后出现严重进食困难且正在接受口服喂养或管饲的患者。干预措施侧重于进食所需功能的训练、进食活动以及与患者的讨论。尤其在进食活动方面有明显改善，口腔运动和营养状况也有一些改善。干预前，没有患者能正常进食；干预后，有6名患者可以正常进食，4名患者拔除了饲管。患者表示进食变得更容易，且能安全进食。此外，他们对用餐期间自身体验受到关注表示满意。尽管功能障碍并非总能得到缓解，但患者找到了应对进食困难的方法。
