Effect of Mindfulness-based Cognitive Therapy on Dysphagia after Stroke
10.3969/j.issn.1006-9771.2018.00.008
- VernacularTitle:正念认知疗法对脑卒中吞咽困难的效果
- Author:
Lijuan ZHANG
1
;
Yanli SONG
1
;
Bo DONG
1
;
Wei LI
1
;
Yanze HE
1
;
Rui YU
1
Author Information
1. Liaoning University of Traditional Chinese Medicine, Shenyang, Liaoning 110032, China
- Publication Type:Journal Article
- Keywords:
stroke, dysphagia, mindfulness-based cognitive therapy, compliance, anxiety, depression
- From:
Chinese Journal of Rehabilitation Theory and Practice
2018;24(11):1361-1364
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of mindfulness-based cognitive therapy (MBCT) on dysphagia after stroke. Methods From October, 2017 to March, 2018, 60 stroke patients with dysphagia were randomly divided into control group (n = 30) and experimental group (n = 30). Both groups received routine swallowing training, while the experimental group received MBCT in addition, for eight weeks. They were investigated the compliance, and assessed with Kubota Drinking Water Test (KDWT) and Hospital Anxiety and Depression Scale (HADS) before and after intervention. Results The compliance improved in the experimental group after intervention (χ2 = 19.000, P < 0.001), and it was better in the experimental group than in the control group (χ2 = 8.044, P < 0.05). While the scores of KDWT improved in both groups (Z > 1.970, P < 0.05), and improved more in the experimental group than in the control group (Z = -2.093, P < 0.05); the scores of HADS improved in both groups (t > 9.510, P < 0.001), the total scores and the subscale scores of anxiety and depression improved more in the experimental group than in the control group (t > 2.133, P < 0.05). Conclusion MBCT could increase the compliance in swallowing training for stroke patients with dysphagia to improve their swallowing function, anxiety and depression .
