Psychological Rehabilitation on Dysphagia with Cognitive and Psychological Disorders post Stroke
10.3969/j.issn.1006-9771.2013.12.019
- VernacularTitle:心理康复对脑卒中吞咽障碍并发认知和心理障碍患者的疗效
- Author:
Yan CUI
;
Xiaodong YUAN
;
Shujuan WANG
;
Zongwu WU
;
Lingmin MENG
- Publication Type:Journal Article
- Keywords:
stroke, dysphagia, cognitive impairment, psychological disorder
- From:
Chinese Journal of Rehabilitation Theory and Practice
2013;19(12):1167-1170
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effect of psychological rehabilitation on dysphagia with cognitive and psychological disorders post stroke. Methods 120 stroke patients with dysphagia complicated with cognitive and psychological disorders were divided into experimental group (n=60) and control group (n=60). Both groups received neurological routine medical treatment, swallowing function rehabilitation training, feeding training and low-frequency electrical stimulation. Cognitive and psychological therapy was additionally used in the experimental group. Both groups were assessed by Kubota DrinkingWater Test, Mini-Mental State Examination (MMSE), Hamilton Rating Scale for Depression (HAMD) and Hamilton Rating Scale for Anxiety (HAMA). Results 1 month after intervention, the score of Kubota Drinking Water Test improved significantly in both groups, and was higher in the experimental group than in the control group (P<0.001).The rate of clinical improvement was higher in the experimental group than in the control group (P<0.01). The scores of MMSE increased significantly in the experimental group (P<0.001). The scores of HAMD and HAMA decreased significantly in the experimental group (P<0.01). Only the scores of HAMA decreased in the control group (P<0.05). Conclusion Swallowing function rehabilitation training combined with cognitive and psychological therapy may facilitate to improve the cognitive function and psychological state and swallowing function for dysphagia with cognitive and psychological disorders post stroke.
