Effects of intermittent oral gavage on nutritional status and emotional status of patients with dysphagia after stroke |
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DOI: |
EN KeyWords: intermittent tube feeding nutritional status emotional status dysphagia stroke |
Fund Project:绍兴市2018年度科技计划(医卫类)项目“基于VFSS评估的间歇经口管饲干预卒中后吞咽障碍患者的临床研究”(2018C30102);2019年绍兴市科技计划专项项目“心脑血管重大疾病核心技术研发与推广”(2019B24004) |
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EN Abstract: |
Objective: To investigate whether intermittent tube feeding intervention in patients with dysphagia after stroke has a positive effect on the nutritional status and emotional status of patients. Methods: Totally, 42 patients with dysphagia after stroke were randomly divided into control group and observation group. Among them, 22 cases in the control group were given long-term nasal feeding, and 20 cases were given intermittent oral to esophageal tube feeding in the observation group. The nutritional status and emotional status of the two groups were observed before intervention and after 4 weeks of intervention. Nutritional status was evaluated by total protein value, albumin value and body mass index. Emotional status was assessed using Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD). Results: After 4 weeks of intervention, total protein, albumin value and body mass index in the observation group were significantly increased as compared with those before intervention (P<0.05). The total protein and albumin value in the control group were significantly increased as compared with those before intervention after 4 weeks of intervention (P<0.05). The albumin value in the observation group was significantly increased as compared with that in the control group after 4 weeks of intervention (P<0.05). After 4 weeks of intervention, HAMA and HAMD scores in the observation group were significantly lower than those before intervention (P<0.05). HAMD score in the control group was significantly lower than that before intervention (P<0.05) after 4 weeks of intervention. HAMA score in the observation group was significantly lower than that in the control group (P<0.05) after 4 weeks of intervention. Conclusion: Intermittent tube feeding can improve the nutritional status and emotional status of patients with dysphagia after stroke, and can relieve patients’ anxiety under the premise of ensuring their nutrition. |
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