《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (04): 371-373.

• 临床研究 • 上一篇    下一篇

脑血管病患者吞咽功能评估工具初步研制

黄宝延1a; 沈宁1b; 李胜利2; 吴欣娟3; 梁涛1a   

  1. 1.中国协和医科大学a.护理学院;b.研究生院,北京市 100730;2.北京博爱医院语言科,北京市 1000683.北京协和医院护理部,北京市 100730
  • 收稿日期:2006-08-17 出版日期:2007-04-01 发布日期:2007-04-01

Development of an Instrument to Assess Swallowing Function in Patients with Stroke

HUANG Bao-yan, SHEN Ning, LI Sheng-li,et al   

  1. The School of Nursing, Peking Union Medical University, Beijing 100730, China
  • Received:2006-08-17 Published:2007-04-01 Online:2007-04-01

PDF (PC)

被引次数

21

摘要： 目的研制一种适合临床护士使用初步筛选脑血管病患者有无吞咽障碍问题的吞咽功能临床评估工具。方法通过文献回顾,找出与吞咽障碍密切相关的症状和体征,初步形成评估工具的条目,通过专家组访谈和10例脑血管病患者小样本试验对上述条目进行筛选、修改,形成“临床护理用吞咽功能评估工具(CNSAT)”。结果经查阅文献共找出7项与脑血管病患者吞咽功能有关的症状、体征,经过专家访谈和小样本试验,筛选出并修改成6项与脑血管病患者吞咽功能相关的条目,形成CNSAT,每个条目下根据患者的症状、体征严重程度分为4个等级。结论CNSAT是一种简单、方便、安全的评估工具,适合临床护理工作者评估脑血管病患者的吞咽功能。

关键词: 脑血管病, 吞咽障碍, 评估工具

Abstract: Objective To develop a new instrument to assess swallowing function which will be suitable for nurses to screen dysphagia in the patients with stroke.MethodsItems closely related to symptoms and signs of dysphagia were found with literature review, forming a preliminary instrument. All items retrieved were selected and modified by experts interview and a pilot study in patients with stroke. Then, a clinical nursing swallowing assessment tool (CNSAT) was formulated.ResultsTotally, seven items of symptoms and signs related to dysphagia in patients with stroke were found with literature review. All the seven items retrieved were selected again by experts interview and finally a CNSAT was formed with six modified items by a pilot study in 10 patients with stroke, each item with four choice based on its severity of their symptoms and signs.ConclusionCNSAT is a simple, convenient and safe instrument and suitable for nurses to assess swallowing function of patients with stroke.

Key words: cerebrovascular accident, dysphagia, assessing instrument