Guoji laonian yixue zazhi (Sep 2024)
Effect Evaluation of Empathic Nursing Combined with Lee Silverman Voice Treatment in Elderly Patients with Cerebral Infarction
Abstract
Objective To evaluate the effect of empathic nursing combined with Lee Silverman voice treatment (LSVT) on negative emotion, swallowing function and compliance in elderly patients with cerebral infarction. Methods A total of 100 elderly patients with cerebral infarction admitted to General Hospital of Northern Theater Command and the First Affiliated Hospital of Air Force Medical University from December 2020 to December 2022 were selected as the research objects, and they were divided into two groups according to random number table method, with 50 cases in each group. The control group received routine nursing and routine speech intervention training, and the study group received empathic nursing combined with LSVT. The neurological function [simple test for evaluating hand function scale (STEF)], motor function [Fugl-Meyer motor assessment scale (FMA)], negative emotions [self rating anxiety scale (SAS), self-rating depression scale (SDS)], swallowing function (wata drinking water test), activities of daily living (Barthel scale), compliance and nursing satisfaction were compared between the two groups. Results Before intervention, between the two groups, there was no significant difference in STEF score, FMA score, SAS score, SDS score, drinking water test and Barthel scale score (P > 0.05) . After intervention, STEF scores, FMA scores and and Barthel scale score in both groups were higher than those before intervention (P < 0.05), and SAS score, SDS score were lower than those before intervention (P < 0.05) . After intervention, the STEF scores, FMA scores and and Barthel scale score in the observation group were higher than those in the control group (P < 0.05), the SAS score, SDS score and drinking water test in the observation group were lower than those in the control group (P < 0.05), and the drinking water test in the observation group was better than that in the control group (P < 0.05) . The total sequence rate and nursing satisfaction in observation group were higher than those in control group (P < 0.05) . Conclusion Empathic nursing combined with LSVT has a positive effect on the elderly patients with cerebral infarction, which can improve the neurological function, motor function and swallowing function, and reduce the negative emotion. In addition, patients have high compliance and satisfaction with this nursing method.
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