本文選題：國(guó)際功能　切入點(diǎn)：殘疾和健康分類(lèi)　出處：《中南大學(xué)》2014年碩士論文

【摘要】：目的：探討并篩選出中國(guó)版的腦卒中后吞咽障礙的ICF核心要素量表內(nèi)容。 對(duì)象和方法：選擇腦卒中恢復(fù)期、后遺癥期吞咽障礙的患者30例,采用Threats提煉的60項(xiàng)吞咽障礙ICF綜合類(lèi)目、Barthel指數(shù)、反復(fù)唾液吞咽實(shí)驗(yàn)、洼田飲水實(shí)驗(yàn)、Frenchay構(gòu)音障礙評(píng)定、MMSE簡(jiǎn)易智能精神狀態(tài)量表、MoCA評(píng)定量表,運(yùn)用以上7個(gè)量表對(duì)入組患者進(jìn)行臨床評(píng)估。將吞咽障礙ICF綜合類(lèi)目的評(píng)定結(jié)果分別與其他6個(gè)量表用多元回歸逐步分析法進(jìn)行相關(guān)性分析。將60項(xiàng)吞咽障礙ICF綜合類(lèi)目的評(píng)定結(jié)果用“最小的絕對(duì)縮減和變量選擇算子”(least absoluteshrinkage and selection operator, LASSO)分析方法進(jìn)行分析。最后結(jié)合以上兩種分析方法得出的結(jié)果進(jìn)行分析、討論。 結(jié)果：研究最終得出與各量表相關(guān)性較高的ICF類(lèi)目共21項(xiàng)。其中身體功能部分13個(gè),身體結(jié)構(gòu)部分1個(gè),活動(dòng)和參與部分3個(gè),環(huán)境因素部分4個(gè)。以及一個(gè)由39個(gè)吞咽障礙ICF核心類(lèi)目為節(jié)點(diǎn)的功能地形圖。 結(jié)論：初步確定了腦卒中吞咽障礙ICF核心類(lèi)目21個(gè),為吞咽障礙的全面整體評(píng)估提供初步依據(jù)。吞咽障礙功能地形圖可以用來(lái)作為指導(dǎo)工具,發(fā)現(xiàn)了“b140注意力功能”、“b510.1咬”為眾多復(fù)雜關(guān)系的關(guān)鍵點(diǎn)、治療靶心。
[Abstract]:Objective: to investigate and screen out the Chinese version of the ICF Core Factor scale for dysphagia after stroke. Objects and methods: thirty patients with dysphagia in convalescence and sequelae of stroke were selected. 60 items of dysphagia ICF complex category Barthel index extracted by Threats were used in repeated salivary swallowing test. Evaluation of Frenchay dysarthria and MMSE simple Mental State scale (MMSE) and MoCA rating scale (MMSE). The clinical evaluation of the patients with dysphagia was carried out by using the above 7 scales. The correlation analysis was made between the results of ICF comprehensive purpose evaluation of swallowing disorders and the other 6 scales by multivariate regression stepwise analysis. 60 items of ICF with dysphagia were analyzed. The evaluation results of comprehensive purpose are analyzed by the least absoluteshrinkage and selection operator (LASSO), the least absolute reduction and variable selection operator. Finally, the results obtained from the above two methods are analyzed. Discussion. Results: a total of 21 ICF items with high correlation with each scale were obtained, including 13 body function parts, 1 body structure part, 3 activities and participation parts. Environmental factors part 4. And a functional topographic map with 39 core ICF categories of dysphagia as nodes. Conclusion: 21 core ICF categories of stroke dysphagia were identified, which provide a preliminary basis for the overall assessment of dysphagia. The functional topographic map of swallowing disorder can be used as a guidance tool. "b140 attention function" and "b 510.1 bite" were found to be key points in many complex relationships to treat the target.
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類(lèi)號(hào)】：R743.3

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