Psychological Rehabilitation on Dysphagia with Cognitive and Psychological Disorders post Stroke

doi:10.3969/j.issn.1006-9771.2013.12.019

Abstract：Objective To explore the clinical effect of psychological rehabilitation on dysphagia with cognitive and psychological disor-ders post stroke. Methods 120 stroke patients with dysphagia complicated with cognitive and psychological disorders were divided into ex-perimental group (n=60) and control group (n=60). Both groups received neurological routine medical treatment, swallowing function reha-bilitation 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 Drinking Water Test, Mini-Mental State Examination (MMSE), Hamilton Rat-ing 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.