腦卒中后吞咽障礙病人安全進食行為現(xiàn)狀及影響因素

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基金項目 2021年河南省醫(yī)學(xué)科技攻關(guān)計劃聯(lián)合共建項目，編號：LHGJ20210021

作者簡介 李璐璐，主管護師，本科

通訊作者 張馳，E?mail：[email protected]

引用信息 李璐璐，朱明芳，張馳，等.腦卒中后吞咽障礙病人安全進食行為現(xiàn)狀及影響因素[J].護理研究，2023，37（23）：4175?4181.

Status quo and influencing factors of safe feeding behavior in patients with post?stroke dysphagia

LI Lulu， ZHU Mingfang， ZHANG Chi， FAN Wenfei， YANG Mengyuan， MA Mengke

Henan Provincial People's Hospital， Henan 450003 China

Corresponding Author  ZHANG Chi， E?mail： [email protected]

Abstract  Objective：To understand the status quo of safe feeding behavior in patients with post?stroke dysphagia（PSD），and to analyze its influencing factors.Methods：A total of 251 patients with PSD in a tertiary grade A hospital from February 2021 to October 2022 were selected as the subjects by convenience sampling method.The general situation questionnaire，Safe Feeding Assessment Scale for Patients with Post?Stroke Dysphagia，F(xiàn)amily APGAR Questionnaire，the Health Belief Model Scale and the Chronic Disease Self?Efficacy Scale were used to conduct the questionnaire survey.The influence of family caring degree，health belief and self?efficacy on safe eating behavior in patients with post?stroke dysphagia was analyzed.Results：The score of safe eating behavior in PSD patients was 79.45±21.09.There were positively correlated with the total score of safe eating behavior and the total score of family caring，health belief and self?efficacy（all P<0.01）.The path analysis based on Bootstrap showed that health belief and self?efficacy had direct positive impact on safe eating behavior in PSD patients.The indirect effect of health belief and self?efficacy on family caring degree and safe eating behavior were significant，and the total indirect effect was 0.455，accounting for 75.58% of the total effect value.Conclusions：Health belief and self?efficacy played mediating effects between family caring and safe eating behavior of PSD patients.The patient?caregiver dual intervention strategy should be used to improve family caring degree of PSD patients，and help patients establish positive health belief and recovery confidence to improve their safe eating behavior level.

Keywords  post?stroke dysphagia； safe feeding behavior； family care； health belief； self?efficacy； influencing factors； correlation

摘要  目的：了解腦卒中后吞咽障礙（PSD）病人的安全進食行為現(xiàn)狀，并分析其影響因素。（剩余12420字）