Volume 21 Issue 2
Feb.  2023
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FENG Xiao-yu, LI Jing-wen, ZHANG Yong-jun, YE Hui-ling. Safe eating behaviour and influencing factors in patients with dysphagia after stroke[J]. Chinese Journal of General Practice, 2023, 21(2): 333-336. doi: 10.16766/j.cnki.issn.1674-4152.002876
Citation: FENG Xiao-yu, LI Jing-wen, ZHANG Yong-jun, YE Hui-ling. Safe eating behaviour and influencing factors in patients with dysphagia after stroke[J]. Chinese Journal of General Practice, 2023, 21(2): 333-336. doi: 10.16766/j.cnki.issn.1674-4152.002876
shu

Safe eating behaviour and influencing factors in patients with dysphagia after stroke

doi: 10.16766/j.cnki.issn.1674-4152.002876
  • 1.

    Department of General Practice, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong 510120, China

Funds:

 20212128

 20201A011071

  • Received Date: 2022-01-22
    Available Online: 2023-04-20
    Abstract
  •   Objective  The safe eating behaviour of patients with dysphagia after stroke was analysed to determine influencing factors and provide reference for clinical practice and pay attention to the eating behaviour of patients with dysphagia.  Methods  Convenience sampling was conducted to select patients with stroke and dysphagia from January 2019 to December 2020 in the First Affiliated Hospital of Guangzhou Medical University. The general information questionnaire including sociodemographic data and disease related data, stroke dysphagia patient safe eating behaviour evaluation scale and safe eating knowledge questionnaire were used to collect data and conduct safety description of eating behaviour and multiple stepwise regression analysis.  Results  A total of 176 stroke patients with swallowing disorders were included. Univariate analysis showed significant differences in safe eating behaviour among patients with different education levels, marital statuses, aspiration pneumonia, language disorder, swallowing treatment, Barthel Index and safe eating behaviour in Watian drinking water test (all P < 0.05). Multivariate stepwise regression analysis showed that Barthel index, total score of safe eating knowledge and swallowing treatment were positively correlated with safe eating behaviour (all P < 0.05), while language disorder and aspiration pneumonia were negatively correlated with safe eating behaviour (all P < 0.05). The multiple correlation coefficient of the five variables was r=0.647, the regression R2 was 0.419 and the adjusted R2 was 0.402.  Conclusion  A variety of factors affect the safe eating behaviour of stroke patients with dysphagia. Barthel index, total score of safe eating knowledge, swallowing treatment, language disorder and diagnosis of inhalation pneumonia are independent influencing factors.

     

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    • References(19)
  • [1]
    POWERS W J, RABINSTEIN A A, ACKERSON T, et al. Correction to: 2018 guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association[J]. Stroke, 2018, 49(3): e138. DOI: 10.1161/STR.0000000000000172.
    [2]
    龙露, 严谨. 老年痴呆患者进食困难的评估及护理干预进展[J]. 护理学报, 2017, 24(17): 25-29. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL201717009.htm

    LONG L, YAN J. Assessment and nursing intervention progress of feeding difficulties in senile dementia patients[J]. Journal of Nursing | J Nurs, 2017, 24(17): 25-29. https://www.cnki.com.cn/Article/CJFDTOTAL-NFHL201717009.htm
    [3]
    叶燕平. 进食安全管理在脑卒中吞咽障碍所致误吸的临床护理效果探讨[J]. 吉林医学, 2017, 38(5): 994-995. doi: 10.3969/j.issn.1004-0412.2017.05.095

    YE Y P. Clinical nursing effect of eating safety management in aspiration caused by dysphagia after stroke[J]. Jilin Medical Journal, 2017, 38(5): 994-995. doi: 10.3969/j.issn.1004-0412.2017.05.095
    [4]
    高岩, 高敏行, 姜李, 等. 脑卒中吞咽障碍患者早期进食训练监测单的设计及应用[J]. 中华护理杂志, 2018, 53(11): 1319-1322. doi: 10.3761/j.issn.0254-1769.2018.11.007

    GAO Y, GAO M X, JIANG L, et al. Design of food traits eating monitoring list and its application in safety management of early feeding training in patients with dysphagia after stroke[J]. Chinese Journal of Nursing, 2018, 53(11): 1319-1322. doi: 10.3761/j.issn.0254-1769.2018.11.007
    [5]
    ROGER N, NATÀLIA V, PERE C, et al. Effect of bolus viscosity on the safety and efficacy of swallowing and the kinematics of the swallow response in patients with oropharyngeal dysphagia: white paper by the European Society for Swallowing Disorders(ESSD)[J]. Dysphagia, 2016, 31(2): 232-249. doi: 10.1007/s00455-016-9696-8
    [6]
    杨晨晨, 纪小凤, 马海丽, 等. 进食体位对脑卒中后吞咽障碍患者相关并发症影响的Meta分析[J]. 护士进修杂志, 2016, 31(24): 2223-2227. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201624007.htm

    YANG C C, JI X F, MA H L, et al. Effects of feeding position on the incidence of complications for patients with Dysphagia post-stroke: a Meta analysis[J]. Journal of Nurses Training, 2016, 31(24): 2223-2227. https://www.cnki.com.cn/Article/CJFDTOTAL-FSJX201624007.htm
    [7]
    中华医学会全国第4届脑血管学术会议组. 各类脑血管病诊断要点[J]. 中华神经科杂志, 1996, 26(6): 376-381. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLC201307036.htm

    The 4th National Cerebral Vascular Conference of Chinese Medical Association. Key points of diagnosis of various cerebrovascular diseases[J]. Chinese Journal of Neurology, 1996, 26(6): 376-381. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLC201307036.htm
    [8]
    中国吞咽障碍康复评估与治疗专家共识组. 中国吞咽障碍评估与治疗专家共识(2017年版)第一部分评估篇[J]. 中华物理医学与康复杂志, 2017, 39(12): 881-892. doi: 10.3760/cma.j.issn.0254-1424.2017.12.001

    Expert Consensus Group on Rehabilitation Assessment and Treatment of dysphagia in China. Chinese expert consensus on the assessment and treatment of dysphagia (2017 edition) part Ⅰ evaluation[J]. Chinese Journal of Physical Medicine and Rehabilitation, 2017, 39(12): 881-892. doi: 10.3760/cma.j.issn.0254-1424.2017.12.001
    [9]
    吕孟菊, 柳俊杰, 王艳冬. 首发脑卒中患者吞咽障碍居家饮食护理方案的制订及应用[J]. 中华护理杂志, 2019, 54(7): 975-981. doi: 10.3761/j.issn.0254-1769.2019.07.003

    LYU M J, LIU J J, WANG Y D. Development and application of dietary nursing scheme for patients with dysphagia after first stroke[J]. Chinese Journal of Nursing, 2019, 54(7): 975-981. doi: 10.3761/j.issn.0254-1769.2019.07.003
    [10]
    冯晓瑜, 叶慧玲, 周玉兰, 等. 脑卒中吞咽障碍患者安全进食行为评价量表的编制及信效度检验[J]. 护理学杂志, 2020, 35(19): 28-31. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202019010.htm

    FENG X Y, YE H L, ZHOU Y L, et al. Development and validation of a safe feeding assessment scale for stroke patients with dysphagia[J]. Journal of Nursing Science, 2020, 35(19): 28-31. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ202019010.htm
    [11]
    乔婷婷, 陈丹丹, 郑蔚, 等. 脑卒中患者自我管理知识与行为的相关性研究[J]. 现代预防医学, 2016, 43(1): 187-189, 192. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201601053.htm

    QIAO T T, CHEN D D, ZHENG W, et al. Correlation between the knowledge and behavior for the self-management of stroke patients[J]. Modern Preventive Medicine, 2016, 43(1): 187-189, 192. https://www.cnki.com.cn/Article/CJFDTOTAL-XDYF201601053.htm
    [12]
    汪晖, 官小莉, 孟玲, 等. 脑卒中吞咽障碍患者护理需求及影响因素调查[J]. 护理学杂志, 2016, 31(21): 28-30. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201621010.htm

    WANG H, GUAN X L, MENG L, et al. Nursing care needs of stroke patients with dysphagia and the influencing factors[J]. Journal of Nursing Science, 2016, 31(21): 28-30. https://www.cnki.com.cn/Article/CJFDTOTAL-HLXZ201621010.htm
    [13]
    吴诗诗, 刘宇, 林可可, 等. 自我效能在社区2型糖尿病患者角色需求认知和自我管理间的中介效应[J]. 中华全科医学, 2021, 19(4): 621-624, 666. doi: 10.16766/j.cnki.issn.1674-4152.001877

    WU S S, LIU Y, LIN K K, et al. The mediating effect of diabetes self-efficacy between perceived role demands and diabetes self-management among community patients with type 2 diabetes[J]. Chinese Journal of General Practice, 2021, 19(4): 621-624, 666. doi: 10.16766/j.cnki.issn.1674-4152.001877
    [14]
    杨静, 张建凤, 李志菊, 等. 中青年冠心病病人自我管理行为及影响因素调查[J]. 护理研究, 2013, 27(14): 1310-1312. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201314017.htm

    YANG J, ZHANG J F, LI Z J, et al. Survey of its and influencing factors and self-management behaviors of young and middle-aged patients with coronary heart disease[J]. Chinese Nursing Research, 2013, 27(14): 1310-1312. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201314017.htm
    [15]
    王兰珍, 徐利萍, 徐淑芬, 等. 循证视角下脑卒中吞咽障碍患者护理管理方案及效果评价[J]. 中华全科医学, 2021, 19(3): 508-510, 514. doi: 10.16766/j.cnki.issn.1674-4152.001848

    WANG L Z, XU L P, XU S F, et al. Nursing management plan and effect evaluation of stroke patients with dysphagia from the evidence-based perspective[J]. Chinese Journal of General Practice, 2021, 19(3): 508-510, 514. doi: 10.16766/j.cnki.issn.1674-4152.001848
    [16]
    李玉梅, 冯为菊, 李玲, 等. 脑卒中患者吸入性肺炎危险因素分析及预防[J]. 中国继续医学教育, 2016, 8(27): 58-59. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY201627047.htm

    LI Y M, FENG W J, LI L, et al. Risk factors analysis and prevention of aspiration pneumonia in patients with stroke[J]. China Continuing Medical Education, 2016, 8(27): 58-59. https://www.cnki.com.cn/Article/CJFDTOTAL-JXUY201627047.htm
    [17]
    陈娇, 张小培, 林满秋, 等. 基于微信平台的健康促进随访模式在脑卒中合并吞咽障碍患者中的应用[J]. 中国医药导报, 2017, 14(7): 169-172. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201707043.htm

    CHEN J, ZHANG X P, LIN M Q, et al. Study on the application of a health promotion follow-up managementmodel based on Wechat to stroke patients with dysphagia[J]. China Medical Herald, 2017, 14(7): 169-172. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY201707043.htm
    [18]
    张晓梅, 曹猛, 邓秋琳, 等. 经容积黏度试验介导的早期摄食训练对急性脑卒中后留置胃管病人的影响[J]. 护理研究, 2019, 33(14): 2387-2390. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201914005.htm

    ZHANG X M, CAO M, DENG Q L, et al. Effect of early stage ingestion exercise mediated by volume-viscosity swallow test on patients with indwelling gastric tube after acute stroke[J]. Chinese Nursing Research, 2019, 33(14): 2387-2390. https://www.cnki.com.cn/Article/CJFDTOTAL-SXHZ201914005.htm
    [19]
    LANGMORE S E, PISEGNA J M. Efficacy of exercises to rehabilitate dysphagia: a critique of the literature[J]. Int J Speech Lang Pathol, 2015, 17(3SI): 222-229.
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