Volume 23 Issue 4
Apr.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(4): 555-558
YU Gongxian, HONG Kangjie, LU Liwen, HONG Lingzhi, ZHENG Hongjian. Factors influencing and predictive value of rehabilitation treatment responsiveness in stroke patients with swallowing disorders[J]. Chinese Journal of General Practice, 2025, 23(4): 555-558. doi: 10.16766/j.cnki.issn.1674-4152.003948
Citation: YU Gongxian, HONG Kangjie, LU Liwen, HONG Lingzhi, ZHENG Hongjian. Factors influencing and predictive value of rehabilitation treatment responsiveness in stroke patients with swallowing disorders[J]. Chinese Journal of General Practice, 2025, 23(4): 555-558. doi: 10.16766/j.cnki.issn.1674-4152.003948
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Factors influencing and predictive value of rehabilitation treatment responsiveness in stroke patients with swallowing disorders

doi: 10.16766/j.cnki.issn.1674-4152.003948
  • 1.

    Department of Rehabilitation Medicine, Chun' an Branch of Zhejiang Provincial People' s Hospital, Hangzhou, Zhejiang 311700, China

Funds:

 Y202146057

  • Received Date: 2024-07-24
    Available Online: 2025-06-30
    Abstract
  •   Objective  This study aims to analyze the factors influencing rehabilitation treatment responsiveness in post-stroke dysphagia patients, identify potential risk factors for adverse rehabilitation treatment reactions, and provide a theoretical basis for reducing adverse rehabilitation treatment reactions.  Methods  A total of 314 stroke patients with swallowing disorders who received rehabilitation treatment at the Chun ' an Branch of Zhejiang Provincial People ' s Hospital from January 2021 to January 2023 were selected as the study subjects. They were divided into a good response group and an adverse response group based on their rehabilitation treatment responsiveness. In order to explore the factors influencing rehabilitation treatment responsiveness, the univariate and multivariate analyses were conducted, and ROC curves were used to verify their predictive value.  Results  Among the 314 stroke patients with swallowing disorders who received rehabilitation treatment, 83 patients (26.43%) experienced adverse reactions to rehabilitation treatment, while 231 patients showed good reactions to rehabilitation treatment. The patients in the good response group had a shorter duration of swallowing disorders, higher compliance scores, and lower scores on the National Institute of Health stroke scale (NIHSS) and water swallowing test (WST) compared to those in the poor response group (P < 0.05). Multivariate logistic regression analysis showed that high admission NIHSS score, high WST score, and prolonged swallowing dysfunction were independent risk factors for rehabilitation treatment response, while high compliance was a protective factor for rehabilitation treatment response (P < 0.05). ROC analysis showed that the compliance score had the highest predictive value (AUC=0.706), followed by admission NIHSS score (AUC=0.633), WST score (AUC=0.613), and swallowing disorder course (AUC=0.610).  Conclusion  Compliance, admission NIHSS score, WST score, and duration of swallowing disorders are key factors influencing rehabilitation treatment responsiveness in stroke patients with swallowing disorders.

     

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