护理学报2023，Vol.30Issue(24)：1-6,6.DOI:10.16460/j.issn1008-9969.2023.24.001
缺血性脑卒中后吞咽障碍患者经口摄食功能发展轨迹及影响因素分析
Development trajectory of oral intake function in patients with post-stroke dysphagia and its influencing factors
摘要
Abstract
Objective To explore the latent categories and influencing factors of oral intake function in patients with post-stroke dysphagia,and to provide reference for individualized rehabilitation nursing intervention.Methods Convenience sampling was used to select 393 patients with post-stroke dysphagia in four tertiary grade-A hospitals,and the patients were surveyed by using general information questionnaire and National Institutes of Health Stroke Scale.The latent category growth analysis model was used to identify the potential categories of oral intake function,and its influencing factors were analyzed by multinomial logistic regression.Results Three distinct trajectories were identified as"low risk of stable group"(25.6%),"high risk of stable group"(51.1%),and"high risk of decreasing group"(23.3%).Multinomial logistic regression analysis showed that there were significant differences in age,National Institutes of Health Stroke Scale score,length of tube feeding,and out-of-hospital care institutions among different categories(P＜0.05).Conclusion There are 3 trajectories of oral intake function in patients with post-stroke dysphagia,and there is group heterogeneity in their oral intake function.Individualized rehabilitation nursing intervention should be taken according to the trajectory of patients'oral intake function.关键词
脑卒中/吞咽障碍/经口摄食功能/潜类别增长模型/纵向研究Key words
stroke/dysphagia/oral intake function/Latent Class Growth Model/longitudinal study分类
临床医学引用本文复制引用
陈坚,王园,崔艳丽,罗彦嗣,廖琳,颜明玉,张晓梅..缺血性脑卒中后吞咽障碍患者经口摄食功能发展轨迹及影响因素分析[J].护理学报,2023,30(24):1-6,6.基金项目
广东省自然科学基金面上项目(2022A1515012184) （2022A1515012184）
