文献类型：期刊文献

中文题名：基于赋能教育模式水凝胶摄食训练干预应用于脑卒中吞咽障碍患者效果研究

英文题名：Effects study of an empowering educational model hydrogel-based ingestion training intervention for stroke patients with dysphagia

作者：杨虹[1];毛忠南[1]

第一作者：杨虹

机构：[1]甘肃中医药大学附属医院康复医学科,甘肃兰州730020

第一机构：甘肃中医药大学第二附属医院

年份：2024

卷号：40

期号：20

起止页码：3518

中文期刊名：现代医药卫生

外文期刊名：Journal of Modern Medicine & Health

基金：兰州市科学技术局项目(2022-5-116)。

语种：中文

中文关键词：赋能教育;水凝胶摄食训练;脑卒中;吞咽障碍;吞咽障碍生活质量量表评分;一般自我效能感量表评分

外文关键词：Empowering educational;Hydrogel-based ingestion training;Stroke;Dysphagia;Dysphagia Quality of Life Scale score;General Self-Efficacy Scale score

摘要：目的探讨基于赋能教育模式水凝胶摄食训练干预在脑卒中吞咽障碍患者中的应用效果。方法选择2022年1月至2023年10月该院收治的100例脑卒中吞咽障碍患者,采用随机数表法将其分为参照组和干预组,每组50例,2组分别脱落2例,最终例数为每组48例。参照组患者采用常规教育及摄食训练干预,干预组患者在参照组基础上采用基于赋能教育模式的水凝胶摄食训练干预,2组干预时间均为1个月。观察2组患者干预前、干预1个月后的自我效能感、自我护理能力、渗漏-误吸、吞咽功能及生活质量变化。结果2组患者干预后的一般自我效能感量表(GSES)与自护能力测定量表(ESCA)评分均高于干预前,且干预组高于参考组,差异均有统计学意义(P<0.05);2组患者干预后的Rosenbek渗漏-误吸分级量表(PAS)评分均低于干预前,且干预组低于参考组,差异均有统计学意义(P<0.05);2组患者干预后的功能性经口摄食量表(FOIS)评分、吞咽障碍生活质量量表(EDQOL)除经济状况外各项评分均高于干预前,且干预组评分高于参考组,差异均有统计学意义(P<0.05)。结论基于赋能教育模式水凝胶摄食训练干预可提高脑卒中吞咽障碍患者自我效能感及自我护理能力,减轻渗漏-误吸程度,有助于促进吞咽功能恢复,改善其生活质量。
Objective To investigate the effects of hydrogel ingestion training intervention based on empowerment education model in stroke patients with dysphagia.Methods A total of 100 cases of stroke patients with dysphagia admitted to the hospital from January 2022 to October 2023 were selected and divided into the reference group and the intervention group using the randomized number table method,with 50 cases in each group,and 2 cases were dislodged from each of the 2 groups,resulting in a final number of cases of 48 cases in each group.The reference group used conventional education and ingestion training intervention,and the intervention group used hydrogel ingestion training intervention based on empowerment education model on the basis of the reference group,and the intervention time of both groups was 1 month.The self-efficacy,self-care ability,leakage-aspiration,swallowing function and quality of life of the patients in the 2 groups were observed before and 1 month after the intervention.Results After inter vention,the General Self-Efficacy Scale(GSES)and Self-Care Competency Assessment(ESCA)scores of the patients in both groups were higher than those before intervention,and the intervention group was higher than that of the reference group,with statistically significant differences(P<0.05);the Rosenbek Leakage-Misaspiration Scale(PAS)scores of the two groups were lower than that before intervention,and the intervention group was lower than that of the reference group,with statistically significant differences(P<0.05);the Functional Oral Intake Scale(FOIS)score and the Dysphagia Quality of Life Scale(EDQOL)scores except for economic status were higher than those before intervention in both groups,and the intervention group′s score was higher than that of the reference group,with statistically significant differences(P<0.05).Conclusion Hydrogel ingestion training intervention based on empowerment education model improves self-efficacy and self-care ability of stroke patients with dysphagia,reduces the degree of leakage-misaspiration,and helps to promote the recovery of swallowing function and improve their quality of life.