Objective:To explore the nursing effects of swallowing-diet management guided by trans-theoretical model in stroke patients with dysphagia.Methods:A total of 120 stroke patients with dysphagia treated in the hospital were selected, and divided into observation group (62 cases) and control group (58 cases) by random number table method. The observation group received swallowing-diet management guided by trans-theoretical model, and the control group received routine nursing. Relevant parameters were compared between the two groups.Results:After nursing, the Caiteng's dysphagia score and the General Self-Efficacy Scale scores of the observation group were higher than those of the control group (P<0.05), while water swallow test score was lower than that of the control group (P<0.05). After nursing, the levels of nutritional indicators in the observation group were higher than those in the control group (P<0.05). For adverse events, the incidence rates of aspiration, gastroesophaeal reflux, and stroke-associated pneumonia (SAP) in the observation group were lower than those in the control group (P<0.05). There was no statistically significant difference in the incidence rates of abnormal pronunciation and dehydration between the two groups (P>0.05). The Stroke Specific-Quality of Life (SS-QOL) scores of the observation group were higher than those of the control group at 2 and 4 weeks after nursing (P<0.05). Conclusion:The swallowing-diet management guided by trans-theoretical model can significantly improve swallowing function and nutritional status, reduce the incidence of adverse events, and improve self-efficacy and quality of life of stroke patients with dysphagia.
strokedysphagiatrans-theoretical modelswallowing functionquality of lifeself-efficacy
维普
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