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脑卒中后吞咽困难患者身心健康影响因素分析

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目的 探讨脑卒中后吞咽困难患者身心健康影响因素.方法 选取120例2020年8月至2022年8月就诊于医院的脑卒中后吞咽困难患者作为研究对象,调查统计不同临床资料(年龄、性别、受教育程度、婚姻情况、性格特点、居住情况、照顾者、职业状况、脑卒中病程、神经功能缺损程度、进食方式、焦虑程度、医保情况、吞咽功能、家庭情况)患者脑卒中专用生活质量量表(SS-QOL)评分,通过多重线性回归分析脑卒中后吞咽困难患者身心健康影响因素.结果 不同年龄、受教育程度、居住情况、性格特点、照顾者、脑卒中病程、进食方式、职业状况、神经功能缺损程度、吞咽功能、医保情况、焦虑程度、家庭情况脑卒中后吞咽困难患者SS-QOL评分差异有统计学意义(P<0.05).性格特点、进食方式、脑卒中病程、吞咽功能、神经功能缺损程度、医保情况、焦虑程度、家庭情况均为脑卒中后吞咽困难患者身心健康相关影响因素(P<0.05).结论 脑卒中病程、性格特点、神经功能缺损程度、进食方式、焦虑程度、吞咽功能、家庭情况、医保情况均为脑卒中后吞咽困难患者身心健康重要影响因素.
Physical and Mental Health Factors in Patients with Dysphagia After Stroke
Objective To investigate the factors affecting physical and mental health of patients with dysphagia after stroke.Methods A total of 120 patients with dysphagia after stroke who were admitted to hospital from August 2020 to August 2022 were selected as the study objects.The stroke specific quality of life scale(SS-QOL)in patients with different clinical data(age,gender,education level,marital status,personality characteristics,living conditions,caregivers,occupational status,stroke duration,degree of neurological impairment,eating pattern,anxiety,medical insurance,swallowing function,family status)were investigated and analyzed.The factors affecting the physical and mental health of patients with post-stroke dysphagia were analyze by multiple linear regression.Results There were significant differences in SS-QOL scores among patients with dysphagia after stroke in different age,education,living conditions,personality characteristics,caregivers,stroke course,eating pattern,occupational status,degree of neurological impairment,swallowing function,medical insurance status,anxiety level and family status(P<0.05).Personality characteristics,eating style,stroke course,swallowing function,degree of neurological impairment,medical insurance,anxiety degree and family status were all related factors to the physical and mental health of patients with dysphagia after stroke(P<0.05).Conclusion The course of stroke,personality characteristics,degree of neurological impairment,eating pattern,anxiety degree,swallowing function,family status,and medical insurance status are all important factors affecting the physical and mental health of patients with dysphagia after stroke.

strokedifficulty swallowinginfluencing factors

黄芳、康梅娟、刘义锋、孙军、王洁

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南阳市中心医院神经介入科,河南南阳 473000

脑卒中 吞咽困难 影响因素

河南省医学科技攻关计划项目

192102310349

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(2)
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