Application of health education based on the PRECEDE-PROCEED model in patients with dysphagia after stroke
Objective To explore the application effect of health education based on the PRECEDE-PROCEED model in patients with dysphagia after stroke,and to provide a reference for the clinical formulation and implementation of health education and management for stroke patients with dysphagia.Methods A total of 94 stroke patients with dysphagia who were hospitalized in the neurology department of a tertiary Grade A hospital in Urumqi from December 2020 to December 2021 were selected as the study subjects.They were divided into an observation group and a control group,each consisting of 47 patients,based on comparable basic characteristics between the groups.The control group implemented routine swallowing health education,while the observation group implemented swallowing health education based on the PRECEDE-PROCEED model.The intervention period lasted for 3 months.Swallowing-related Quality of Life(SWAL-QOL),Exercise of Self-care Agency Scale(ESCA)and Standardized Swallowing Assessment(SSA)scores were compared between the two groups of patients at admission and after 3 months of intervention.Results The study was completed with a total of 87 patients,including 44 in the control group and 43 in the observation group.Upon admission,there was no statistically significant difference in scores of SSA,SWAL-QOL,and ESCA between the two groups of patients(P>0.05).After intervention,the SSA scores of patients in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05);patients in the observation group scored higher than those in the control group on SWAL-QOL total score,as well as in swallowing burden,eating duration,appetite,frequency of swallowing symptoms,food selection,communication,eating fear,psychological health,social interaction,fatigue,and sleep,the differences were statistically significant(P<0.05);the observation group showed higher scores than the control group in total scores of self-care ability,as well as in the the dimensions of self-concept,self-care responsibility,self-care skills,and health knowledge level,the differences were statistically significant(P<0.05).Conclusion The application of health education based on the PRECEDE-PROCEED model in stroke patients with dysphagia can promote the recovery of patients'swallowing function,and enhance their quality of life and self-care ability.
StrokeDysphagiaPRECEDE-PROCEED modelHealth educationSwallowing functionSelf-care abilityQuality of life
NETL
NSTL
万方数据
