脑卒中后吞咽障碍病人安全进食行为现状及影响因素

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基金项目 2021年河南省医学科技攻关计划联合共建项目，编号：LHGJ20210021

作者简介 李璐璐，主管护师，本科

通讯作者 张驰，E⁃mail：zhangchiluck@163.com

引用信息 李璐璐，朱明芳，张驰，等.脑卒中后吞咽障碍病人安全进食行为现状及影响因素[J].护理研究，2023，37（23）：4175⁃4181.

Status quo and influencing factors of safe feeding behavior in patients with post⁃stroke dysphagia

LI Lulu， ZHU Mingfang， ZHANG Chi， FAN Wenfei， YANG Mengyuan， MA Mengke

Henan Provincial People's Hospital， Henan 450003 China

Corresponding Author  ZHANG Chi， E⁃mail： zhangchiluck@163.com

Abstract  Objective：To understand the status quo of safe feeding behavior in patients with post⁃stroke dysphagia（PSD），and to analyze its influencing factors.Methods：A total of 251 patients with PSD in a tertiary grade A hospital from February 2021 to October 2022 were selected as the subjects by convenience sampling method.The general situation questionnaire，Safe Feeding Assessment Scale for Patients with Post?Stroke Dysphagia，Family APGAR Questionnaire，the Health Belief Model Scale and the Chronic Disease Self⁃Efficacy Scale were used to conduct the questionnaire survey.The influence of family caring degree，health belief and self⁃efficacy on safe eating behavior in patients with post⁃stroke dysphagia was analyzed.Results：The score of safe eating behavior in PSD patients was 79.45±21.09.There were positively correlated with the total score of safe eating behavior and the total score of family caring，health belief and self⁃efficacy（all P<0.01）.The path analysis based on Bootstrap showed that health belief and self⁃efficacy had direct positive impact on safe eating behavior in PSD patients.The indirect effect of health belief and self⁃efficacy on family caring degree and safe eating behavior were significant，and the total indirect effect was 0.455，accounting for 75.58% of the total effect value.Conclusions：Health belief and self⁃efficacy played mediating effects between family caring and safe eating behavior of PSD patients.The patient⁃caregiver dual intervention strategy should be used to improve family caring degree of PSD patients，and help patients establish positive health belief and recovery confidence to improve their safe eating behavior level.

Keywords  post⁃stroke dysphagia； safe feeding behavior； family care； health belief； self⁃efficacy； influencing factors； correlation

摘要  目的：了解脑卒中后吞咽障碍（PSD）病人的安全进食行为现状，并分析其影响因素。（剩余12420字）

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