脑卒中吞咽障碍病人精准摄食方案的构建及应用

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Construction and application of precise feeding scheme for stroke patients with dysphagia FENGXiaoyu，YEHuiling*，ZHANG Yongjun，CHANGFeifei，WU Xiaobing The First Affiliated Hospital ofGuangzhou Medical University，Guangdong 52o12o China *Corresponding Author YE Huiling，E-mail：dryehui66@126.com

AbstractObjective：Toconstructaprecisefeedingschemeforstrokepatients withdysphagiabasedonevidence-basedmethods，and to exploreitsaplicationefectsinthispatientpopulation.Methods：Aprecisefedingschemeforstrokepatientswithdysphagiawas developedusingevidence-basedmethodscombinedwithexpertconsultation.Aconveniencesamplingmethodwasusedtoselect87 strokepatientswithdysphagiaadmitedtotheeurologdepartmentofatertiaryhospitalinGuangdongProvincebetwnJanuary019 andDecember2022.PatientsadmitedfromJanuary20l9toDecember2021wereassignedtothecontrolgroup（43patients），andose admitted fromJanuaryto December 2O22 wereasignedtotheexperimental group（44 patients）.Thecontrol groupreceivedroutine care，whileteexperimental groupreceivedtheprecisefedingsheme.Aftertheintervention，swallowingfunction （pharyngealreflex， gagreflex，cougheflex，laryngealelevation），swalowingrelatedqualityoflife，andpsychologicalstatuswerecomparedbeteenthe twogroups.Results：Improvementsinpharyngealreflex，gagreflex，ougheflex，ndpsyhologicalstatusweresigniicantlybeterin the experimental group compared to the control group，with statistically significant differences （ P<0.001 ）.Conclusion： The precise feedingschemeforstrokepatientswithdysphagiadevelopedinthisstudybasedonevidence-basedmethodsisscientificandfeasible， whichmaycontributing toimprovements inswallowingfunctionand psychologicalstatusamong strokepatientswithdysphagia.

Keywordsstroke； dysphagia； precise feeding； program construction； evidence-based nursing摘要目的：基于循证方法构建脑卒中吞咽障碍病人精准摄食方案，并探究其在脑卒中吞咽障碍病人中的应用效果。（剩余8506字）