老年脑卒中病人口腔衰弱变化轨迹及影响因素

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AbstractObjectiToivestigatethanggtrajectoyofalfrailtyiderlysrokeptientsditsocatedifluegfctor， andtoprovidereferencefortargetedclinicalinterventions.Methos：Aconveniencesampleof3Oelderlystrokepatientsadmitedtothe neurologydepartmentofatertiarygadeAhospitalinShandongprovincewereenroledinthissudyDatawerecolectedusingaeneral informationuestioieadddemetlsdalFailde-8O8）tOalalteool （OHAT），theGeriatricSelf-EficacyinOralHalthScale（GEOH），andthePerceivedSocialSupportScale（PSS）.Oralfrailtylevels wereevaluatedbasedontheseinstruments.Results：Thechangingtrajectoryoforalfrailtyinelderlystrokepatientswascategorzedinto two distinct patterns：a high-level slow increase group （49.7%） anda low-level slowincreasegroup （50.3% ）.Logisticregression analysis revealedtatae，okngstoryriorerebalifarctiumberofmaingtthsjectiigdifiultyralealthtatu， and perceived social support were significant predictors of oral frailty（all P<0.05 ）.The decision tree model identified four key clinical variables：eargtursalalthtusubetieasiatorydifultydproerebaliftio.esderteir operatingharacteristicrsforthecisiotreadogisticgressoodelswereO.939dO94spectivelyicatingog predictiveperformance.Conclusions：Oralfrailtyinelderlystrokepatientsgenerallyprogresesgraduallyovertime，withnotable heterogeneityamongsubgroups.Boththedecisiontreeandlogisticregresionmodelsdemonstrateconsiderablepredictiveauracy. Healthcareprofessionalscandevelopinterventionplansbasedonthesetwomodelstoachieveearlyidentificationoforalfraltyand precise care.

Keywordsthe elderly;stroke;oral frailty; influencing factors;nursing

随着全球老龄化程度的加剧，老年人群中脑卒中的发病和患病率显著提高，其具有高发、易复发和致残性强的特点，给家庭和社会带来了沉重的负担[1-3]。（剩余17914字）