脑卒中后经口进食困难危险因素分析  

Investigation on current status and risk factors of eating difficulty in patients with stroke

作　　者：张露[1] 蒋红[1] 张秀英[1] 周依群[2] 容根南[3] 刘华华[4] 许雅芳[4] 陈莹[5] 朱雅萍 似怡冰 ZHANG Lu;JIANG Hong;ZHANG Xiuying;ZHOU Yiqun;RONG Gennan;LIU Huahua;XU Yafang;CHEN Ying;ZHU Yaping;SI Yibing(Department of Nursing Huashan Hospital Affiliated to Fudan University,Shanghai,200040;Departmeet of Nursing,Jingan Branch HuasPan Hospital Affiliated to Fudan University,Shanghai,200040;Department of Nursing,Baoshan Brcmch Huashan Hospital Affiliatecl to Fudan University,Shanghai,200433;Department of Neurology,Huashan Hospital Affiliated to Fudan University,Shanghai,200040;Department of Nursing,Branch of Shanghai General Hospital,Shanghai,200081;Dparment of Nursing, Jingan Distric Nanjing West ROad Community Health Service Center ,Shanghai,200040;Department of Nursing,North Branch of Huashan Hospital Affiliated to Fudan University,Shanghai,201907)

机构地区：[1]复旦大学附属华山医院护理部,上海200040 [2]复旦大学附属华山医院静安分院护理部,上海200040 [3]复旦大学附属华山医院宝山分院护理部,上海200433 [4]复旦大学附属华山医院神经内科,上海200040 [5]上海市第一人民医院分院护理部,上海200081 [6]上海市静安区南京西路街道社区卫生服务中心护理部,上海200040 [7]复旦大学附属华山医院北院护理部,上海201907

出　　处：《中西医结合护理（中英文）》2017年第5期26-30,共5页Journal of Clinical Nursing in Practice

基　　金：上海市卫生计生系统重要薄弱学科建设项目(2015ZB0301);复旦大学护理科研基金项目(FNF201511)

摘　　要：目的评价脑卒中经口进食患者的进食现状,分析脑卒中后进口进食困难的影响因素。方法采用自行设计的一般情况调查问卷、中文版简易进食观察表-Ⅱ(CH-MEOF-Ⅱ),对上海市6家医院就诊的385例脑卒中患者进行调查。结果 385例脑卒中患者中发生进食困难226例,发生率为69.1%,其中摄入困难、吞咽困难、精力不足/食欲下降的发生率分别为54.4%、31.4%和41.8%。多因素分析显示,NIHSS评分是进食困难发生的独立危险因素(P<0.05)。结论脑卒中患者普遍存在经口进食困难,应实施针对性改善方案,积极预防营养不良等并发症。Objective To investigate the current status and risk factors of eating difficulty inpatients with stroke.Methods A descriptive study was designed to investigate385patients withstroke in6hospitals in Shanghn.Patients were investigated using research tools including self-madedemographic information questionnaire and the Chinese version of minimal eating observation form-II(CH-MEOF-n).Results There were226cases with more than one type of eating difficulty,accountingfor69.1%of totally participants.The common types of eating difficulty were ingestiondisorder,deglutition disorder and loss of appetite,accounting for54.4%、31.4%and41.8%,respectively.Multiple-factor analysis indicated that NIHSS score was the main factors related to difficulty after stroke(P<0.05).Conclusion Most stroke patients have at least one type of eatingdifficulty.Targeted nursing interventions should be provided to prevent the malnutrition.

关 键 词：脑卒中 神经功能 摄食障碍 吞咽困难 营养状况 

分 类 号：R473.74[医药卫生—护理学]