基于知信行模式的脑卒中吞咽障碍康复策略探讨  

Exploring the Rehabilitation Strategy for Post-stroke Dysphagia Based on the Knowledge-Attitude-Practice Model

作　　者：张芳静 曹丽 余梅先 Zhang Fangjing;Gao Li;Yu Meixian(Neurology Ward 2,Anhui Second People’s Hospital,Hefei 230011,China)

机构地区：[1]安徽省第二人民医院神经内科二病区,安徽合肥230011

出　　处：《现代科学仪器》2024年第5期133-137,共5页Modern Scientific Instruments

基　　金：安徽省卫计委科研课题(编号:2018SEYL024)。

摘　　要：目的:探讨知信行模式对脑卒中后吞咽障碍患者的干预效果。方法:选取安徽省第二人民医院84例脑卒中后吞咽障碍患者,随机分为对照组和干预组,分别给与常规干预和知信行模式干预,为期3个月。评估干预前后患者知识、信念、行为评分,吞咽功能以及生存质量。结果:干预后,干预组知信行评分均显著高于对照组(P<0.05),吞咽功能优良率90.48%,明显高于对照组的71.43%(P<0.05),生存质量各领域评分及总分均高于对照组(P<0.05)。结论:知信行模式干预可显著提高脑卒中后吞咽障碍患者的知识、信念、行为水平,改善吞咽功能,提升生存质量。Objective:To investigate the efficacy of the Knowledge-Attitude-Practice(KAP)model in intervening with post-stroke dysphagia patients.Method:A total of 84 patients with post-stroke dysphagia from Anhui Second People's Hospital were randomly divided into a control group and an intervention group,receiving conventional intervention and KAP model intervention respectively,for a duration of 3 months.The assessments included knowledge,attitude,and practice scores,swallowing function,and quality of life before and after the intervention.Results:Following the intervention,the knowledge,attitude,and practice scores of the intervention group were significantly higher(P<0.05).The excellent and good rate of swallowing function in the intervention group was 90.48%,notably higher than the 71.43%of the control group(P<0.05).Post-intervention,the intervention group showed higher scores in all domains of quality of life(P<0.05).Conclusion:The intervention based on the KAP model significantly enhances the knowledge,attitude,and practice levels of post-stroke dysphagia patients,improves swallowing function,and elevates their quality of life.

关 键 词：知信行 整体干预 脑卒中后吞咽障碍 生存质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学]