基于健康行为改变整合理论间歇口管饲法对吞咽障碍患者吞咽功能及自护能力的影响  

Impact of IOE based on health behavior change integrated theory on swallowing function and self-care ability in patients with swallowing disorders

作　　者：张燕云[1] 张会[1] 杨展[1] ZHANG Yanyun;ZHANG Hui;YANG Zhan(The Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450003,China)

机构地区：[1]郑州大学第二附属医院,河南郑州450003

出　　处：《中国实用神经疾病杂志》2025年第4期497-502,共6页Chinese Journal of Practical Nervous Diseases

基　　金：河南省医学科技攻关计划联合共建项目(编号:LHGJ20220504)。

摘　　要：目的探究基于健康行为改变整合理论间歇口管饲法对吞咽障碍患者吞咽功能、生活质量及自护能力的影响。方法选取郑州大学第二附属医院2023-05—10收治的150例吞咽障碍患者,随机分为对照组与观察组,各75例,对照组进行常规护理,给予观察组患者基于健康行为改变整合理论间歇口管饲法,对比2组患者的吞咽功能、生活质量及自护能力。结果干预28 d后,观察组患者的洼田饮水试验与VFSS评分分别为9.65±1.63分、8.09±2.21分,均显著高于对照组(P<0.05)。观察组患者WHOQOL总分(92.92±4.76)分,显著高于对照组(P<0.05)。观察组患者的ESCA评分(143.52±20.17)分,显著高于对照组(P<0.05)。干预后,观察组患者STP、HGB及ALB水平分别为(68.44±2.48)g/L、(128.48±4.15)g/L及(39.46±2.15)g/L,均显著高于对照组(P<0.001)。结论应用基于健康行为改变整合理论间歇口管饲法对吞咽障碍患者进行干预,效果显著,能明显改善患者吞咽功能,提高生活质量及自护能力,同时改善营养状态。Objective To investigate the impact of intermittent oro-esophageal tube feeding(IOE)based on health behavior change integrated theory on swallowing function,quality of life and self-care ability in patients with swallowing disorders.Methods A total of 150 patients with dysphagia admitted to the Second Affiliated Hospital of Zhengzhou University from May to October 2023 were randomly divided into control group and observation group,with 75 patients in each group.The control group were given routine nursing,while the another group used IOE based on health behavior changes integrated theory.The swallowing function,quality of life,and self-care ability of the two groups after intervention were compared.Results After 28 days of intervention,the Wada drinking water test and VFSS score of the observation group were(9.65±1.63)points and(8.09±2.21)points,respectively,which were obviously higher compared to those of the another group(P<0.05).The total score of WHOQOL in the observation group was(92.92±4.76)points,which was obviously higher compared to the control group(P<0.05).The ESCA score in the observation group was(143.52±20.17)points,which was obviously higher compared to the control group(P<0.05).Conclusion The application of IOE based on health behavior change integrated theory for patients with swallowing disorders has remarkable results,which can significantly improve the swallowing function,and the quality of life and the self-care ability,and improve the nutritional status.

关 键 词：吞咽障碍 健康行为改变整合理论 间歇口管饲法 吞咽功能 生活质量 自护能力 

分 类 号：R473.74[医药卫生—护理学]