老年脑卒中吞咽障碍患者安全进食行为及其相关心理因素分析  

Analysis of safe eating behavior and related psychological factors in elderly stroke patients with dysphagia

作　　者：罗文 罗鹏 董琳 LUO Wen;LUO Peng;DONG Lin(Department of Rehabilitation,Xuzhou Rehabilitation Hospital,Xuzhou 221000,China;Department of Rehabilitation,Yunlong Community Health Service Center,Xuzhou 221000,China)

机构地区：[1]徐州市康复医院老年康复科,江苏徐州221000 [2]徐州市云龙区云龙社区卫生服务中心康复科,江苏徐州221000

出　　处：《心理月刊》2025年第4期27-29,共3页

摘　　要：目的调查老年脑卒中吞咽障碍患者安全进食行为,并探讨其与人口统计学和临床特征、心理韧性和社会支持的关联。方法2023年1月~2024年6月在本院就诊的老年脑卒中吞咽障碍患者为研究对象,研究问卷包括一般资料调查表、心理韧性量表(CD-RISC)、社会支持量表(SSRS)和脑卒中吞咽障碍患者安全进食行为评价量表。数据分析包括描述性统计、独立样本t检验、单因素方差分析、Pearson相关分析和多元回归分析。结果研究共纳入了102名老年脑卒中吞咽障碍患者,其安全进食行为得分为70.87±18.24分,安全进食行为得分与CD-RISC得分呈正相关(r=0.644,P<0.01),与SSRS得分呈正相关(r=0.530,P<0.01)。CD-RISC得分与SSRS得分呈正相关(r=0.627,P<0.01)。居住地、合并症、婚姻状况、心理韧性和社会支持是老年脑卒中吞咽障碍患者安全进食行为的独立影响因素。结论老年脑卒中吞咽障碍患者安全进食行为的增加与居住在城镇、已婚、无合并症、心理韧性和社会支持较高有关。基于这些变量,应进一步构建针对性干预方案,以帮助老年脑卒中吞咽障碍患者增加安全进食行为。Objective To investigate the safe eating behavior of elderly stroke patients with dysphagia,and to explore its association with demographic and clinical characteristics,psychological resilience and social support.Methods Stroke patients treated in our hospital from January 2023 to June 2024 were the study objects.The questionnaires included general data questionnaire,Connor Davidson resilience scale(CD-RISC),social support rating scale(SSRS)and safe eating behavior evaluation scale for stroke patients with swallowing disorder.Data analysis included descriptive statistics,independent sample t test,one-way analysis of variance,Pearson correlation analysis and multiple regression analysis.Results A total of 102elderly stroke patients with swallowing disorder were included in the study,and their safe eating behavior score was 70.87±18.24 points,which was positively correlated with CD-RISC score(r=0.644,P<0.01)and SSRS score(r=0.530,P<0.01).The score of CD-RISC was positively correlated with the score of SSRS(r=0.627,P<0.01).Residence,comorbidities,marital status,mental toughness and social support were independent factors influencing safe eating behavior in elderly stroke patients with dysphagia.Conclusion The increase of safe eating behavior in elderly stroke patients with dysphagia is associated with living in urban areas,being married,having no comorbidities,and having higher psychological resilience and social support.Based on these variables,targeted intervention programs should be further constructed to help elderly stroke patients with swallowing disorders increase safe eating behaviors.

关 键 词：脑卒中 吞咽障碍 安全进食行为 心理因素 

分 类 号：R47[医药卫生—护理学]