Cox健康行为互动模式在预防脑卒中吞咽障碍患者误吸中的作用  

Etfect of the Cox health behaviour interaction model in preventing aspiration in stroke patients with swallowing disorders

作　　者：梁毅[1] 韦茜 车小艳[1] 罗利金 黄牧琦 LIANG Yi;WEI Qian;CHE Xiaoyan;LUO Lijin;HUANG Muqi(Guangxi Liuzhou People's Hospital,Liuzhou 545006,China)

机构地区：[1]广西柳州市人民医院康复医学科,广西壮族自治区柳州市545006

出　　处：《护理实践与研究》2025年第4期583-589,共7页Nursing Practice and Research

基　　金：广西壮族自治区卫生健康委经费科研课题(编号:Z-B200231365)。

摘　　要：目的探讨Cox健康行为互动模式在脑卒中患者吞咽康复中的应用效果。方法选取医院2023年1—12月医院收治的60例脑卒中吞咽障碍患者作为研究对象,按照组间资料可比的原则分为对照组和观察组,各30例。对照组患者使用常规康复训练,观察组患者在对照组基础上联合使用Cox健康行为互动模式,使用吞咽功能评估量表(standard swallowing assessment,SSA)、吞咽障碍特异性生活质量量表(swallowing quality of life,SWAL-QOL)、自我效能感量表(general self-efficacy scale,GSES)、渗透-误吸量表(penetration-aspiration scale,PAS)、住院患者营养风险筛查量表(nutritional risk screening,NRS-2002)评估两组患者干预前后的吞咽障碍功能、生活质量情况以及自我效能感、误吸发生率、营养情况。使用医患沟通技能评价量表(SEGUE Framework,SEGUE)评价两组医患的沟通能力。结果干预前,两组患者SSA评分比较,差异无统计学意义(P>0.05);干预后,观察组SSA评分低于对照组,差异有统计学意义(P<0.05)。两组患者干预前SWAL-QOL评分比较,差异无统计学意义(P>0.05);干预后,观察组SWAL-QOL评分高于对照组患者,差异有统计学意义(P<0.05),观察组生活质量得分高于对照组;两组患者干预前GSES评分比较,差异无统计学意义(P>0.05);干预后,观察组GSES评分高于对照组,差异有统计学意义(P<0.05)。两组干预前误吸发生率比较,差异无统计学意义(P>0.05);干预后,观察组误吸发生率低于对照组患者,差异有统计学意义(P<0.05),干预前两组患者营养风险筛查评分比较,差异无统计学意义(P>0.05);干预后,观察组营养风险筛查评分低于对照组,差异有统计学意义(P<0.05)。结论Cox健康行为互动模式在脑卒中患者吞咽康复中应用效果较好,可以改善患者吞咽功能障碍,减少误吸发生率,同时提高患者生活质量、自我效能感、营养情况,提高医患沟通能力。Objective To explore the application eff ect of Cox healthy behavior interaction model in swallowing rehabilitation of stroke patients.Methods Sixty patients with stroke and swallowing disorders admitted to the hospital from January to December 2023 were selected as the study objects,they were divided into a control group and an observation group according to the principle of comparable data between groups,with 30 cases in each group.Patients in the control group used routine rehabilitation training,and patients in the observation group applied the combined Cox healthy behavior interaction mode on the basis of the control group.The Standard Swallowing Assessment(SSA)scale,Swallowing Quality of Life(SWAL-QOL)scale,General Self-Efficacy Scale(GSES),Penetration-Aspiration Scale(PAS),and Nutritional Risk Screening(NRS-2002)scale were used to evaluate the swallowing dysfunction function,quality of life,self-effi cacy,incidence of aspiration,and nutrition before and after intervention between two groups.The communication skills of the two groups of nurses were evaluated using the nurse-patient communication skills assessment scale(SEGUE Framework,SEGUE).Results Before the intervention,there were not statistically significant of SSA scores between two groups(P>0.05);after the intervention,the SSA score of the observation group was lower than that of the control group,and the diff erence was statistically signifi cant(P<0.05).There was no statistically signifi cant diff erence of SWAL-QOL score between the two groups before the intervention(P>0.05).After the intervention,the SWAL-QOL score in the observation group was higher than that in the control group,with a statistically signifi cant diff erence(P<0.05).The quality of life score in the observation group was signifi cantly higher than that in the control group.There was no statistically signifi cant diff erence in GSES score between the two groups before the intervention(P>0.05).After the intervention,the GSES score in the observation group was higher than that in th

关 键 词：Cox健康行为互动模式 脑卒中 吞咽康复 误吸 营养风险 自我效能感 

分 类 号：R473.54[医药卫生—护理学]