基于信息-动机-行为技巧模型理论的脑卒中吞咽障碍护理方案对老年脑卒中吞咽障碍病人的干预效果

doi:10.3969/j.issn.1003-9198.2023.12.021

Abstract

Abstract: Objective To construct a post-stroke dysphagia nursing program based on the theory of information-motivation-behavioral skills model (IMB), and to explore its intervention effect in the elderly patients with post-stroke dysphagia. Methods By convenience sampling methods, 100 elderly patients with post-stroke dysphagia hospitalized in Department of Neurology of the Third Affiliated Hospital of Guangxi Medical University from May to September 2022 were selected, and they were divided into observation group (n=50) and control group (n=50) according to random number table. First, A multi-core team of IMB nursing intervention was established, and then the first draft of the post-stroke dysphagia nursing program was formed after the literature review. Finally, the final nursing plan was formed after the expert group meeting. The observation group received the post-stroke dysphagia nursing program based on IMB theory, and the control group received regular care. The degree of dysphagia, changes in Swallow-Specific Quality of Life (SWAL-QOL) scores, and the incidence rate of aspiration pneumonia after four weeks of intervention were compared between the two groups. Results After 4 weeks of intervention, the degree of dysphagia in the observation group was lower than that in the control group, and the total score of SWAL-QOL and the scores in all dimensions were higher than those in the control group, and the incidence rate of aspiration pneumonia was lower than that in the control group (P<0.05 or P<0.01). Conclusions The post-stroke dysphagia nursing program based on IMB theory can not only significantly improve the quality of life and swallowing function in the elderly patients with post-stroke dysphagia, but also effectively reduce the incidence of aspiration pneumonia.

Key words: stroke, dysphagia, aged, quality of life, aspiration pneumonia, information-motivation-behavioral skills model

CLC Number:

R 473.74

HUANG Hong-tai, WANG Li, PANG Shu-xian, ZHANG Qian, FANG Jin-ju, LI Cheng-lin. Intervention effect of post-stroke dysphagia nursing program based on information-motivation-behavioral skills model theory in elderly patients[J]. Practical Geriatrics, 2023, 37(12): 1278-1282.

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Intervention effect of post-stroke dysphagia nursing program based on information-motivation-behavioral skills model theory in elderly patients

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