脑卒中患者进食困难的现况调查

被引：9

作者：

汪婷 ^{[1
]}

蒋红 ^{[1
]}

王君俏 ^{[2
]}

王亮 ^{[3
]}

刘景芳 ^{[4
]}

Albert Westergren ^{[5
]}

机构：

[1] 上海, 复旦大学附属华山医院护理部

[2] 复旦大学护理学院

[3] 上海, 复旦大学附属华山医院护神经内科

[4] 上海, 复旦大学附属华山医院护营养科

[5] Kristianstad University

来源：

中国实用护理杂志 | 2016年 / 32卷 / 08期

关键词：

卒中; 数据收集; 进食困难;

D O I：

暂无

中图分类号：

R473.74 [神经病、精神病护理学];

学科分类号：

1011 ;

摘要：

目的本研究通过引进简易进食观察量表-Ⅱ(MEOF-II), 了解脑卒中经口进食患者的进食现况, 为实施有针对性的干预措施提供依据。方法采用描述性研究设计, 调查了上海市3所医院(复旦大学附属华山医院、复旦大学附属华山医院宝山分院、复旦大学附属华东医院)的125例脑卒中经口进食患者, 研究工具包括一般资料问卷及中文版MEOF-Ⅱ。结果量表9个条目中, 最常见的进食困难是"获取餐具里的食物", 其次是"从餐具中将食物拿起然后放入口中""吃掉3/4以上的食物"以及"坐的姿势"。患者的年龄对进食困难的发生有一定影响, 在条目A1"坐的姿势"、条目A2"获取餐具里的食物"等条目的差异有统计学意义。进食困难状况与协助进食之间相关性显著。结论大多数脑卒中经口进食患者都存在至少1种类型的进食困难, 医护人员在临床护理工作中, 应采用针对进食困难的系统而全面的评估工具, 及时获得患者进食状况的信息, 以便为患者提供有针对性的进食调整和一定的支持。

引用

页码：585 / 589

页数：5

共 20 条

[1]

上海市虹口区脑卒中后患者营养现状调查及营养不良相关因素研究.[D].杨江胜.苏州大学.2009, 09

[2] Living at home with eating difficulties following stroke: a phenomenological study of younger people's experiences [J].

Klinke, Marianne E. ;

Hafsteinsdottir, Thora B. ;

Thorsteinsson, Bjorn ;

Jonsdottir, Helga .

JOURNAL OF CLINICAL NURSING, 2014, 23 (1-2) :250-260

[3]

Promoting psychosocial well-being following a stroke: Developing a theoretically and empirically sound complex intervention.[J].Marit Kirkevold;Berit A. Bronken;Randi Martinsen;Kari Kvigne.International Journal of Nursing Studies.2011, 4

[4] Eating difficulties among patients 3 months after stroke in relation to the acute phase [J].

Medin, Jorgen ;

Windahl, Jenny ;

von Arbin, Magnus ;

Kerstin Tham ;

Wredling, Regina .

JOURNAL OF ADVANCED NURSING, 2012, 68 (03) :580-589

[5] Eating difficulties among stroke patients in the acute state: a descriptive, cross-sectional, comparative study [J].

Medin, Jorgen ;

Windahl, Jenny ;

von Arbin, Magnus ;

Tham, Kerstin ;

Wredling, Regina .

JOURNAL OF CLINICAL NURSING, 2011, 20 (17-18) :2563-2572

[6] Helping understand nutritional gaps in the elderly (HUNGER): A prospective study of patient factors associated with inadequate nutritional intake in older medical inpatients [J].

Mudge, Alison M. ;

Ross, Lynda J. ;

Young, Adrienne M. ;

Isenring, Elizabeth A. ;

Banks, Merrilyn D. .

CLINICAL NUTRITION, 2011, 30 (03) :320-325

[7] Striving for control in eating situations after stroke [J].

Medin, Jorgen ;

Larson, Jenny ;

von Arbin, Magnus ;

Wredling, Regina ;

Tham, Kerstin .

SCANDINAVIAN JOURNAL OF CARING SCIENCES, 2010, 24 (04) :772-780

[8] Minimal eating observation form: Reliability and validity [J].

Westergren, A. ;

Lindholm, C. ;

Mattsson, A. ;

Ulander, K. .

JOURNAL OF NUTRITION HEALTH & AGING, 2009, 13 (01) :6-11

[9]

Nutrition and its relation to mealtime preparation; eating; fatigue and mood among stroke survivors after discharge from hospital - a pilot study..[J].Westergren Albert.The open nursing journal.2008, 1

[10]

Evaluation of lactate as a marker of metabolic stress and cause of secondary damage in acute ischemic stroke or TIA.[J]..Clinica Chimica Acta.2008, 1

← 1 2 →