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对中国广州392名精神科住院患者吞咽功能及其影响因素的横断面研究。

A cross-sectional study of swallowing function and influencing factors in 392 psychiatric inpatients in Guangzhou China.

作者信息

Ye Junrong, Chen Jiao, Wei Yanheng, Huang Xingxiao, Wu Shengwei, Wang Wen, Zhou Tingwei, Pan Yuanxin, Li Zezhi, Xiao Aixiang

机构信息

Department of Nursing Administration, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, China.

Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou, 510370, China.

出版信息

Sci Rep. 2025 May 24;15(1):18073. doi: 10.1038/s41598-025-02335-x.

Abstract

Psychiatric inpatients might experience a higher incidence of dysphagia. However, the factors specifically affecting psychiatric inpatients with dysphagia remain unexplored. This study aims to explore the swallowing function and influencing factors of psychiatric inpatients. A total of 392 psychiatric inpatients were selected for this study. Their swallowing function was evaluated using the Standardized Swallowing Assessment. The data collected included sociodemographic characteristics, Social Support Rating Scale (SSRS) and Activity of Daily Living Scale (ADL). 75% of patients (n = 265) were female and 332 (84.7%) were over 60 years old. The significant factors influencing the swallowing function among psychiatric inpatients included age, diagnosis, duration of illness, somatic comorbidities and admission routes (P < 0.05). After subjecting these factors to linear regression analysis, it was revealed that the swallow function of psychiatric inpatients was strongly correlated with dementia, ADL (moderate dependence, severe dependence), somatic comorbidities, SSRS (utilization of social support, objective support) (P < 0.05). Psychiatric inpatients with dysphagia was affected to varying degrees by dementia, self-care ability, somatic comorbidities and social support. The swallowing function of psychiatric inpatients was associated with dementia, the ability to perform daily activities, somatic comorbidities and social support. Future studies should focus on the recovery of swallowing function and somatic comorbidities, self-care ability, and multi-level social support for psychiatric inpatients.

摘要

精神科住院患者可能有更高的吞咽困难发生率。然而,具体影响有吞咽困难的精神科住院患者的因素仍未得到探索。本研究旨在探讨精神科住院患者的吞咽功能及其影响因素。本研究共选取了392名精神科住院患者。采用标准化吞咽评估对他们的吞咽功能进行评估。收集的数据包括社会人口学特征、社会支持评定量表(SSRS)和日常生活活动量表(ADL)。75%的患者(n = 265)为女性,332名(84.7%)患者年龄超过60岁。影响精神科住院患者吞咽功能的显著因素包括年龄、诊断、病程、躯体合并症和入院途径(P < 0.05)。对这些因素进行线性回归分析后发现,精神科住院患者的吞咽功能与痴呆、ADL(中度依赖、重度依赖)、躯体合并症、SSRS(社会支持利用度、客观支持)密切相关(P < 0.05)。有吞咽困难的精神科住院患者在不同程度上受到痴呆、自我护理能力、躯体合并症和社会支持的影响。精神科住院患者的吞咽功能与痴呆、日常活动能力、躯体合并症和社会支持有关。未来的研究应关注精神科住院患者吞咽功能的恢复以及躯体合并症、自我护理能力和多层次社会支持。

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