输卵管养方式如何影响缺血性中风后食障碍患者的焦虑:一种倾向性得分匹配的纵向研究
Hongji Zeng1,2, Weijia Zhao1, Jing Zeng2,3
1School of Public Health, Zhengzhou University, Zhengzhou, China.
概括
与鼻胃管养 (NGT) 相比,间歇性耳食管养 (IOE) 降低了患有失足症的中风患者的焦虑. 这与改善舒适度和自我感知有关.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
背景情况:
- 输管养方法会影响患者的心理状态.
- 间歇性耳食管养 (IOE) 和鼻胃管养 (NGT) 之间的机制和差异仍然不清楚.
- 脑卒中后食障碍患者的焦虑是一个重大问题.
研究的目的:
- 调查IOE与NGT对缺血性中风后食障碍患者焦虑的影响.
- 探索输管养模式与焦虑之间的关系中介因素.
主要方法:
- 在2459名患有缺食症后缺血性中风的患者进行了长度观察研究.
- 通过问卷,秤和医疗记录收集的关于焦虑,自我认知和治疗的数据.
- 倾向性得分匹配 (PSM) 和路径分析用于评估关联和机制.
主要成果:
- 与NGT用户 (44.42%) 相比,IOE用户的中度至重度焦虑率 (25.88%) 显著降低.
- PSM分析表明,焦虑率的差异为8.56%,有利于IOE.
- 舒适的自我感知,反流,饮食,社交活动,自尊和运动调解了食模式对焦虑的影响.
结论:
- 与NGT相比,IOE与中风后的功能障碍患者的焦虑症状降低有关.
- 患者对舒适度的自我认知,日常生活,以及心理因素,均会影响输卵管类型对焦虑的影响.
- 研究结果表明,IOE可能是这种患者群体中管理焦虑的首选方法.
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