Trajectory and influencing factors of oral frailty in first-onset elderly patients with ischemic stroke
10.3760/cma.j.cn115682-20240930-05423
- VernacularTitle:首发老年缺血性脑卒中患者口腔衰弱发展轨迹及影响因素研究
- Author:
Yang SHI
1
;
Hailong YU
;
Zhie GU
;
Huiwen HUANG
;
Li JI
;
Lin WANG
;
Can CHEN
Author Information
1. 江苏省扬州五台山医院神经内科，扬州 225003
- Publication Type:Journal Article
- Keywords:
Stroke;
Aged;
First-onset;
Oral frailty;
Trajectory
- From:
Chinese Journal of Modern Nursing
2025;31(16):2195-2202
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the trajectory and influencing factors of oral frailty in first-onset elderly patients with ischemic stroke.Methods:A total of 240 inpatients from the neurology departments of Wutaishan Hospital and Northern Jiangsu People's Hospital between October 2022 and February 2024 were selected by convenience sampling. Oral frailty scores were assessed dynamically at four time points: 1 day before discharge (T 1) , 1 month after discharge (T 2) , 3 months after discharge (T 3) , and 6 months after discharge (T 4) . Latent growth modeling was used to identify potential trajectory categories and analyze their influencing factors. Results:A total of 240 questionnaires were distributed, with 220 valid responses, yielding a response rate of 91.67%. A total of three trajectory types of oral frailty were identified: non-oral frailty group ( n=92) , low-decline group ( n=66) , and high-decline group ( n=62) . Age, marital status, smoking history, dysphagia, National Institute of Health Stroke Scale score, oral health, nutritional status, oral health-related self-efficacy, monthly per capita household income, polypharmacy, denture use, and cognitive function were influencing factors of oral frailty in first-onset elderly patients with ischemic stroke ( P<0.05) . Conclusions:From 1 day before discharge to 6 months after discharge, there are 3 distinct oral frailty trajectories in first-onset elderly patients with ischemic stroke. Medical staff should implement individualized interventions based on the identified influencing factors.
