The application of family empowerment intervention among caregivers of stroke patients with dysphagia
10.3760/cma.j.cn115682-20241009-05501
- VernacularTitle:家庭赋权干预在脑卒中吞咽障碍患者照顾者中的应用
- Author:
Huimian YUAN
1
;
Xiaoxia FANG
;
Jie YANG
Author Information
1. 新乡市中心医院重症医学科五区，新乡医学院第四临床学院，新乡 453000
- Publication Type:Journal Article
- Keywords:
Stroke;
Dysphagia;
Caregiver;
Caregiver Skill Model;
Family empowerment
- From:
Chinese Journal of Modern Nursing
2025;31(22):3048-3052
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application effect of a family empowerment intervention based on the Caregiver Skill Model in stroke patients with dysphagia.Methods:A total of 144 stroke patients with dysphagia and their caregivers hospitalized at Xinxiang Central Hospital from February 2023 to January 2024 were selected by convenience sampling. Patients were randomly assigned using a random number generator into an observation group ( n=72) and a control group ( n=72). The control group received routine nursing care, while the observation group received an additional family empowerment intervention based on the Caregiver Skill Model. The Caregiver Competence Questionnaire for Patients with Dysphagia, Zarit Burden Interview (ZBI), Positive Aspects of Caregiving (PAC) scale were used to evaluate caregiver outcomes. Swallowing function and nutritional status of patients were also compared between the two groups. Results:One month after discharge, the ZBI score of caregivers in the observation group was lower than that in the control group, the scores of the Caregiver Competence Questionnaire and PAC were higher than those in the control group, the differences were all statistically significant ( P<0.05). The total SSA score of patients in the observation group was lower than that in the control group, and the levels of serum albumin and prealbumin were higher than those in the control group, these differences were also statistically significant ( P<0.05) . Conclusions:Family empowerment intervention based on the Caregiver Skill Model can effectively improve caregivers' competence, reduce caregiver burden, enhance positive caregiving efficacy, and improve patients' swallowing function and nutritional status.
