目的 了解真性球麻痹吞咽障碍患者间歇经口至食管管饲（intermittent oral-esophageal tube feeding,IOE）的真实体验，为IOE在真性球麻痹吞咽障碍患者中的优化应用提供参考。方法 以目的性抽样法选取2022年3月至2023年3月在长治市某三级甲等医院康复医学科住院的真性球麻痹吞咽障碍患者16名为研究对象，对其进行半结构化访谈，采用Colaizzi现象学资料分析法并在Nvivo 11.0软件的辅助下整理分析资料。结果 共凝练3个主题，即心理应激反应、感知益处、管饲照护需求。结论 医护人员应重视真性球麻痹吞咽障碍患者的应激反应，强化益处体验，提供多元化支持，优化IOE应用策略。

Objective To explore the real experience of intermittent oro-esophageal tube feeding on patients with dysphagia caused by true bulbar paralysis,and to provide reference for the optimal application of oro-esophageal tube feeding on these patients.Methods Purposive sampling method was used to select 16 patients with dysphagia caused by the true bulbar paralysis for semi-structured interviews,who were hospitalized by the Department of Rehabilitation Medicine of a tertiary hospital in Changzhi City from March 2022 to March 2023.Colaizzi’s phenomenological data analysis method was used to analyze the data with the help of Nvivo11.0 software.Results A total of 3 themes were extracted,including psychological stress response,perceived benefits,and feeding care needs.Conclusions Medical staff should focus on the stress response of patients with dysphagia caused by the true bulbar paralysis.It is also necessary to enhance the benefit experience,provide multiple support,and optimize the IOE application strategy.

R473.76

中南大学教育教学改革项目（2019jy188）