TITLE:
Construction of a Nutritional Management System for Dysphagia in Stroke Patients on the Basis of Multidisciplinary Collaboration with the HAPA Model
AUTHORS:
Meifen Lv, Na Yan, Ya Li, Baocai Hong, Xiongli Fu, Pinwen Tu, Chaochao Yang, Yongqian Deng, Yunbin Sun, Shiying Zhang, Shaokun Lv
KEYWORDS:
HAPA Model, Multidisciplinary Collaboration, Nutritional Management System, Stroke, Swallowing Disorders
JOURNAL NAME:
World Journal of Neuroscience,
Vol.15 No.3,
August
20,
2025
ABSTRACT: Objective: To analyze the value of a multidisciplinary collaborative nutrition management system based on the Health Action Process Approach (HAPA) model in stroke patients with dysphagia. Methods: A total of 94 stroke patients with dysphagia admitted to our hospital were enrolled and divided into two groups according to admission time. The control group (n = 47, admitted between January 2024 and June 2024) received routine care, while the observation group (n = 47, admitted between January 2025 and June 2025) received a multidisciplinary collaborative nutrition management system based on the HAPA model. The intervention effects of the two groups were evaluated according to swallowing function, self-efficacy, nutritional indicators, and complications. Results: After intervention, the observation group showed significantly higher scores than the control group on both the Chinese version of the Gugging Swallowing Screen (GUSS) and the General Self-Efficacy Scale (GSES) (P P P Conclusion: The application of the HAPA model-based multidisciplinary collaborative nutritional management system for stroke patients with dysphagia can improve swallowing function, self-efficacy, and nutritional status and reduce the risk of complications.