Application of nurse-physician united management model in preventing ischemic stroke patients from aspiration / 中国实用护理杂志

ABSTRACT

Objective To investigate the application effect of nurse-physician united management model of preventing aspiration in ischemic stroke patients.Methods Eighty-eight ischemic stroke patients were enrolled in Nantong University Affiliated Hospital,Department of Neurology from Jan to Dec 2014.The Watian drinking water test scoring Ⅰ-Ⅱ were considered as control,who were treated by routine diet nursing;The patients with Watian drinking water test score greater than Ⅲ were treated by indwelling gastric tube via nose-stomach.The patients were fed through nasogastric tubes by nurses.The experimental group were treated with nurse-physician united management model.The preventing aspiration score and aspiration rate were measured and observed.Results Before intervention,no significant difference was observed between two groups in US National Institute of Health Stroke Score and Watian drinking water test score (P ＞ 0.05).After admission for seven days,the preventing aspiration score in control group was 32-75 (51.42±7.83)and 65-88 (69.25±6.52)in treatment group,yielding the P value less than 0.01 (t value was 11.62).The accidental aspiration rate in treatment group was 27.50％ (11/40) and 2.08％ (1/48) in control group,with the P value less than 0.05 (X2=11.97).Conclusions Nurse-physician united management model of preventing aspiration could significantly enhance the awareness of aspiration and decrease the rate of accidental aspiration during admission.