Application of dysphagia rehabilitation pathway nursing in patients with dysphagia after stroke / 中国实用护理杂志

ABSTRACT

Objective:To explore the application effect of dysphagia rehabilitation pathway nursing in patients with dysphagia after stroke.Methods:Eighty patients with dysphagia after stroke who were admitted to the hospital from October 2019 to April 2020 were enrolled as the research objects. They were divided into observation group and control group by random number table method, 40 cases in each group. The control group was given routine nursing intervention, while observation group was given dysphagia rehabilitation pathway nursing on basis of control group. The swallowing function, serum ALBumin (ALB), subcutaneous fat, weight, incidence of aspiration pneumonia and nutrition deficiency were compared between the two groups at admission, after 2 weeks and 4 weeks of intervention.Results:After 2 weeks of intervention, the number of cases with normal swallowing function in observation group was significantly more than that in control group (15, 30 vs 7, 21) ( χ2 value was 4.013, 4.381, P<0.05). After 4 weeks of intervention, number of cases with abnormal swallowing function in observation group was less than that in control group (2 vs 9) ( χ2 value was 5.165, P<0.05). After 4 weeks of intervention, level of plasma ALB and TSF, and weight in the observation group were significantly higher than those in the control group [(39.46±2.84)g/L, (19.28±2.20)mm, (19.28±2.20) kg vs (31.71±2.59)g/L, (17.06±2.35)mm, (62.48±4.29)kg]( t value was 12.752, 4.362, 2.317, P<0.05), while incidence rates of aspiration pneumonia and nutrition deficiency were significantly lower than those in control group [12.50% (5/40), 2.50% (1/40) vs 32.50% (13/40), 32.50% (13/40)] ( χ2 value was 4.588, 12.468, P<0.05). Conclusion:Application of dysphagia rehabilitation pathway nursing in patients with dysphagia after stroke can significantly promote the recovery of swallowing function, improve their nutrition status, and reduce incidence of aspiration pneumonia and nutrition deficiency.