Study on the incidence of aspiration pneumonia in stroke patients with dysphagia screening and prospective intervention / 中国基层医药

ABSTRACT

Objective To investigate the effect of dysphagia screening and prospective interventional nursing in reducing the aspiration pneumonia in stroke patients.Methods 186 patients with acute stroke were randomly divided into control group and interventional group,93 cases in each group.The Watian drinking water test was used to screen dysphagia,and the routine nursing was used in the control group.The combined screening of Watian drinking water test and oxygen desaturation monitoring was used to screen dysphagia,and prospective intervention nursing in addition to the routine nursing was used in the interventional group.The detection rate of dysphagia and the incidence of aspiration pneumonia in 4 weeks were compared between the two groups.Results The detection rate of dysphagia in the intervention group was higher than that in the control group (41.9% vs 19.4%,χ2 =11.16,P <0.01),and the incidence of aspiration pneumonia was lower than that in the control group (12.9% vs 4.3%,χ2 =4.38,P <0.05).Conclusion The detection rate of dysphagia can be improved by using the combined screening of Watian drinking water test and oxygen desaturation monitoring.The incidence of aspiration pneumonia can be reduced by using combined screening with additional prospective interventional nursing.