Volume 21 Issue 2
Feb.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(2): 350-353
HU Sui-chai, WANG Dan-jin, CHEN Jie, CAO Fu-xiao, LI Xia, YAN Lei-lei. Establishment and application of a rehabilitation program based on the HACCP principles for ICU-acquired dysphagia[J]. Chinese Journal of General Practice, 2023, 21(2): 350-353. doi: 10.16766/j.cnki.issn.1674-4152.002880
Citation: HU Sui-chai, WANG Dan-jin, CHEN Jie, CAO Fu-xiao, LI Xia, YAN Lei-lei. Establishment and application of a rehabilitation program based on the HACCP principles for ICU-acquired dysphagia[J]. Chinese Journal of General Practice, 2023, 21(2): 350-353. doi: 10.16766/j.cnki.issn.1674-4152.002880
shu

Establishment and application of a rehabilitation program based on the HACCP principles for ICU-acquired dysphagia

doi: 10.16766/j.cnki.issn.1674-4152.002880
  • 1.

    Intensive Care Unit of the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang 325000, China

Funds:

 2020KY189

 Y20190347

  • Received Date: 2022-04-11
    Available Online: 2023-04-20
    Abstract
  •   Objective  This study aimed to investigate the application effect and safety of a rehabilitation program based on the hazard analysis and critical control points (HACCP) principles for patients with acquired dysphagia in the intensive care unit (ICU).  Methods  The clinical data of 142 patients with ICU-acquired dysphagia treated in the Second Affiliated Hospital of Wenzhou Medical University from May 2020 to December 2021 were retrospectively analysed. Based on different admission time periods, they were divided into the control group (admission from May 2020 to February 2021) and research group (admission from March 2021 to December 2021), with 71 cases in each group. The control group received conventional rehabilitation training, and the research group received rehabilitation training based on HACCP principles. When leaving the ICU, the Gugging Swallowing Screen (GUSS) assessment scale, the water swallowing test (WST) score, Chinese version of the swallowing quality of life scale (SWAL-QOL) score and the incidence of adverse events (including aspiration, aspiration pneumonia and substandard diet) were compared between the two groups.  Results  After training, the GUSS score in the research group was 19.14±0.43, which was significantly higher than that in the control group (17.84±1.04), and the WST, feeding time, sleep, food choice and symptom frequency scores were 1.34±0.46, 51.37±4.29, 56.48±4.94, 61.22±5.02 and 47.19±4.52, respectively, which were significantly lower than the control group (1.98±0.81, 63.26±5.15, 65.25±5.63, 65.32±5.47 and 53.53±4.16). The difference was statistically significant (t=9.734, 5.789, 14.947, 9.866, 4.653, 8.696; all P < 0.001). The rate of adverse events occurred in the research group was 1.41%(1/71), which was significantly lower than 29.58%(21/71) in the control group, and the difference was statistically significant (χ2=21.515, P < 0.001).  Conclusion  Rehabilitation training based on the HACCP principle for ICU-acquired dysphagia has a significant effect and high safety.

     

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