Volume 23 Issue 12
Dec.  2025
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Article Navigation >  Chinese Journal of General Practice  > 2025  >  23(12): 2022-2025
PENG Huahua, WANG Yongsheng, WANG Dexiu. Application of chain management model for aspiration pneumonia prevention in post-ischemic stroke populations[J]. Chinese Journal of General Practice, 2025, 23(12): 2022-2025. doi: 10.16766/j.cnki.issn.1674-4152.004282
Citation: PENG Huahua, WANG Yongsheng, WANG Dexiu. Application of chain management model for aspiration pneumonia prevention in post-ischemic stroke populations[J]. Chinese Journal of General Practice, 2025, 23(12): 2022-2025. doi: 10.16766/j.cnki.issn.1674-4152.004282
shu

Application of chain management model for aspiration pneumonia prevention in post-ischemic stroke populations

doi: 10.16766/j.cnki.issn.1674-4152.004282
  • 1.

    Department of Endocrinology, Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine, Wenzhou, Zhejiang 325000, China

Funds:

 2020ZB241

 Y20240251

  • Received Date: 2025-02-26
    Available Online: 2026-03-13
    Abstract
  •   Objective  Aspiration pneumonia (AP) is a common complication in patients with ischemic stroke (IS), which not only prolongs hospital stays but also increases the risk of mortality. Its prevention necessitates a systematic solution. Chain management represents a systematic, continuous, and multidisciplinary collaborative management model. This study aims to explore the application value of the chain management model in preventing AP in IS patients.  Methods  A total of 150 patients with IS admitted to Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine between January 2022 and January 2024 were enrolled and randomly divided into an observation group and a baseline group using the random number table method, with 75 cases in each group. The baseline group received conventional management, while the observation group adopted a chain management model. The occurrence of AP, the score of ischemic stroke-associated pneumonia (AIS-APS), the score of the gugging swallowing screening scale (GUSS), the score of the malnutrition universal screening tool (MUST), the score of the oral health assessment tool (OHAT), and the satisfaction degree of the two groups of IS patients were compared.  Results  The incidence of AP in the observation group was lower than that in the baseline group [12.00% (9/75) vs. 32.00% (24/75), χ2=8.741, P=0.003]. The severity of AP in the observation group was also lower than that in the baseline group (P=0.018). The incidence of AP in IS patients aged ≥65 years was higher than that in IS patients aged < 65 years. Additionally, as the severity of dysphagia increased among IS patients, the incidence of AP exhibited an upward trend (P < 0.05). After the intervention, the observation group had significantly lower AIS-APS, MUST, and OHAT scores, along with a higher GUSS score compared to the baseline group (P < 0.05). Patient satisfaction was notably higher in the observation group than in the baseline group [97.33% (73/75) vs. 85.33% (64/75), χ2=6.822, P=0.009].  Conclusion  The application of the chain management model in patients with IS can reduce the incidence and severity of AP, and has a high patient's satisfaction.

     

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