Volume 19 Issue 3
Mar.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(3): 508-510,514
WANG Lan-zhen, XU Li-ping, XU Shu-fen, HU Jun, XU Hui-xia, CHEN Mei-qin. Nursing management plan and effect evaluation of stroke patients with dysphagia from the evidence-based perspective[J]. Chinese Journal of General Practice, 2021, 19(3): 508-510,514. doi: 10.16766/j.cnki.issn.1674-4152.001848
Citation: WANG Lan-zhen, XU Li-ping, XU Shu-fen, HU Jun, XU Hui-xia, CHEN Mei-qin. Nursing management plan and effect evaluation of stroke patients with dysphagia from the evidence-based perspective[J]. Chinese Journal of General Practice, 2021, 19(3): 508-510,514. doi: 10.16766/j.cnki.issn.1674-4152.001848
shu

Nursing management plan and effect evaluation of stroke patients with dysphagia from the evidence-based perspective

doi: 10.16766/j.cnki.issn.1674-4152.001848
  • 1.

    Department of Neurology, Quzhou City People's Hospital, Quzhou, Zhejiang 324000, China

Funds:

 2020KY1023

  • Received Date: 2020-09-17
    Available Online: 2022-02-19
    Abstract
  •   Objective  To analyze the specific measures to construct the nursing management scheme of stroke patients with dysphagia from the perspective of evidence-based, and analyze the effect evaluation of applying evidence-based nursing to stroke patients with dysphagia.  Methods  Total 821 cases of stroke patients in our hospital from January 2018 to December 2018 were selected as the control group, and 829 cases of stroke patients in our hospital from January 2019 to December 2019 were selected as the observation group. Patients in the control group were treated with routine nursing program, while patients in the observation group were treated with nursing management scheme constructed from the evidence-based perspective. The rate of indwelling gastric tube, indwelling time of gastric tube and incidence of pneumonia after stroke were compared between the two groups.  Results  The retention rate was 25.2% in the control group. The length of indwelling gastric tube in the observation group was (6.28±1.54) d, shorter than that in the control group (7.02±2.31). The incidence of pneumonia after stroke in the control group was 5.0%, significantly higher than 2.9% of the patients in the observation group (P < 0.05). Before the intervention, there was no significant difference in standard swallowing function score (SSA) between the two groups (P>0.05). After nursing intervention, the scores of swallowing functions in the observation group were better than those in the control group, differences were statistically significant (P < 0.05).  Conclusion  The implementation of evidence-based nursing management program is more conducive to reduce the incidence of indwelling gastric tube and post-stroke pneumonia in patients with dysphagia after stroke, and significantly improve the swallowing function of patients, which is worthy of clinical application.

     

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