Effect analysis of the predictive nursing intervention on the incidence of aspiration pneumonia in patients with post-stroke dysphagia

Abstract

Objective To research the effect of the predictive nursing intervention for the incidence of aspiration pneumonia in patients with post-stroke dysphagia (PSD). Methods A total of 40 patients with PSD in our hospital since January 2013 to October 2014 were selected, and were randomized divided into two groups, 20 cases in the observation group and 20 cases the control group. All patients received the same treatment, and the patients of control group were treated with conventional nursing intervention while the patients of observation group were treated with the predictive nursing intervention on the basis of the control group treatment. We supervised the Watian′s drinking water test (WTDWT) score, swallowing function assessment (SFA) score, clinical efficacy, and compared rate of aspiration pneumonia occurrence and the prognosis 1 month after the treatment in the two groups. Results The WTDWT score and SFA score were obviously higher than these in the control group, the difference was statistically significant (t=3.589, 3.567; P<0.05); the total rate of clinical efficacy in the observation group and control group were respectively 95% (19/20) and 70% (14/20), the difference was statistically significant (χ2=4.621, P<0.05); the prognosis in the observation group were obviously better than this in the control group, the difference was statistically significant (P<0.05); the rate of aspiration pneumonia occurrence in the observation group and control group were respectively 30% (6/20) and 55% (11/20), the difference was statistically significant (χ2=4.128, P<0.05). Conclusions Predictive nursing intervention has a very good clinical nursing effect on the treatment for patients with PSD, can improve patients′ swallowing function and effectively reduce the aspiration pneumonia occurrence, thus it is worth to be widely popularized in clinic. Key words: Stroke; Dysphagia; Predictive nursing intervention; Aspiration pneumonia