Nurse-leading treatment-nursing-rehabilitation integration in management of patients with dyaphagia

Abstract

Objective To explore the effect of nurse-leading treatment-nursing-rehabilitation integration in management of patients with dyaphagia, to provide some references for further promotion of the nursing mode. Methods 857 patients with high-risk dysphagia admitted to our hospital from January to December, 2017 were selected as a control group, and 857 from January to September, 2018 an observation group. The control group received routine treatment and care for dysphagia. For the observation group, an integration team led by nurses and participated by doctors and therapists were built to develop standardized nursing forms, information transfer procedures, and nursing quality evaluation indicators. The daily living ability, quality of life, improvement of swallowing function, and changes in the nurses' knowledge about swallowing were compared between two groups. Results The scores of Basic Activities of Daily Living (BADL) and Quality of Life in Swallowing Disorders (SWAL-QOL) were (95.7±8.3) and (45.2±4.8) in the observation group, and were (81.3±7.9) and (35.4±3.2) in the control group, with statistical differences (both P<0.05). The improvement of patients' swallowing function and the level of nurses' knowledge about swallowing were significantly higher in the observation group than in the control group, with statistical differences (both P<0.05). Conclusion Nurse-leading treatment-nursing-rehabilitation integration in the management of patients with dyaphagia is effective, and can improve the team-work ability of medical staff, the patients’ safety and nursing quality. Key words: Kubota Toshio Swallow Test (KTST); Dysphagia; Treatment-nursing-rehabilitation integration