| Objective:Early feeding training monitoring was conducted for patients with ischemic stroke accompanied by dysphagia,and the influence of early feeding training monitoring intervention on aspiration,incidence of aspiration pneumonia,average length of stay,and intubation after gastric tube removal during hospitalization was analyzed.The application effect of early feeding training monitoring alone in patients with ischemic stroke accompanied by dysphagia was explored.To provide a safer and more effective method for ischemic stroke patients with dysphagia.Methods: In this study,nursing intervention was carried out for patients with ischemic stroke accompanied by dysphagia by early feeding training monitoring,and 128 patients with ischemic stroke accompanied by dysphagia were randomly divided into two groups,control group and intervention group,respectively,64 cases in each group,in strict compliance with the inclusion criteria.The control group was given routine rehabilitation nursing,swallowing function exercise and swallowing related treatment.The intervention group was based on the control group,and the Monitoring List of Early Feeding Training for patients with Ischemic stroke with swallowing disorders was used to evaluate each meal of the patients on a daily basis,so as to timely discover the problems and modify the training program.Evaluation indexes of this study: The depression water test and volume-viscosity swallowing test were used to screen for swallowing dysfunction.The swallowing function recovery status.The total number of aspiration pneumonia and aspiration pneumonia during hospitalization and the percentage compared with the total number of cases in this group;Average length of stay in hospital;The total number of cases after gastric tube removal during hospitalization was compared with the total number of cases in this group.SPSS 27.0 statistical software was used for data processing,statistical description and analysis.Results:1.Comparison of general information: The basic information and clinical information of the two groups were compared in terms of gender,age,BMI,education level,occupation,reimbursement method,drinking water test grade of depression,voltame-viscosity swallowing test grade,number of indent gastric tube cases,and primary caregivers.The baseline of the two groups was the same,with no statistical significance(P>0.05),indicating comparability.2.After intervention,the grading of depression drinking water test in the intervention group was significantly better than that in the control group,indicating that the recovery effect of depression drinking water test in the intervention group was better than that in the control group,and the difference was statistically significant(P<0.05).3.After intervention,the total effective rate of swallowing ability recovery in the depression water test in the intervention group was significantly higher than that in the control group,indicating that the effect of swallowing function recovery in the intervention group was better than that in the control group,and the difference was statistically significant(P<0.05).4.After intervention,the volume-viscosity swallowing test results in the intervention group were significantly higher than those in the control group,indicating that the recovery effect of volume-viscosity swallowing test in the intervention group was better than that in the control group,and the difference was statistically significant(P<0.05).5.The incidence of aspiration in the two groups after intervention was 3.17% and 25.39%,respectively,with statistical significance(P<0.05).6.After intervention,the incidence of aspiration pneumonia in the two groups was 0%and 3.71%,respectively,with no statistical significance(P>0.05).7.After intervention,the mean days of hospitalization in the two groups were(16.70±7.10)and(16.81±6.75),respectively,with no statistical significance(P>0.05).8.After intervention,the incidence of reintubation after gastric tube removal was 0%and 7.94%,respectively,with no statistical significance between the two groups(P>0.05).Conclusion: Early feeding training monitoring has a positive significance in improving the recovery of swallowing function in patients with ischemic stroke accompanied by dysphagia,and has a good clinical effect in reducing the incidence of aspiration in patients.Early feeding training monitoring sheet can be used as an auxiliary nursing intervention method for patients with ischemic stroke accompanied by dysphagia,to promote the improvement of swallowing status,and is a nursing intervention method worthy of clinical promotion. |
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