The Effect of Capacity Assessment Combined with Staged Target Nursing Intervention on Swallowing Functional Disturbance and Pulmonary Infection in Elderly Stroke Patients

Abstract

To investigate the effect of capacity assessment combined with staged target nursing intervention on swallowing functional disturbance (SFD) and pulmonary infection in elderly stroke patients. 82 elderly stroke patients treated in the neurological department of our hospital (June 2019-February 2021) were chosen as the study subjects and randomly split into study group (n=41) and control group (n=41). Both groups received basic treatment for cerebrovascular diseases. After that, control group received routine clinical nursing, while study group underwent capacity assessment combined with staged target nursing intervention. The scores of the Burke Lateropulsion scale in both groups after 3-month nursing intervention were obviously lower (P < 0.001), and after 3-month nursing intervention the scores of the Burke Lateropulsion scale in study group were obviously lower compared with control group (P < 0.001). The NIHSS scores in both groups after 3-month nursing intervention were obviously lower (P < 0.001), and the NIHSS scores in study group after 3-month nursing intervention were obviously lower compared with control group (P < 0.001). The total clinical efficacy rate in study group was obviously higher compared with control group (P < 0.05). The SWAL-QOL scores in both groups after 3-month nursing intervention were obviously higher (P < 0.001), and the SWAL-QOL scores in study group after 3-month nursing intervention were obviously higher compared with control group (P < 0.001). The levels of FVC, FEV1 and PEF in both groups after 3-month nursing intervention were obviously higher (P < 0.001), and those after 3-month nursing intervention in study group were obviously higher compared with control group (P < 0.001). Plus, the total incidence of complications in study group was obviously lower compared with control group (P < 0.05). The capacity assessment combined with staged target nursing intervention can effectively improve patients’ swallowing function, neurological function, pulmonary function and life quality, with obvious therapeutic effect, deserving promotion and popularization.