IMPACT OF ANTI-ASPIRATION NURSING INTERVENTION ON CLINICAL OUTCOMES IN ELDERLY STROKE PATIENTS WITH ASPIRATION PNEUMONIA

Yanqun Hu^{1, #}, Taihao Wang^{1, #}, Shuyan Han¹, Xiaohong Zhan¹, Zhiyun Feng¹, Xiaoyan Du¹, Chundie Wang¹, Yan Wu^{2, *} 

¹Department of Health care Center, Hainan General Hospital, (Hainan Affiliated Hospital of Hainan Medical University), Haikou, Hainan 570311, China - ²Department of Nursing, Hainan General Hospital, (Hainan Affiliated Hospital of Hainan Medical University), Haikou, Hainan 570311, China

Introduction: To study the effect of anti-aspiration nursing intervention on aspiration pneumonia in elderly stroke patients. 

Materials and methods: A total of 80 elderly patients with aspiration stroke admitted to our hospital from October 2020 to March 2021 were included in this study. According to different nursing methods, the patients were divided into control group and study group, 40 cases in each group. The control group was given routine nursing measures, and the other group was given basic nursing measures combined with anti-aspiration nursing intervention measures. The incidence of dysphagia, aspiration and aspiration pneumonia were compared between the two groups. In addition, the nursing satisfaction, quality of life, monitoring level of nutritional indicators and NIHSS score of the two groups were evaluated. 

Results: The scores of nursing attitude, nursing effect and nursing quality in the study group were higher than those in the control group (P<0.05). The incidence of dysphagia, gastric reflux, aspiration, aspiration pneumonia and mortality in the control group were significantly higher than those in the study group (P<0.05). The quality of life, nutritional indicators and NIHSS value of the study group were better than those of the control group (P<0.05). 

Conclusion: The implementation of special nursing intervention on aspiration in elderly patients with stroke can effectively reduce the risk of aspiration, reduce the incidence of aspiration and aspiration pneumonia, improve the quality of treatment, and has high clinical value.