Research on the Effect of MDT Nursing Pattern on the Rehabilitation of Oral Feeding Function of Stroke Patients with Tracheotomy and Dysphagia in ICU

Xiaoyuan Wu¹, Chuance Du^2*

¹Rehabilitation medicine department, Ganzhou people's Hospital, Ganzhou, Jiangxi341000, China - ²Urology surgery department, Ganzhou people's Hospital, Ganzhou, Jiangxi 341000, China

Objective: To explore the rehabilitation of oral feeding function of stroke patients with tracheotomy and dysphagia in the intensive care unit (ICU) under multidisciplinary teamwork (MDT) mode.

Methods:167 stroke patients with tracheotomy and dysphagia treated in our hospital from November 2019 to June 2020 were selected as the research subjects. They were divided into the swallowing rehabilitation group and the combined MDT group, with 82 cases and 85 cases respectively. The swallowing rehabilitation group was intervened by swallowing rehabilitation training, and the combined MDT group was intervened by adding MDT on the basis of the swallowing rehabilitation group. The nutritional indexes of the two groups, swallowing function evaluation scale (guss), swallowing disorder-specific quality of life scale (swal-qol), the recovery of swallowing dysfunction, and the occurrence of complications were observed and compared.

Results: Compared with the swallowing rehabilitation group, the total effective rate of swallowing dysfunction recovery in the combined MDT group was higher (P < 0.05). Compared with the swallowing rehabilitation group, the average extubation time in the combined MDT group was shorter (P < 0.05). Compared with the swallowing rehabilitation group, the incidence of complications in the combined MDT group was lower (P < 0.05).

Conclusion: MDT mode combined with swallowing function training can improve the nutritional status and swallowing function of stroke patients with tracheotomy and swallowing disorder in ICU environment, improve the quality of life and reduce the incidence of complications. It is worthy of clinical application.