Effect of cluster nursing for elderly patients with swallowing dysfunction
Objective To explore the effect of cluster nursing intervention in elderly patients with swallowing dysfunction.Methods A total of 105 elderly patients with a Water Swallowing Test(WST)score of ≥3 and a Fried Frailty Phenotype(FP)score of ≥33 admitted to the department of geriatrics in our hospital from August 2022 to December 2023 were selected as research subjects and randomly divided into study group(n=55)and control group(n=50).The control group received routine nursing care for swallowing dysfunction,while the study group received cluster nursing care.The frailty status,swallowing disorders,and quality of life were compared between the two groups af-ter 1 month of intervention.Results Due to changes in the condition,2 cases dropped out from the control group and 3 cases from the study group,leaving 52 cases in the study group and 48 cases in the control group.There was no statistically significant difference in general information between the two groups(P>0.05).Before the intervention,there was no statistically significant difference in the proportion of patients with different WST grades between the two groups(P>0.05).After 1 month of intervention,there was a statistically significant difference in the proportion of patients with WST grades 3,4,and 5 compared to before the intervention(P<0.05).After 1 month of intervention,there was a statistically significant difference in the proportion of patients with different WST grades be-tween the two groups(P<0.05).Before the intervention,the Swallowing-Quality of Life(SWAL-QOL)score of the study group was(108.47±19.99)points,and was(109.17±20.34)points in the control group.There was no statistically significant difference in SWAL-QOL scores between the two groups before the intervention(P>0.05).After 1 month of intervention,the SWAL-QOL score of the study group was(143.07±16.55)points,and was(133.52±21.06)points in the control group.The SWAL-QOL scores of both groups improved compared to before the intervention,and the study group had a higher score than the control group(P<0.05).Conclusion Cluster nursing for elderly patients with swallowing disorders and frailty can effectively improve their frailty status,swal-lowing function,and quality of life.
cluster nursingfrailtyswallowing disordersquality of lifeWater Swallowing TestFried Frailty Phenotype