Effect of Evidence-based Nursing on Clinical Effect and Incidence of Aspiration Pneumonia in Elderly Patients with Cerebral Infarction and Swallowing Dysfunction
Objective To explore the effect of evidence-based nursing on the clinical effect and the incidence of aspiration pneumonia in elderly patients with cerebral infarction and swallowing dysfunction.Methods Eighty elderly dysphagic patients with a history of cerebral infarction,admitted to Tianjin Third Central Hospital between July 2022 and June 2024,were chosen as participants and randomly allocated to either a control or an experimental group,with an equal number of 40 patients in each.The control group received standard nursing care,whereas the experimental group was provided with evidence-based nursing.Outcomes such as therapeutic efficacy,nutritional indicators[total protein(TP),serum albumin(ALB),and hemoglobin levels(HGB)],quality of life parameters[including physiological,physical,psychological,emotional functions,vitality,sleep quality,mental health,and overall well-being],and the occurrence of complications(aspiration pneumonia,aspiration events,and malnutrition)were assessed and compared between the two groups.Results The total effective rate of nursing in the study group was higher than that in the control group(P<0.05).The nutritional status of the study group was better than that of the control group,and the quality of life was higher than that of the control group(P<0.05).The incidence of adverse reactions in the study group was lower than that in the control group(P<0.05).Conclusion The application of evidence-based nursing in elderly patients with cerebral infarction and swallowing dysfunction is effective,which can improve the nutritional status and the quality of life of patients,and reduce the incidence of adverse reactions such as aspiration pneumonia.It is worthy of clinical application.
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