Keywords
Specialized nurse decision support system
Stroke-associated pneumonia
Impact
Submitted : 2024-12-03
Accepted : 2024-12-18
Published : 2025-01-02
Abstract
Objective: To design and implement a specialized nurse decision support system in the Department of Neurology and explore its effectiveness in preventing stroke-associated pneumonia (SAP). Methods: A decision support module for specialized nurses was developed based on SAP-graded prevention strategies. A total of 664 neurology inpatients admitted to The First People’s Hospital of Xuzhou between July 2023 and September 2023 were selected as the conventional group, receiving standard nursing care. Another 704 neurology inpatients admitted between October 2023 and December 2023 were selected as the experimental group, receiving SAP-graded prevention strategies under the specialized nurse decision support system. The incidence of SAP in the two groups was compared. The occurrence of SAP was recorded using the Acute Ischemic Stroke-Associated Pneumonia Risk (A2DS2) scoring system. Swallowing function was evaluated using the Water Swallow Test (WST), and quality of life was assessed using the Swallowing Quality of Life (SWAL-QOL) scale. Results: The incidence of SAP in the experimental group was significantly lower than in the conventional group (P < 0.05). After nursing interventions, the WST scores in the experimental group were lower, while the SWAL-QOL scores were higher compared to the conventional group (P < 0.05). Conclusion: The design and implementation of a specialized nurse decision support system in the Department of Neurology significantly reduced the incidence of SAP in neurology inpatients, improved swallowing function, and enhanced quality of life. This approach shows promise for widespread application.
References
Zeng J, 2022, Analysis of Risk Factors for Stroke-Associated Pneumonia in Emergency Stroke Patients. China Medical Innovation, 19(18): 98–101.
Guo Q, Liu G, Yang M, et al., 2023, Review and Analysis of Evidence-Based Prevention of Stroke-Associated Pneumonia Based on the i-PARIHS Framework. China Health Quality Management, 30(1): 49–55.
Liu B, Gu Z, Shi Y, et al., 2023, Predictive Value of Gugging Swallowing Screen Scores for Stroke-Associated Pneumonia in Stroke Patients. Journal of Practical Cardiopulmonary and Vascular Disease, 31(6): 45–48.
Ke L, 2024, Effect of Evidence-Based Non-Artificial Airway Nursing Protocols on Stroke-Associated Pneumonia in Patients with Cerebral Infarction. Medical Theory and Practice, 37(10): 1748–1750.
Xiao L, 2023, Application of Transitional Nursing Care in Reducing ICU Readmission Rates of Patients with Stroke-Associated Pneumonia. Laboratory Medicine and Clinic, 20(20): 3079–3082.
Tian L, Zeng Y, Wang L, 2023, Effectiveness of Enhanced Oral Hygiene Care in Reducing the Incidence of Stroke-Associated Pneumonia. Journal of North Sichuan Medical College, 38(11): 1584–1586.
Jiang J, Zhang L, Zhu H, et al., 2024, Application and Effectiveness of Different Oral Care Protocols in Preventing Stroke-Associated Pneumonia in Stroke Patients. Contemporary Nurse (Mid-issue), 31(5): 80–84.
Wang L, Si F, Zhang Z, 2023, Study on the Application of Nurse-Led Rehabilitation Management Protocols in Stroke Patients with Swallowing Dysfunction-Associated Pneumonia. Journal of Tuberculosis and Lung Diseases, 4(4): 295–300.
Wang Y, Chang S, Deng Y, 2024, Application of Evidence-Based Nursing in Ventilator-Associated Pneumonia in Critically Ill Stroke Patients. China & Foreign Medical Journal, 43(7): 182–185.
Hao G, 2022, Research Progress on Influencing Factors and Nursing Interventions for Stroke-Associated Pneumonia. Clinical Medical Research and Practice, 7(21): 188–192.