UNASSIGNED: The present study aimed to explore the effect of nurse-led hierarchical management care based on the acute ischemic stroke-associated pneumonia score (AIS-APS) scale in AIS patients.
UNASSIGNED: A quasi-intervention pilot study design was adopted for the present study. A total of 120 AIS patients were enrolled and assigned to the intervention group and the control group, with 60 subjects in each group in a tertiary hospital in Guangzhou, China. The control group received routine care, whereas the intervention group was given nurse-led hierarchical management care based on the AIS-APS scale. The intervention duration was more than 7 days, and the incidence of SAP, neurological function, swallowing function, and activities of daily living (ADLs) at discharge were observed. The outcomes were assessed at baseline and at outpatient time.
UNASSIGNED: A total of 120 participants were enrolled in our study. A significant decrease was found in the incidence of SAP in the intervention group (18.3%) compared with that in the control group (41.7%). Positive outcomes were shown in neurology function, swallowing function, and ADL in the intervention group.
UNASSIGNED: Nurse-led hierarchical management care based on AIS-APS can reduce the incidence of SAP, promote AIS patients\' neurological function, and maintain patients\' ADL. The results of our study indicated that nurse-led hierarchical management care is feasible for AIS patients and provides individualized interventions for patients with different levels of SAP risk. Nurse-led hierarchical management care could be incorporated into routine nursing practice. Further study is needed and expected to solve more clinical problems.
■本研究旨在探讨基于急性缺血性卒中相关肺炎评分(AIS-APS)量表的护士主导分级管理护理在AIS患者中的应用效果。
■本研究采用了准干预试验研究设计。共纳入120例AIS患者,分为干预组和对照组,广州某三甲医院每组60名受试者,中国。对照组给予常规护理,而干预组给予基于AIS-APS量表的护士主导的分级管理护理。干预时间超过7天,和SAP的发病率,神经功能,吞咽功能,观察出院时的日常生活活动(ADLs)。在基线和门诊时间评估结果。
■共有120名参与者参加了我们的研究。与对照组(41.7%)相比,干预组的SAP发生率(18.3%)显着降低。在神经病学功能方面显示出积极的结果,吞咽功能,干预组的ADL。
■基于AIS-APS的护士主导的分级管理护理可以降低SAP的发生率,促进AIS患者的神经功能,并维持患者的ADL。我们的研究结果表明,护士主导的分级管理护理对AIS患者是可行的,并为不同SAP风险水平的患者提供了个性化的干预措施。护士主导的分级管理护理可以纳入常规护理实践。需要进一步的研究,并有望解决更多的临床问题。