PDF(Pubmed)
Abstract：
UNASSIGNED: Stroke-related pneumonia (SAP) is a common complication in acute ischemic stroke (AIS) patients, and it has adverse effects on the clinical outcomes and increases the burden on patients\' families and society. Early identification and individualized care are necessary to reduce the incidence of SAP.
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.
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.
摘要：
卒中相关性肺炎(SAP)是急性缺血性卒中(AIS)患者的常见并发症,它对临床结局有不利影响，增加了患者家庭和社会的负担。早期识别和个性化护理对于减少SAP的发生率是必要的。
■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。
■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。
