Retrospective analysis of the impact on the nursing compliance to rehabilitation in elderly patients with stroke dysphagia and their family members

Objective: To investigate the effects of diet nursing compliance to the rehabilitation in stroke patients with dysphagia. Methods: SSA scale was assessed for 43 cases of elderly stroke patients with dysphagia. The patients were admitted from January 14 to December 29, 2014, including 18 female patients (cerebral hemorrhage 8 cases, cerebral infarction 10 cases) and 25 men patients (cerebral hemorrhage 11 cases, cerebral infarction 14 cases). According to the level of risk of aspiration, diet grading nursing was done. A reasonable diet and eating pattern were selected, which was based on clinical nutrition knowledge. Swallowing training was given to the patients, with targeted dietary guidance to strengthen safety awareness. The relationship of the diet care compliance and the aspiration, asphyxia, and pneumonia was studied, and daily living assessment table was used to evaluate the effect of rehabilitation. Results: 43 cases of elderly stroke patients with dysphagia in 2014 were included. According to the SSA evaluation results, patients were graded by aspiration hazard. After the implementation of appropriate personalized diet grading nursing and swallowing guidance for eight weeks, patients with good compliance occurred: asphyxia 1 case, pneumonia 1 case, aspiration 3 cases, but patients with poor compliance occurs : asphyxia 3 cases, pneumonia 5 cases, aspiration 8 cases. Aspiration incidence based on patient care compliance was statistically significant (P<0.05). Conclusion: It is important to improve diet nursing compliance in patients. It can provide protection for food safety and life safety, and improve the care and safety warning systems