Preventive effect of multidisciplinary collaborative evidence-based nursing on dysphagia in patients with orotracheal intubation in ICU after extubation
10.3969/j.issn.1009-0754.2025.04.015
- VernacularTitle:多学科协作循证护理预防重症医学科经口气管插管患者拔管后吞咽障碍的效果研究
- Author:
Zaolan ZHU
1
;
Yuanzhi WANG
;
Min LI
;
Huijun SHEN
;
Shuyi CHEN
;
Wenwei PENG
Author Information
1. 523000 广东 东莞,东莞市中医院重症医学科
- Keywords:
Dysphagia;
Tracheal intubation;
Intensive care unit;
Multidisciplinary collaborative evidence-based nursing
- From:
Journal of Navy Medicine
2025;46(4):387-391
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the preventive effect of multidisciplinary collaborative evidence-based nursing on dysphagia in patients with orotracheal intubation in intensive care unit(ICU)after extubation.Methods A retrospective analysis was performed on 200 patients with orotracheal intubation in ICU who were admitted to Dongguan Traditional Chinese Medicine Hospital between January and December 2023.Of them,96 patients who were admitted to our hospital between January and May 2023 received routine nursing(routine group),104 patients who were admitted to our hospital between June and December 2023 received multidisciplinary collaborative evidence-based nursing(evidence-based group).The incidence of dysphagia after extubation,water swallowing test result,swallowing function measured with M.D.Anderson dysphagia inventory(MDADI),psychological state assessed by connor-davidson resilience scale(CD-RISC),quality of life assessed by swallowing quality-of-life questionnaire(SWAL-QOL),and the incidence of dysphagia complications(aspiration,aspiration pneumonia,and malnutrition)were compared between the two groups.Results The incidence of dysphagia after extubation and the water swallowing test class in the evidence-based group were lower than those in the routine group(both P<0.05).The total score of MDADI and CD-RISC scores in the evidence-based group were significantly higher than those in the routine group(P<0.05),while the SWAL-QOL scores were lower(P<0.05).The incidence of complications in the evidence-based group was significantly lower than that in the routine group(P<0.05).Conclusion Multidisciplinary collaborative evidence-based nursing can effectively reduce the incidence of dysphagia in patients with orotracheal intubation in ICU after extubation,improve swallowing function,psychological state and quality of life,and reduce the incidence of complications.
