Effect of comprehensive nursing on swallowing function and quality of life in patients with ischemic stroke

Abstract

Hu et al explored the impact of comprehensive nursing model on swallowing function and quality of life in patients with ischemic stroke. They divided 172 patients into the control group (routine care) and the research group (comprehensive care), and used standard scales to evaluate the swallowing function, neurological deficit, anxiety and depression, daily living ability, and exercise of the two groups of patients before and after care. Changes in indicators of function, quality of life, and compliance. The results showed that compared with the control group, patients in the study group achieved significant improvements in various indicators, with a lower incidence of adverse reactions and higher satisfaction with care. These data suggest that the comprehensive nursing model can significantly improve the swallowing function, quality of life and satisfaction of patients with ischemic stroke. In the future, the development of comprehensive nursing models needs to focus on technological innovation, humanized services, continuing education and training, multi-disciplinary collaboration, optimal allocation of resources, standardized practice and evaluation, etc., in order to improve nursing effects and promote the improvement of medical service quality.

Key Words: Ischemic stroke; Comprehensive nursing; Swallowing function; Quality of life; Neurological deficit

Core Tip: The comprehensive nursing model significantly improves the swallowing function, quality of life, and satisfaction of ischemic stroke patients by integrating multidisciplinary interventions. The study by Hu et al shows better outcomes with comprehensive care compared to routine care. The editorial emphasizes the importance of innovation, humanized services, education, collaboration, resource allocation, and standardized practices in developing comprehensive nursing models for better patient care.

INTRODUCTION

Ischemic stroke is a common and serious cerebrovascular disease with high morbidity, mortality, disability and recurrence rates, accounting for approximately 60%-80% of all stroke cases[1,2]. Clinically, such patients often suffer from complications such as dysphagia, movement disorders, and cognitive dysfunction, which seriously affect their quality of life[3].

At present, routine nursing care for ischemic stroke mainly includes drug treatment, basic care, simple rehabilitation training, etc.[4,5]. However, a single treatment measure is often difficult to fully alleviate the patient's clinical symptoms and improve the quality of life. Comprehensive nursing is an emerging, comprehensive nursing model that aims to comprehensively assess and improve patients' health status by integrating multi-disciplinary and multi-measure comprehensive interventions[6-9].

This model meets the various clinical needs of patients with ischemic stroke and is expected to achieve better nursing effects. However, there is currently a lack of large-sample, high-quality research data to confirm its clinical benefit in patients with ischemic stroke. This study by Hu et al[10] evaluated the impact of the comprehensive nursing model on the swallowing function and quality of life of this type of patients, providing new evidence for clinical care.

COMPREHENSIVE NURSING IMPROVES SWALLOWING FUNCTION, QUALITY OF LIFE, AND SATISFACTION IN ISCHEMIC STROKE PATIENTS

The study included 172 patients with ischemic stroke and randomly divided them into a control group (84 cases, routine care) and a study group (88 cases, comprehensive care). The control group adopted routine care, such as drug treatment, basic care, etc.; the research group implemented comprehensive care on this basis. The main measures include: (1) Formulating an individualized care plan; (2) optimizing basic care; (3) strengthening neurological Rehabilitation training; (4) carrying out psychological intervention; (5) implementing dietary and nutritional guidance; and (6) strengthening rehabilitation education. The researchers used standard scales to evaluate the changes in swallowing function, neurological deficit, anxiety and depression, daily living ability, motor function, quality of life, rehabilitation compliance and other indicators of the two groups of patients before and after care.

The results of the study showed that compared with the control group, patients in the study group had significant improvements in various evaluation indicators, such as reduced swallowing function and neurological deficits, improvement in anxiety and depression, improvement in self-care ability and motor function, and improvement in daily life. Quality and compliance increase. At the same time, the incidence of adverse reactions in the study group was lower, and patients were more satisfied with care. These findings confirm the clinical benefit of an integrated care model in patients with ischemic stroke.

However, the study also has some limitations. Firstly, the relatively small sample size of 172 cases may restrict the generalizability of the findings. Secondly, the short study period hinders the assessment of long-term effects, necessitating further investigation through extended follow-up studies. Additionally, the exclusive focus on ischemic stroke patients raises questions about the applicability of these results to hemorrhagic stroke cases, requiring additional research. Consequently, larger-scale studies with longer durations and broader inclusion criteria are warranted to substantiate and expand upon these initial findings.

FUTURE DEVELOPMENT OF COMPREHENSIVE CARE

The successful implementation of the comprehensive nursing model not only requires the improvement of the professional skills and comprehensive quality of the medical team, but also requires extensive support and participation from all sectors of society[11]. By establishing a multidisciplinary cooperation mechanism, strengthening doctor-patient communication, and providing personalized and humanized nursing services, we can further improve the nursing effect and promote the comprehensive recovery of patients. At the same time, for medical and health policymakers, increasing policy support and resource investment in comprehensive care models is also an important strategy to promote the development of comprehensive care models. The future development of the comprehensive care model needs to pay attention to the following aspects.

Application of technology and innovation

With the continuous advancement of science and technology, the application of information technology and innovative tools in the field of medical care will become increasingly widespread. Telemedicine can overcome geographical limitations and facilitate patients' medical treatment; smart wearable devices can monitor patients' vital signs in real time and detect abnormalities in time; robot-assisted care is expected to reduce the work intensity of nursing staff[12,13]; the future development of comprehensive nursing models by Chatbots such as Chat GPT provides more efficient, personalized interaction and support[14,15]. Utilizing these advanced technologies, the efficiency and quality of comprehensive care can be greatly improved.

Humanized nursing services

Comprehensive care needs to further strengthen the patient-centered concept and pay attention to the overall needs of patients. In addition to physical health, attention should also be paid to the patient's psychological state, emotional needs and social support. Nursing staff should strengthen communication with patients and their families, formulate personalized comprehensive care plans, provide humane and considerate services, and promote patients' comprehensive recovery.

Continuing education and training

Implementation of a comprehensive care model requires interdisciplinary knowledge and expertise[16]. Therefore, it is crucial to strengthen the continuous education and training of medical staff. On the one hand, it is necessary to constantly update relevant theoretical knowledge and understand the latest nursing concepts and practices; on the other hand, it is necessary to cultivate comprehensive practical skills and master the use of various assessment tools, psychological intervention techniques, rehabilitation training methods, etc. Only through systematic education and training can we comprehensively improve the comprehensive quality of medical staff and provide patients with high-quality comprehensive nursing services.

Multidisciplinary teamwork

Comprehensive care requires the collaboration of different professionals such as doctors, nurses, psychological counselors, nutritionists, and physical therapists. It is necessary to establish an efficient multi-disciplinary collaboration mechanism, clarify the division of responsibilities of all parties, and achieve information sharing and seamless connection[17]. At the same time, cross-team training exchanges are strengthened to promote mutual understanding and tacit cooperation, and provide patients with collaborative, continuous and comprehensive services.

Optimize the allocation of medical resources

Implementing a comprehensive care model requires the investment of certain human, material and financial resources. Therefore, it is necessary to optimize the reasonable allocation of medical resources and improve the corresponding policy guarantee and support system. Such as strengthening the construction of grassroots medical and health institutions to create conditions for the promotion of comprehensive care models at the grassroots level; implementing medical insurance payment policies to reduce the cost burden of patients, etc. Only by properly allocating resources can comprehensive care truly benefit the majority of patients.

Carry out standardized practice and effect evaluation

Develop standardized operating procedures and quality standards for comprehensive care, and continue to optimize and improve them in practice[18]. At the same time, a scientific effect evaluation system will be established to objectively evaluate the clinical benefits of the comprehensive nursing model and provide evidence-based medical evidence for further promotion and use. At the same time, multi-center studies can be carried out in different regions and different populations to explore the applicability and effectiveness of comprehensive care in different contexts.

In short, the future development of the comprehensive nursing model requires multi-faceted innovation and improvement, including technological innovation and application, humanized service concepts, continuing education and training, multidisciplinary collaboration, resource optimization allocation, standardized practice and evaluation, etc., in order to truly develop comprehensive nursing comprehensive benefits to meet the diversified needs of different patients and promote the continuous improvement of medical service quality.

CLINICAL IMPLICATIONS

The comprehensive nursing model has significant clinical implications for ischemic stroke patients, leading to improved patient outcomes, reduced complications, and enhanced patient satisfaction. It emphasizes a multidisciplinary approach and personalized care plans that address not only physical health but also psychological, emotional, and social aspects. The study provides evidence-based guidance for healthcare professionals to implement comprehensive nursing care models in their practice, potentially leading to better patient outcomes and quality of care. Future research and innovation in comprehensive nursing care models are needed, including the integration of technology and continued education and training for healthcare professionals.

CONCLUSION

The comprehensive nursing model, with its concept of whole-person care, provides a more effective and humane recovery path for ischemic stroke patients. Through continuous practical exploration and scientific research, the comprehensive nursing model will play an increasingly important role in the future medical care field, providing patients with better and more efficient nursing services. In this process, the efforts of every medical and health worker are crucial, and every innovative practice and research result will contribute to the development of a comprehensive care model. Let us look forward to the comprehensive care model bringing hope and light to more patients and jointly creating a new chapter in medical care.