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Construction of Evidence-based Clinical Practice Program for Identification and Management of Dysphagia in Stroke

  

  • Online:2016-12-25 Published:2016-12-25

Abstract: Objectives: To develop Evidence-based Clinical Practice Program for Identification and Management of Dysphagia in Stroke patients, and to ensure the implementation of clinical guidelines, and to promote the scientific,standardized and unified clinical identification and management of dysphagia in stroke patients. Methods: In this study, we used the Iowa model of evidence-based practice as a guide, established a clinical problems, formed an evidence-based practice team, retrieval, screening and appraisal guidelines, maked review criteria, review methods, and completed the baseline review, according to the audit results and the guideline implementation barriers and promoting factors analysis results of the experimental unit, formulated the corresponding action strategy, and eventually developed appropriate clinical evidence-based practice plan. Results: This study included 5 guidelines, and the developed program includes an overview of stroke patients with dysphagia, early identification and management of dysphagia, health education for patients, various processes, tools, etc..Conclusion: The developed program based on the evidence-based practice guidelines, combined with China's specific situation,intention and mechanism of clinical patient preferences and medical staff professional judgment, which can provide reference on identification and management of dysphagia in stroke patients, and it is the premise and guarantee of evidence utilization.