关键词: 个体化饮食护理, 脑卒中, 吞咽功能障碍, 康复

Abstract: Objective: To explore the clinical effect of individualized diet table in the care of stroke patients with dysphagia, providing a reference for optimizing the dietary management strategies for patients. Methods: A non-simultaneous control study was conducted. A total of 121 stroke patients with dysphagia hospitalized in the Rehabilitation Center of a tertiary hospital in Xi'an from December 2022 to December 2024 were conveniently selected as the research subjects. The 60 patients admitted before December 2023 were assigned to the control group and received routine care, while the 61 patients admitted after January 2024 were assigned to the intervention group and received care guided by individualized diet table for assessment and measures. The differences in the incidence of dysphagia complications and the accuracy rate of nurses' assessment of dysphagia between the two groups were compared. Results: The incidence of aspiration pneumonia and malnutrition in the intervention group was significantly lower than those in the control group, and the serum prealbumin value in the intervention group were 4.9% and 8.2%, which were lower than those in the control group (30.0%, 18.3%), all differences were statistically significant (P<0.05). The accuracy rate of nurses' assessment of dysphagia in the intervention group was significantly better than that in the control group (P<0.05). Conclusion: The implementation of individualized diet table not only reduces the incidence of complications in stroke patients with dysphagia, improves their nutritional status, but also enhances the assessment ability of clinical nurses for dysphagia in stroke patients.

Key words: individualized diet nursing care, stoke, deglutition disorder, rehabilitation