Evaluation of a Specialized Nurse Decision Support System in the Prevention of Stroke-Associated Pneumonia

¹ Department of Neurology, The First People’s Hospital of Xuzhou, The Affiliated Xuzhou Municipal Hospital of Xuzhou Medical University, Xuzhou 221000, Jiangsu Province, China,

JCNR 2024 , 8(12), 363–368; https://doi.org/10.26689/jcnr.v8i12.9052

© 2024 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )

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Abstract

Objective: To design and implement a specialized nurse decision support system in the Department of Neurology and explore its effectiveness in preventing stroke-associated pneumonia (SAP). Methods: A decision support module for specialized nurses was developed based on SAP-graded prevention strategies. A total of 664 neurology inpatients admitted to The First People’s Hospital of Xuzhou between July 2023 and September 2023 were selected as the conventional group, receiving standard nursing care. Another 704 neurology inpatients admitted between October 2023 and December 2023 were selected as the experimental group, receiving SAP-graded prevention strategies under the specialized nurse decision support system. The incidence of SAP in the two groups was compared. The occurrence of SAP was recorded using the Acute Ischemic Stroke-Associated Pneumonia Risk (A2DS²) scoring system. Swallowing function was evaluated using the Water Swallow Test (WST), and quality of life was assessed using the Swallowing Quality of Life (SWAL-QOL) scale. Results: The incidence of SAP in the experimental group was significantly lower than in the conventional group (P < 0.05). After nursing interventions, the WST scores in the experimental group were lower, while the SWAL-QOL scores were higher compared to the conventional group (P < 0.05). Conclusion: The design and implementation of a specialized nurse decision support system in the Department of Neurology significantly reduced the incidence of SAP in neurology inpatients, improved swallowing function, and enhanced quality of life. This approach shows promise for widespread application.

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