Ischemic stroke.
Conditions
Interventions
Intervention 1: In order to collect the necessary data for the study, three tools and a checklist will be used
With the help of these tools and checklist, patients' conditions are accurately evaluated and then based on the results, appropriate nursing care is provided for each patients condition. Tool number o
The test starts with swallowing saliva and then continues with swallowing semi-solid, liquid and solid tissues respectively. Instrument number two (IDDSI) consists of two components: food and beverage
The nutritional strategy will be chosen by the nurse based on the severity of dysphagia, for example, in moderate dysphagia, feeding will be through a nasogastric tube and the use of pureed food, and
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Detecting confirmation of ischemic stroke by a specialist physician Moderate or intense dysphagia (in accordance with the GUSS tool score 0-14) Age older than 18 24 hours after the onset of ischemic stroke symptoms NIHSS score above 3 Direct acceptance of the patient from the emergency department or the patient's direct referral to the doctor's office and then referred to the department
Exclusion criteria
Exclusion criteria: Presence of pneumonia before hospitalization Patients with liver and kidney failure Infectious patients Patients in need of specialized oral care and evaluation Allergy to chlorhexidine Oral surgery Gum diseases Infectious diseases of the mouth Patients with immunosuppression Having any malignancy Lack of consent to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Stroke-related pneumonia. Timepoint: Before the implementation of the intervention and then 4 days after the end of the intervention. Method of measurement: Ischemic stroke-related pneumonia instrument. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAsma Rostami
Tehran University of Medical Sciences
Outcome results
None listed