HE HEALING TOUCH OF CONTINUOUS CARE: A META-ANALYSIS OF SWALLOWING IMPROVEMENT AND RESPIRATORY PROTECTION IN CHINESE POST-STROKE DYSPHAGIA PATIENTS

Abstract

Stroke is a prevalent and devastating health condition with a high incidence rate, significant mortality, and a profound impact on global health. It is currently the second leading cause of death worldwide and ranks as the primary cause of disability. In China, the lifetime risk of stroke stands at 39.9%, the highest in the world. Swallowing disorders are a common complication following a stroke, affecting 46% to 57% of stroke survivors. These complications not only compromise the safety and effectiveness of eating but also contribute to malnutrition, aspiration, pneumonia, and the potential for fatal asphyxia. Furthermore, dysphagia often leads to emotional distress, eroding patient confidence and quality of life. While some post-stroke dysphagia patients experience spontaneous recovery within a few weeks, a substantial portion, ranging from 11% to 50%, continue to experience swallowing difficulties even six months after the event. Due to factors such as economic constraints, disparities in healthcare resources, and the protracted nature of rehabilitation, many post-stroke dysphagia patients require long-term care within their homes and communities. Continuity care, an emerging nursing model, extends the spectrum of care from inpatient settings to the community or family. It encompasses an array of services including discharge planning, follow-up, and health education, aimed at fulfilling the healthcare needs of patients transitioning back to society and home. Several studies have indicated that continuous care for individuals with swallowing disorders can enhance swallowing function recovery, improve overall quality of life, and mitigate related complications. The primary objective of this review is to assess the effectiveness of continuous care in the context of Chinese patients suffering from post-stroke dysphagia.