Effect of graded nursing and feeding guidance based on water swallow test combined with enteral nutrition support in juvenile dermatomyositis children with swallowing dysfunction

This study explored the effect of graded nursing and feeding guidance combined with enteral nutrition support in juvenile dermatomyositis children with swallowing dysfunction. Sixty-four juvenile dermatomyositis children with swallowing dysfunction admitted in Children's Hospital of Hebei Province from January 2022 to January 2023 were recruited as the study participants. They were randomly divided into an experimental group and a control group. The control group accepted routine nursing. The experimental group received graded nursing care, feeding guidance, enteral nutrition support, and routine nursing. After intervention, relative to the control group, the experimental group had better grade of water swallow test, higher total effectiveness rate, higher quality of life scores, higher levels of nutritional indexes and immune function indexes, lower incidence of complications and higher nursing satisfaction. We conclude that graded nursing, feeding guidance, and enteral nutrition support can improve the swallowing function, promote the nutritional status and immune function, along with decrease the incidence of complications in juvenile dermatomyositis children with swallowing dysfunction.