Abstract:

Objective To implement evidence-based practice（EBP） based on the best available evidence for managing intermittent oroesophageal tube feeding（IOE） in stroke patients with dysphagia and evaluate its effects. Methods Guided by the Joanna Briggs Institute（JBI） Model of Evidence-Based Healthcare，audit indicators were formulated based on evidence. A baseline audit was conducted from July to September 2024 to evaluate current practices. Subsequently，barriers were analyzed，and practice improvements were initiated based on the audit findings. A post-implementation audit was performed from October to December 2024 to compare pre- and post-intervention outcomes，including compliance with audit indicators，nurses’ theoretical knowledge level and practical skills in IOE management，first-attempt success rate of tube placement，incidence of patient nausea/aspiration during placement，and improvements in nutritional status indicators following IOE intervention. Results After the implementation，significant improvements were observed in all 19 audit indicators. Nurses’ scores in theoretical and practical assessments of IOE management，and the changes rate of weight and BMI in patients were significantly improved（P<0.05）. In addition，the incidence of aspiration during tube placement got significantly reduced（P<0.05）. Conclusion The EBP protocol for IOE management in stroke patients with dysphagia can enhance nurses’ knowledge，skills，and adherence to clinical guidelines. It is also helpful in improving first-attempt success rates，reducing adverse reactions during tube placement，and optimizing patients’ nutritional outcomes.

Key words: Nursing, Post-stroke dysphagia, Intermittent oro-esophageal tube feeding, Evidence-based practice