International Journal of Nursing Research

Objective To analyze the value of adopting cluster-based nursing strategies in the intervention of patients with severe neurological disorders in improving the effect of oral hygiene care; Methods Sixty patients with severe neurological conditions admitted to our hospital from January 1, 2025 to July 31, 2025 were selected as the subjects and grouped by random number method, with 30 cases in each group. The control group received conventional oral care, while the observation group was combined with the bundled care strategy. Results The qualified rate of oral cleanliness in the observation group was higher than that in the control group (P<0.05). The incidence of in-hospital VAP was lower and the length of hospital stay was shorter in the observation group (P<0.05). Conclusion The adoption of cluster nursing strategies for patients with severe neurological conditions can enhance the effectiveness of oral care, promote the improvement of the qualified rate of oral cleanliness, prevent the occurrence of VAP to improve the prognosis of patients, and shows relatively ideal application value.

Neurocritically ill patients; Oral cleanliness; Cluster care; Ventilator-associated pneumonia; Pass rate