Objective To improve the efficacy of swallowing training and reduce the incidence of strokeassociated pneumonia in patients with poststroke dysphagia. Methods Totally, 136 stroke patients with stage Ⅱ-Ⅴ Water Swallow Test dysphagia were randomized into two groups, with 68 cases in each group. The control group was subjected to routine dietary nursing for dysphagia after stroke, while the observation group received feeding interventions, including accurately assessing food consistency and mouthful volume, formulating individualized feeding protocol, dynamically evaluating and adjusting feeding protocol, etc. Results The observation group had better swallowing function recovery and lower strokeassociated pneumonia rate compared with the control group（P＜0.05, P＜0.01）. Conclusion Accurate assessment, individualized nursing and wholeprocess tracing can improve the efficacy of swallowing training and reduce complications in patients with poststroke dysphagia.