Dysphagia is a common complication among stroke patients. Early assessment and confirmation of dysphagia, implementing swallowing training as soon as possible, and urging patients to engage in self-training daily to improve swallowing function shorten the nasogastric tube indwelling time. Because the swallowing self-training rate of patients was 0%, we aimed to improve the rate of swallowing self-training among stroke patients. Analysis revealed that the reasons for the low practice rate were lack of a swallowing-training self-practice mechanism and record, deficiencies in the swallowing assessment and training knowledge of nursing staff, and lack of health education information for swallowing training. Swallowing assessment training and care procedures, a daily swallowing assessment training exercise schedule, related on-the-job education and assessment mechanisms, and swallowing training materials were implemented. The swallowing self-training rate increased to 94.4%, and the rate of detachment from nasogastric tube increased from 25% to 53.8%. Therefore, self-training mechanisms for supervising a patient's swallowing training should be promoted for head and neck surgery and patients with brain trauma who have dysphagia, thus improving patient care and quality of life.