Effect of Implementing Swallowing Training Exercises on Neurogenic Dysphagia among Acute Stroke Patients | ||||
| Tanta Scientific Nursing Journal | ||||
| Volume 33, Issue 2, May 2024, Page 245-263 PDF (1.08 MB) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/tsnj.2024.351229 | ||||
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| Authors | ||||
| Nader Abdel-Hakim Mousa El-Nshar1; Gehan A. Younis2; Hazem Abdel-Rahman Fayed3; Sabah Zein Mohamed Elgendi4 | ||||
| 11Master student of critical care and emergency nursing, faculty of nursing, Tanta University. 2Demonstrator of critical Care and Emergency Nursing Department, Faculty of Nursing, Kafrelsheikh University. | ||||
| 2Professor of critical Care and Emergency Nursing Department, Faculty of nursing, Tanta University | ||||
| 3Professor of Neuro Psychiatry Department, Faculty of Medicine, Tanta University. | ||||
| 4Lecturer of Medical Surgical Nursing Department, Faculty of nursing, Kafrelsheikh University | ||||
| Abstract | ||||
| Background: Neurogenic dysphagia is one of the most dangerous consequences of stroke leading to pulmonary infections and even death in stroke survivors. Aim: Evaluate the effect of implementing swallowing training exercises on neurogenic dysphagia among acute stroke patients. Design: A quasi-experimental research design. Setting: This study was conducted at Neurological Intensive Care Units of Tanta Main University Hospital which affiliated to Ministry of Higher Education and Scientific Research. Subjects: A purposive sampling of 60 patients with acute stroke aged from 21 to 60 years old, both sexes. Tools: Four tools were used in this study Tool I: Acute Stroke Patients’ Assessment: It included three parts as the following: Part (1): Patients’ demographic characteristics, Part (2): Patients’ medical data, and Part (3): Patients’ swallowing reflexes examination, Tool II: Functional Oral Intake Scale (FOIS), Tool (III): The 8-Point Penetration-Aspiration Scale (PAS), and Tool (IV): Dysphagia Observational Checklist. Results: The study finding revealed a highly statistically significant difference was observed among control & study group at 5th day of admission with (p= 0.000) post application of the swallowing training exercises regarding penetration aspiration scale. Conclusions: Neurogenic dysphagia is a common problem notified among acute stroke patients that need special intervention to improve patients' status and decreased its complications. Recommendation: Manual log book about care of dysphagia and stroke patients should be available to nurses at Neurological Intensive Care Units as a teaching guide for patients with neurogenic dysphagia and Continues health education programs for patients and relatives to increase practices and knowledge on swallowing exercises. | ||||
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