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ORIGINAL ARTICLE
Year : 2018  |  Volume : 15  |  Issue : 2  |  Page : 125-134

Effect of swallowing training program on dysphagia following cerebrovascular stroke


1 Department of Adult Health Nursing, Faculty of Nursing, Halwan University, Helwan, Egypt
2 Department of Medical Surgical Nursing, Faculty of Nursing, Ain Shams University, Cairo, Egypt

Correspondence Address:
Enas Ebrahiem E Abo Elfetoh
Department of Adult Health Nursing, Faculty of Nursing, Halwan University, Helwan
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ENJ.ENJ_10_18

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Background Cerebrovascular stroke (CVS) is a neurological deficit lasting for more than 24 h and occurs as a result of interrupted arterial blood flow to parts of the brain. One of the most common complications following CVS is dysphagia which is a biomechanical disorder that occurs when functional impairments of the nervous system or musculature impede the transport of liquids and solids to the gastrointestinal tract which may increase the risk of morbidity due to malnutrition, dehydration, and aspiration pneumonia accompanied with dysphagia in stroke patients. The swallowing training program is expected to reduce the risk of complications related to dysphagia. Aim The aim was to determine the effectiveness of swallowing training program on dysphagia following CVS. Patients and methods A quasi-experimental design was used. This study was conducted at the neurological inpatient units which were affiliated to Ain Shams University Hospital. A purposive sample consists of 40 hospitalized, CVS adult patients from the previous mentioned setting. Two tools were used for data collection: (a) Patients’ structured interviewing questionnaire, which included the patients’ sociodemographic and clinical data and (b) swallowing observational checklist which included two parts, (i) assessment of oral motor structures and reflexes and (ii) swallowing rating scale. Results At the fourth observation for dysphagia manifestations, the present study revealed that more than two-third of the studied patients during their swallowing for potatoes, custard, teaspoon of water, eating biscuits, and sips of water were reached at L7 (normal swallowing). This study concluded that the training program of swallowing for dysphagic patients poststroke is effective in improving patients' swallowing. The program proved the effectiveness of the compensatory postures and oral motor exercises for those patients. Recommendation Develop continuing in-service training programs for nurses who work in the neurological units on the assessment of dysphagic patients, the compensatory postures, and oral motor exercises to be carried out with dysphagic patients.


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