Dysphagia and daily oral fluids among cerebrovascular stroke patients: an theory-based nursing intervention protocol

Author:

Ali Zeinab Hussein1,Abd-Elaziz Marwa2,Abdrbo Amany3

Affiliation:

1. a Department of Adult Health Nursing, Faculty of Nursing, Helwan University , Ain Helwan , Cairo , Egypt

2. b Department of Adult Health Nursing & Focal Point of International Relations, Faculty of Nursing, Helwan University , Ain Helwan , Cairo , Egypt

3. c Nursing Department, Almoosa College for Health Sciences , , al-Mubarraz , Saudi Arabia

Abstract

Abstract Objective To evaluate the improvement of dysphagia and the daily amounts of oral fluids served among people who had recently experienced a cerebrovascular stroke (CVS) after applying a nursing intervention protocol. Methods A quasi-experimental design was used to examine 60 stroke patients who were randomly and alternatively divided equally into a study group and a control group. Gugging Swallowing Screen (GUSS) and fluid balance chart were used. Within the first 24 h of a patient’s admission, expert nurses were trained in nursing intervention protocol to manage dysphagia and daily oral fluids. Results Post-nursing intervention, the severity of dysphagia decreased among the study group more than in the control group. Additionally, the study group began taking greater amounts of fluids by the oral route than before the nursing intervention. Conclusions A standardized nursing intervention protocol is needed to decrease the severity of dysphagia after CVS and increase the amount of daily oral fluids. The presence of a structured theory-based nursing intervention protocol for dysphagia management will greatly contribute to decreasing the consequences of dysphagia after CVS, and can also be expected to attenuate the effects of aspiration pneumonia, dehydration, and malnutrition; further, it also increases adherence to the protocol by both nurses and patients.

Publisher

Walter de Gruyter GmbH

Subject

Education,General Nursing

Reference35 articles.

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2. Balou M, Herzberg EG, Kamelhar D, Molfenter SM. An intensive swallowing exercise protocol for improving swallowing physiology in older adults with radiographically confirmed dysphagia. Clin Interv Aging. 2019;14:283–288.

3. World Health Organization (WHO). The WHO STEP wise approach to stroke surveillance. https://www. who.int/southeastasia/news/detail/28-10-2021-world-stroke-day. Accessed November 24, 2021.

4. Baroni AF, Fábio SR, Dantas RO. Risk factors for swallowing dysfunction in stroke patients. Arq Gastroenterol. 2012;49:118–124.

5. Alonso de Leciñana M, Egido JA, Casado I, et al. Guidelines for the treatment of acute ischaemic stroke. Neurologia (Eng Ed). 2014;29:102–122.

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