Background: Cerebrovascular Stroke (CVS) is a rapidly developing clinical focal disorder of cerebral function lasting for 24 hours or longer and leading to death, with no obvious reason other than the vascular source. Aim of the study: was to determine the effect of swallowing training rehabilitation program on severity of dysphagia and swallowing trial among patients with cerebrovascular stroke Research design: A quasi experimental research design with a pretest-posttest control group was utilized. Settings: The study was conducted at neurological inpatient units at Alexandria University Hospital. This hospital was selected because flow rate of patients with cerebrovascular stroke was satisfactory for the study. Subjects: Purposive samples of 60 hospitalized adult patients with CVS were selected according to eligibility criteria. They were divided into two equal groups 30 in each study group and control group. Tools of data collection: three tools were used for data collection namely: Patients' demographic characteristics and clinical data sheet, dysphagia severity scale and observation checklist to assess swallowing ability during swallow trial: Results: the study results revealed that there was a statistically significant difference between the study and control groups in favor of the former in relation to severity of dysphagia and swallowing trial after two weeks and one month of intervention in which the severity of dysphagia decreases among study group to 20% and 13.3% respectively in level (1) after two weeks and one month while the severity of dysphagia increases among control group to 40% and 66.7% respectively in level (1) after two weeks and one month with P = 0 .000. Conclusion:The study concluded that swallowing training rehabilitation program has significant positive effect on severity of dysphagia and swallowing trial among patients with cerebrovascular stroke. Recommendation: The developed booklet with its simple instructions and illustrations should be utilized in hospitals as a teaching aid for patient with dysphagia. Periodic health education programs for nurses to create awareness on swallowing exercises in improving swallowing ability.
Background: Pressure ulcers are common and one of the most serious disorders that may occur to patients during hospitalization. Previous studies have shown education and knowledge affect the implementation of interventions which are one of the main responsibilities of nursing staff and the administrative authority for improving the quality of nursing care and decreasing patients' morbidity. Aim of the study: Assessment of nurses' knowledge and practice regarding prevention and early detection of pressure ulcer, developing protocol for prevention and early detection of pressure ulcer for nurses in Damanhur National Medical Institute. Research questions: What are the nurses' knowledge regarding the prevention and early detection of pressure ulcers in Damanhur National Medical Institute? What are the nurses' practices regarding the prevention and early detection of pressure ulcers in Damanhur National Medical Institute? Do nurses need protocol for prevention and early detection of pressure ulcers in Damanhur National Medical Institute? Research design: A descriptive cross-sectional research design was used. Setting: Study was conducted at Damanhur National Medical Institute El Behaira governorate from the orthopedic, neurology unit and intensive care unit. Subjects: Finite sample, in total 111 nurses out of 140 nurses who work in orthopedic, neurology and intensive care units. Tool: One tool was used for data collection and consisted of four parts. The selfadministered questionnaire was designed for data collection of all the four parts. Results: The mean score of nurses' practice on screening for pressure ulcer risk was less than half comparing to mean of nurses' assessment of unit care plan for prevention of pressure ulcer which got a maximum score. The mean general nurses' knowledge of pressure ulcer prevention was more than one third. Conclusion: the present study finding concluded that: there were significant relations between nurses' knowledge, practice, and unit care plan. Recommendation: Included physicians, patients, and family in the nursing care plan.
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