Implementation strategies to improve evidence-based practice for post-stroke dysphagia identification and management: A before-and-after study

Zhang, Xiaoyan; Zhao, Junqiang; Zheng, Li; Li, Xuejing; Hao, Yufang

doi:10.1016/j.ijnss.2022.06.010

Cited by 2 publications

(2 citation statements)

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“…Comparison of four dimensions, namely perceived susceptibility, belief, and behavioral change gains as well as action instructions were statistically significant (P 0.05). The application of health education mode can be used to guide health education for dysphagia patients, and can increase understanding and mastery of relevant knowledge about aspiration pneumonia (Mandysová et al, 2016;Zhang et al, 2022). This will strengthen the patient's confidence in rehabilitation, actively promote self-management of behavior for patients with dysphagia, so as to achieve the effect of preventing aspiration pneumonia and improving the patient's quality of life.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Dysphagia Education Through Video on the Level of Knowledge and Screening of Dysphagia and Self-Efficacy of Nurses

Syahrun

Hani²,

Rahayu³

2022

JERE

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This study aims to analyze the effect of dysphagia education through knowledge level videos, dysphagia screening, and nurse self-efficacy. The method used descriptive method of analytic entitle True experimental with pretest and posttest control group design. The number of respondents 35 nurses selected using purposive sampling. Data collection used Self-Administered Questionnaire instrument, Questionnaire Modified Nursing Dysphagia Screen, and Generalized Self-Efficacy Scale (GSE-10) and analyzed using T-test dependent samples. The result was significantly the level of dysphagia knowledge in the control group (p value = 0.017), the video group (p value = 0.002). Significant results also occurred at the knowledge level of dysphagia screening in the video group. Meaningless results occurred in the control group at the knowledge level of dysphagia screening and self-efficacy of nurses, as well as self-efficacy in the video group. As shown in educational research dysphagia through video can affect the level of knowledge and level of knowledge of dysphagia screening but is not able to influence the self-efficacy of nurses.

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Section: Discussionmentioning

confidence: 99%

The Effect of Dysphagia Education Through Video on the Level of Knowledge and Screening of Dysphagia and Self-Efficacy of Nurses

Syahrun

Hani²,

Rahayu³

2022

JERE

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“…For PSD patients in the rehabilitation period after discharge, home rehabilitation is a long-term process. WeChat's characteristics of interactivity, immediacy and wide area also allow for expanding the continuity of PSD home-based rehabilitation ( 23 ). Specifically, home-based rehabilitation exercise videos on a WeChat public account can be watched repeatedly, which is convenient for PSD patients and their caregivers for learning.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of smart health-based rehabilitation on patients with poststroke dysphagia: A brief research report

Zhang

Huang

et al. 2023

Front. Neurol.

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ObjectiveThis study aimed to evaluate the effectiveness of smart health-based rehabilitation on patients with poststroke dysphagia (PSD).MethodsWe recruited 60 PSD patients and randomly allocated them to the intervention (n = 30) and control (n = 30) groups. The former received the smart health-based rehabilitation for 12 weeks, whereas the latter received routine rehabilitation. Water swallow test (WST), standardized swallowing assessment (SSA), swallow quality-of-life questionnaire (SWAL-QOL), stroke self-efficacy questionnaire (SSEQ), perceived social support scale (PSSS) and nutritional measurements including body weight, triceps skinfold thickness (TSF), total protein (TP), serum albumin (ALB) and serum prealbumin (PA) in both groups were measured.ResultsWhen the baseline WST, SSA, SWAL-QOL, SSEQ, PSSS and nutritional measurements were examined, there was no significant difference between the intervention group and the control group (P > 0.05). After rehabilitation interventions, the WST and SSA scores in the intervention group were significantly lower than those in the control group (P < 0.01). The SWAL-QOL, SSEQ and PSSS scores in the intervention group were significantly higher than in the control group (P < 0.01). Compared with the control group, the intervention group showed an increase in the serum levels of PA (P < 0.01). However, no statistically significant difference existed between the intervention group and the control group in terms of body weight, TSF, TP or ALB (P > 0.05).ConclusionsOverall, our data revealed that smart health-based rehabilitation is significantly beneficial to the swallowing function, quality of life, self-efficacy, and social support for PSD patients when compared with routine rehabilitation. However, nutritional measurements were not significantly improved in such patients under the smart health-based rehabilitation when compared the routine rehabilitation. In the future, it is necessary to extend the intervention time to further evaluate the long-term efficacy of smart health-based rehabilitation on nutritional measurements of PSD patients.

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Implementation strategies to improve evidence-based practice for post-stroke dysphagia identification and management: A before-and-after study

Cited by 2 publications

References 26 publications

The Effect of Dysphagia Education Through Video on the Level of Knowledge and Screening of Dysphagia and Self-Efficacy of Nurses

The Effect of Dysphagia Education Through Video on the Level of Knowledge and Screening of Dysphagia and Self-Efficacy of Nurses

Effectiveness of smart health-based rehabilitation on patients with poststroke dysphagia: A brief research report

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