Nursing management of post-stroke dysphagia in a tertiary hospital

Liu, Huahua; Shi, Yu; Shi, Yuting; Hu, Ruiping; Jiang, Hong

doi:10.11124/jbisrir-2016-002971

Cited by 10 publications

(10 citation statements)

References 12 publications

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“…Cohen. Liu H et al in their study found that improving the nursing care of patients with post-stroke dysphagia is crucial in preventing the complications such as malnutrition and aspiration 20 .…”

Section: Discussionmentioning

confidence: 99%

Dysphagia in Patients with Stroke: A Prospective Study

Balamurali¹,

Sekar²,

Thangaraj³

et al. 2018

IJCMSR

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Section: Discussionmentioning

confidence: 99%

Dysphagia in Patients with Stroke: A Prospective Study

Balamurali¹,

Sekar²,

Thangaraj³

et al. 2018

IJCMSR

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“…However, due to the nurses lack of knowledge about the advantages and skills surrounding dysphagia management, they did not conduct dysphagia screening. 26 Based on research, nurses can do dysphagia screening 25 that 80% can screen for dysphagia and make proper referrals to nutritionists and language and speech therapists.…”

Section: Current Management Of Dysphagiamentioning

confidence: 99%

Management Dysphagia in Post-Stroke Patients Recommendations for Indonesian Nursing Intervention Standards: A Literature Review

Syahrun

Hany²,

Rahayu³

2022

MNJ

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Background: Dysphagia often occurs in post-stroke patients, causing aspiration that can result in disability or death. Nurses have an essential role to play in preventing these complications as they 24/7 care for patients. However, there is no written standard of nursing care regarding specific interventions of post-stroke dysphagia in reality. Objective: The purpose of this article is to conduct a literature review of interventions that can be made in patients with post-stroke dysphagia so that it can be a recommendation for Indonesian nursing standards. Design: Electronic literature searches PubMed, EBSCO (Medline), ProQuest, and ScienceDirect databases from January 2011 to October 2020. There was sixteen studies reviewed included in this systematic study were experimental, randomized controlled trials, or systematic reviews (which are also experimental designs, randomized controlled trials). The study focused on non-invasive interventions performed on post-stroke dysphagia patients. Results: Interventions in dysphagia found, namely: The use of food thickeners against the risk of aspiration resulted in the patient's swallowing ability significantly increased by 71.9% (p <0.01); Chin down intervention combined with thickening fluid provides a solution to improve the nutritional needs of patients dysphagia post-stroke; Tongue training interventions, swallowing training and speech therapy; Tongue stretching exercises that have a positive effect on tongue motility and oromotor function in post-stroke dysphagia patients; Intervention of Tongue resistance training that increases the strength of the tongue and reduces fluid residue in the vallecular; and early screening of dysphagia by nurses using formal guidelines to manage dysphagia patients thereby reducing chest infections and mortality. Conclusion: Nurses should not diagnose dysphagia, but can identify post-stroke dysphagia to determine the interventions necessary for nutrition management, hydration, and aspiration prevention. Interventions include early dysphagia screening within 24 hours after stroke, thickening nutrition according to nutritionist recommendations, laryngeal elevation exercises, peripheral stimulation, posture regulation, and education on eating and drinking.

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“…Peran perawat dalam penanganan awal sangat ideal karena selama 24 jam berada di rumah sakit, peran tersebut seperti mengidentifikasi pasien dengan kesulitan menelan dan memulai intervensi yang dapat mencegah komplikasi lebih lanjut (Liu et al, 2016). Maka dari itu perawat dalam pelaksanaan asuhan keperawatan perlu melakukan pengkajian awal guna mendapatkan data yang tepat tentang status menelan.…”

Section: Pendahuluanunclassified

Screening Disfagia Dengan Instrument Standardized Swallowing Assessment Pada Pasien Dengan Gangguan Neurologi Di Rsup Dr. Wahidin Sudirohusodo

Asri

Rosnia

Hidayat

et al. 2019

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Screening of Dysphagia is one of the applications of evidence based nursing (EBN) to reduce complications. The Study results found that Screening of Dysphagia can be effectively carried out by nurses and cause a decrease in the level of pneumonia (Palli et al., 2017). Screening of Dysphagia could reduces the level of broncho aspiration in acute stroke patients (Cocho et al., 2015). Many instruments that can be used in Screening of Dysphagia. The Standardized Swallowing Assessment (SSA) instrument is the best instruments that have been used with higher sensitivity and specificity and evaluation of the results of methodological quality evaluations with a 12 steps criterion adapted from (Jaeschke et al). The purpose of this EBN is to assess the effective, efficient and safe use of SSA instruments and the prevalence of dysphagia in dysphagia screening in the lontara room for neurology patients RSUP Dr. Wahidin SudirohusodoMakassar. Implementing this EBN, it was found that Dysphagia Screening using SSA instruments was effective, efficient and safe to use. 9 of 19 patients were indicated as dysphagia.

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Nursing management of post-stroke dysphagia in a tertiary hospital

Cited by 10 publications

References 12 publications

Dysphagia in Patients with Stroke: A Prospective Study

Dysphagia in Patients with Stroke: A Prospective Study

Management Dysphagia in Post-Stroke Patients Recommendations for Indonesian Nursing Intervention Standards: A Literature Review

Screening Disfagia Dengan Instrument Standardized Swallowing Assessment Pada Pasien Dengan Gangguan Neurologi Di Rsup Dr. Wahidin Sudirohusodo

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