Dysphagia and daily oral fluids among cerebrovascular stroke patients: an theory-based nursing intervention protocol
, et | 22 juin 2023
À propos de cet article
Article Category: Original Article
Publié en ligne: 22 juin 2023
Pages: 213 - 222
Reçu: 03 sept. 2022
Accepté: 21 nov. 2022
DOI: https://doi.org/10.2478/fon-2023-0022
Mots clés
© 2023 Zeinab Hussein Ali et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Figure 1.
Comparison between study and control groups of patients at post-nursing intervention regarding the severity of dysphagia (N = 30).
| Severity of dysphagia | Post nursing intervention | χ2 | ||||
|---|---|---|---|---|---|---|
| Control group | Study group | |||||
| N | % | N | % | |||
| Slight/no dysphagia | 0 | 0 | 4 | 13.3 | 12.06 | 0.00720 |
| Mild dysphagia with a low risk of aspiration | 1 | 3.3 | 5 | 16.7 | ||
| Moderate dysphagia with a risk of aspiration | 7 | 23 | 11 | 36.7 | ||
| Severe dysphagia with a high risk of aspiration | 22 | 73 | 10 | 33.3 | ||
Comparison between pre and post-nursing intervention regarding the amount of daily oral fluids serving/24 h among control group patients (N = 30).
| Amount of daily oral fluids serving/24 h | Control group | χ2 | ||||
|---|---|---|---|---|---|---|
| Pre | Post | |||||
| N | % | N | % | |||
| <500 cc | 21 | 70 | 18 | 60 | 0.8308 | 0.842094 |
| 500–1000 cc | 6 | 16 | 9 | 33.3 | ||
| 1000–1500 cc | 2 | 6.6 | 2 | 6.6 | ||
| >1500 cc | 1 | 0 | 1 | 0 | ||
Comparison between the study and control groups at post-intervention regarding the amount of daily oral fluids serving/24 h (N = 30).
| Amount of daily oral fluids serving/24 h | Post nursing intervention | χ2 | ||||
|---|---|---|---|---|---|---|
| Study group | Control group | |||||
| N | % | N | % | |||
| <500 cc | 8 | 26 | 18 | 60 | 7.0462 | 0.070 |
| 500–1000 cc | 18 | 63 | 9 | 33.3 | ||
| 1000–1500 cc | 3 | 10 | 2 | 6.6 | ||
| >1500 cc | 1 | 0 | 1 | 0 | ||
Comparison between pre- and post-nursing intervention regarding the amount of daily oral fluids serving/24 h among study group patients (N = 30).
| Amount of daily oral fluids serving/24 h | Study group | χ2 | ||||
|---|---|---|---|---|---|---|
| Pre | Post | |||||
| No | % | No | % | |||
| <500 cc | 24 | 80 | 8 | 26 | 17.9091 | 0.000459 |
| 500–1000 cc | 4 | 16 | 18 | 63 | ||
| 1000–1500 cc | 1 | 3 | 3 | 10 | ||
| >1500 cc | 1 | 0 | 1 | 0 | ||
Relation between demographic data of study groups and severity of dysphagia at post-intervention according to GUSS test scale (N = 30).
| Items | Severity of dysphagia | χ2 | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Slight (N = 4) | Mild (N = 5) | Moderate (N = 11) | Severe (N = 10) | |||||||
| No | % | No | % | No | % | No | % | |||
| 7.030 | 0.012 |
|||||||||
| ≤40 | 3 | 10 | 4 | 13.3 | 6 | 20 | 3 | 10 | ||
| > 40 | 1 | 3.3 | 1 | 3.3 | 5 | 26.7 | 7 | 23.3 | ||
| 3.647 | 0.035 |
|||||||||
| Male | 2 | 6.7 | 3 | 10 | 8 | 26.7 | 7 | 23.3 | ||
| Female | 2 | 6.7 | 2 | 6.7 | 3 | 10 | 3 | 10 | ||
| 1.164 | 0.035 |
|||||||||
| Working | 1 | 3.3 | 1 | 3.3 | 3 | 10 | 4 | 13.3 | ||
| Retired | 1 | 3.3 | 2 | 6.7 | 4 | 13.3 | 4 | 13.3 | ||
| No work | 1 | 3.3 | 2 | 6.7 | 4 | 13.3 | 2 | 6.7 | ||
| 1.075 | 0.063 | |||||||||
| Single | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | ||
| Married | 4 | 13.3 | 3 | 10 | 7 | 23.3 | 6 | 20 | ||
| Widow | 0 | 0 | 2 | 6.7 | 4 | 13.3 | 3 | 10 | ||
| Divorced | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 3.3 | ||
| 9.881 | 0.008 |
|||||||||
| No | 3 | 10 | 4 | 13.3 | 6 | 20 | 2 | 6.7 | ||
| Yes | 1 | 3.3 | 1 | 3.3 | 5 | 16.7 | 8 | 26.7 | ||
| 10.718 | 0.006 |
|||||||||
| No | 4 | 13.3 | 5 | 16.7 | 11 | 36.7 | 5 | 16.7 | ||
| Yes | 0 | 0 | 0 | 0 | 0 | 0 | 5 | 16.7 | ||
Frequency of the patients according to past medical, surgical, and allergic history (N = 60).
| Items | Study group (N = 30) | Control group (N = 30) | ||
|---|---|---|---|---|
| N | % | N | % | |
| ≤40 | 21 | 70 | 20 | 66.60 |
| >40 | 9 | 30 | 10 | 33.30 |
| Male | 23 | 76.60 | 21 | 70 |
| Female | 7 | 23.30 | 9 | 30 |
| Working | 21 | 70 | 16 | 53.30 |
| Retired | 3 | 10 | 5 | 16.60 |
| No work | 7 | 23.30 | 9 | 30 |
| Single | 0 | 0 | 0 | 0 |
| Married | 22 | 73.30 | 26 | 86.60 |
| Widow | 8 | 26.60 | 3 | 10 |
| Divorced | 0 | 0 | 1 | 3.30 |
| No | 23 | 76.60 | 21 | 70 |
| Yes | 7 | 23.30 | 9 | 30 |
| No | 18 | 60 | 22 | 73.30 |
| Yes | 12 | 40 | 8 | 26.60 |
Comparison between pre- and post-nursing intervention regarding the severity of dysphagia among study group patients (N = 30).
| Severity of dysphagia | Study group | χ2 | ||||
|---|---|---|---|---|---|---|
| Pre | Post | |||||
| N | % | N | % | |||
| Slight/no dysphagia | 0 | 0 | 4 | 13.3 | 7.79 | 0.05049 |
| Mild dysphagia with a low risk of aspiration | 4 | 13 | 5 | 16.7 | ||
| Moderate dysphagia with a risk of aspiration | 7 | 23 | 11 | 36.7 | ||
| Severe dysphagia with a high risk of aspiration | 19 | 63 | 10 | 33.3 | ||