Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지
DOI QR코드

DOI QR Code

Development and Utilization of Assessment and Intervention Checklist for Post-stroke Dysphagia

뇌졸중 후 연하곤란 사정과 중재 체크리스트 개발 및 활용정도

  • Lee, Eun Ha (Chonnam National University Hospital) ;
  • Choi, Ja Yun (College of Nursing, Chonnam National University.CRINS)
  • 이은하 (전남대학교병원) ;
  • 최자윤 (전남대학교 간호대학.간호과학연구소)
  • Received : 2012.11.19
  • Accepted : 2013.04.10
  • Published : 2013.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Purposes of this study were to develop a reliable and valid checklist to assess and manage post-stroke dysphagia and to identify its utilization. Methods: The first step was to develop checklist through systematic literatures reviews, to test the content validity from 11 clinical experts, and to test the construct validity and the internal consistency from 97 patients with post-stroke dysphagia. The second step was to identify clinical use of the checklist from the same 97 patients. Results: A total of 18 items compromised the assessment checklist and 64 items for intervention checklist. Internal consistencies of assessment checklist and intervention checklist were .84 and .98, respectively. In both checklists, level of utilization of general appearance was the highest, while that of early signs of aspiration was the lowest. The utilization levels of two checklists were significantly higher among patients who were less than 60 years old, and had liquid diet, facial paralysis, and previous history of aspiration pneumonia. Conclusion: We found that the checklists were reliable and valid. Further study is needed to develop specific strategies to improve nurses' use of assessment and intervention checklists for post-stroke dysphagia.

Keywords

References

  1. Annesi-Maesano, I., & Dab, W. (2006). Air pollution and the lung: Epidemiology approach. Medical Science, 22, 589-594.
  2. Baek, J. Y. (2007). A study on the characteristics of dysphagia of older adults with neurologic disorders. The Journal of Korean Academy of Occupational Therapy, 15 (1), 47-56.
  3. Broadley, S., Croser, D., Cottrell, J., Creevy, M., Teo, E., Yiu, D., et al. (2003). Predictors of prolonged dysphagia following acute stroke. Journal of Clinical Neuroscience, 10 (3), 300-305. https://doi.org/10.1016/S0967-5868(03)00022-5
  4. Carnaby, G., Hankey, G. J., & Pizzi, J. (2006). Behavioural intervention for dysphagia in acute stroke: A randomised controlled trial. Lancet Neurology, 2005 (1), 31-37. http://dx. doi.org/10.1016/S1474-4422 (05)70252-0
  5. Daniels, S. K., Ballo, L. A., Mahoney, M. C., & Foundas, A. L. (2000). Clinical predictors of dysphagia and aspiration risk: Outcome measures in acute stroke patients. Archives of Physical Medicine and Rehabilitation, 81 (8), 1030-1033. https://doi.org/10.1053/apmr.2000.6301
  6. Dantas, R. O., Kern, M. K., Massey, B. T., Dodds, W. J., Kahrilas, P. J., Brasseur, J. G., et al. (1990). Effect of swallowed bolus variables on oral and pharyngeal phases of swallowing. The American Journal of Physiology, 258 (5 Pt 1), G675-681.
  7. Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39 (2), 175-191. https://doi.org/10.3758/BF03193146
  8. Foley, N., Teasell, R., Salter, K., Kruger, E., & Martino, R. (2008). Dysphagia treatment post stroke: A systematic review of randomised controlled trials. Age and Ageing, 37 (3), 258-264. http://dx.doi.org/10.1093/ageing/afn064
  9. Han, T. R., Paik, N. J., & Park, J. W. (1999). The functional dysphagia scale using videofluoroscopic swallowing study in stroke patients. The Journal of Korean Academy of Rehabilitation Medicine, 23 (6), 1118-1126.
  10. Health Insurance Review & Assessment Service(2011, November). National health insurance statical yearbook. Retrieved September 1, 2011, from http://www.hira.or.kr/dummy.do? pgmid=HIRAA020045020000&cmsurl=/cms/information
  11. Ickenstein, G. W., Stein, J., Ambrosi, D., Goldstein, R., Horn, M., & Bogdahn, U. (2005). Predictors of survival after severe dysphagic stroke. Journal of Neurology, 252 (12), 1510-6. http://dx.doi.org/10.1007/s00415-005-0906-9
  12. Kim, C. Y. (2011). The development and the effect of the dysphagia assessment tool and management program for elderly in the long-term care facilities. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
  13. Kumar, S., Selim, M. H., & Caplan, L, R. (2010). Medical complications after stroke. Lancet Neurology, 9 (1), 105-118. http:// dx.doi.org/10.1016/S1474-4422 (09)70266-2
  14. Langdon, P. C., Lee, A. H., & Binns, C. W. (2007). Dysphagia in acute ischaemic stroke: Severity, recovery and relationship to stroke subtype. Journal of Clinical Neuroscience, 14 (7), 630-634. http://dx.doi.org/10.1016/j.jocn.2006.04.009
  15. Mann, G., Hankey, G. J., & Cameron, D. (1999). Swallowing function after stroke: Prognosis and prognostic factors at 6 months. Stroke, 30 (4), 744-748. https://doi.org/10.1161/01.STR.30.4.744
  16. Moon, K. H., Sohn, H. S., Lee, E. S., Paek, E. K., Kang, E. J., Lee, S. H., et al. (2010). Comparison for risk estimate of aspiration between the revised dysphagia assessment tool and videofluoroscopy in post-stroke patients. Journal of Korean Academy of Nursing, 40 (3), 359-366. https://doi.org/10.4040/jkan.2010.40.3.359
  17. Paek, E. K., Yoo, J. S., Moon, K, H., Kim, H. J., Lee, E. S., Lee, J. H., et al. (2007). Dysphagia assessment tool for post-stroke patients. Journal of Korean Clinical Nursing Research, 13 (3), 19-30.
  18. Perry, L., & Love, C. P. (2001). Screening for dysphagia and aspiration in acute stroke: A systematic review. Dysphagia, 16 (1), 7-18. https://doi.org/10.1007/s004550000047
  19. Research Institute of Korean Studies. (2009). Korean dictionary. Seoul: Research Institute of Korean.
  20. Sarin, J., Balasubramaniam, R., Corcoran, A. M., Laudenbach, J. M., & Stoopler, E. T. (2008). Reducing the risk of aspiration pneumonia among elderly patients in long-term care facilities through oral health interventions. Journal of the American Medical Directors Association, 9 (2), 128-135. http://dx. doi.org/10.1016/j.jamda.2007.10.003
  21. Shanley, C., & O'Loughlin, G. (2000). Dysphagia among nursing home residents: An assessment and management protocol. Journal of Gerontological Nursing, 26 (8), 35-48.
  22. Statistics Korea. (2010). Annual report on the cause of death statistics. Seoul: Statistics Korea.
  23. Sundar, U., Pahuja, V., Dwivedi, N., & Yeolekar, M. E. (2008). Dysphagia in acute stroke: Correlation with stroke subtype, vascular territory and in-hospital respiratory morbidity and mortality. Neurology India, 56 (4), 463-470. https://doi.org/10.4103/0028-3886.44828

Cited by

  1. Effects of Tongue-Holding Maneuver Compared with Mendelsohn Maneuver on Swallowing Function in Stroke Patients vol.15, pp.2, 2015, https://doi.org/10.15384/kjhp.2015.15.2.83
  2. Effects of a Dysphagia Nursing Protocol on Reducing Aspiration Pneumonia and Improving Daily Activity Dependency in Patients with Acute Stroke vol.27, pp.3, 2015, https://doi.org/10.7475/kjan.2015.27.3.304