Browse > Article
http://dx.doi.org/10.7475/kjan.2013.25.2.113

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

Lee, Eun Ha (Chonnam National University Hospital)
Choi, Ja Yun (College of Nursing, Chonnam National University.CRINS)
Publication Information
Korean Journal of Adult Nursing / v.25, no.2, 2013 , pp. 113-124 More about this Journal
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
Deglutition disorders; Checklist; Risk assessment; Early intervention; Stroke;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 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.   DOI
2 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.
3 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
4 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   DOI
5 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.
6 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   DOI   ScienceOn
7 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   DOI   ScienceOn
8 Mann, G., Hankey, G. J., & Cameron, D. (1999). Swallowing function after stroke: Prognosis and prognostic factors at 6 months. Stroke, 30 (4), 744-748.   DOI   ScienceOn
9 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.   DOI   ScienceOn
10 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.
11 Perry, L., & Love, C. P. (2001). Screening for dysphagia and aspiration in acute stroke: A systematic review. Dysphagia, 16 (1), 7-18.   DOI   ScienceOn
12 Research Institute of Korean Studies. (2009). Korean dictionary. Seoul: Research Institute of Korean.
13 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   DOI   ScienceOn
14 Shanley, C., & O'Loughlin, G. (2000). Dysphagia among nursing home residents: An assessment and management protocol. Journal of Gerontological Nursing, 26 (8), 35-48.
15 Statistics Korea. (2010). Annual report on the cause of death statistics. Seoul: Statistics Korea.
16 Annesi-Maesano, I., & Dab, W. (2006). Air pollution and the lung: Epidemiology approach. Medical Science, 22, 589-594.
17 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.
18 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.   DOI   ScienceOn
19 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.   DOI   ScienceOn
20 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   DOI   ScienceOn
21 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.
22 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.   DOI   ScienceOn
23 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   DOI   ScienceOn