Effects of a Nursing Program Development in Ischemic Stroke patients with Dysphagia on Aspiration Pneumonia Prevention at Stroke Unit, Phatthalung Hospital
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Abstract
This quasi-experimental research aimed to investigate the effects of nursing program development among ischemic stroke patients with dysphagia on aspiration pneumonia at Stroke Unit, Phatthalung hospital. The samples consisted of 88 stroke patients were recruited purposively. They were divided into two groups as experimental and control groups of 44 samples each group. The experimental group received the nursing program in ischemic stroke patients with dysphagia comprised of six phases: 1) swallowing assessment, 2) oral hygiene care, 3) swallowing muscles exercise, 4) nursing care for eating and feeding tube, 5) positioning for aspiration prevention, and 6) aspiration pneumonia assessment. The control group received a usual care. The data analysis was analyzed using descriptive statistics, Chi-square, and independent t-test. The results revealed that the incidence of aspiration pneumonia in the experimental group was significantly less than the control group (p <0.05). The length of stay and cost of treatment in the experimental group were significantly less than the control group (p <0.001). Therefore, nurses must apply this nursing program in stroke patients with dysphagia among all stroke patients in the hospital to prevent aspirate pneumonia.
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References
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