THE EFFECT OF USING A PROGRAM TO PREVENT ASPIRATION IN STROKE PATIENTS WITH DYSPHAGIA AT THE KUMPHAWAPI HOSPITAL, UDONTHANI PROVINCE

Abstract

This research is an action research. The purpose of this research was to study the results of using the program of preventing aspiration in stroke patients with difficulty swallowing and dysphagia in the stroke patient ward.The participants were stroke patients who also had problems withdifficulty in swallowing, who had been admitted to the patient ward of the female medicalarea at Kumphawapi Hospital. The study was conducted on 32 stroke patients who met the inclusion criteria and were willing volunteers and data was collected between December 2019 to March 2020. The research instrument used questionnaires for general personalinformation were used. The Glasgow Coma Scale and the NIHSS assessment were formed. Qualitative analysis was used to identify patterns and variations in the transcribed data. This included distributions such as percentage, mean and standard deviation. The results of this study supports the premise that using the program of prevention aspiration in stroke patients with difficulty swallowing and dysphagia can monitor and prevent the incidence of aspiration problems (100%). The participants had the Glasgow Coma Scale in which the minimum score was 11 (9.37%), and the maximum score was 15 (78.13 %). The NIHSS assessment was formed for stroke patients with a score between 1-4 (Mild) was 14 patients (43.80%) and the score between 5-16 (Moderate) was 18 patients (56.30%). Nurses were satisfied  with the program with the highest level of use (= 4.7).