The effectiveness of oral hygiene care program in improving swallowing function for dysphagia of patients after stroke
Chen Hsiao-Jung, Huang and Tzu-Ting
Chang Gung University, Taiwan
: J Nurs Patient Care
Abstract
Problem: In order to achieve good therapeutic effect of swallowing, we find that the obstruction factors of swallowing treatment are oral residual sputum and neglect oral hygiene. Before treatment, oral care can not only improve oral hygiene and remove sputum, but also improve oral sense, dry mouth and saliva Flow, and thus promote appetite. Purpose: To improve the effective of oral hygiene of hospitalized stroke dysphagia patient, and to evaluate the effect of oral hygiene care program on stroke swallowing therapy. Methods: This study intends to adopt Randomized Clinical Trials (RCT), using purposive sampling at a teaching hospital in northern Taiwan, and choosing adults 50 years or older as the subjects in two rehabilitation wards. This sample will then be randomly divided people into experimental group (n=30) and control group (n=30). In the control group, providing original swallowing treatment and health education for patient. The experimental group was added oral care program before the swallowing treatment. To evaluate swallowing function for hospitalized stroke swallowing therapy patient by swallowing frequency and functional oral intake scale. Result: After oral hygiene care program for three weeks(21 days), swallowing frequency improved significantly in the intervention group, compared to the control group (p < 0.05). After oral hygiene care program for two weeks(14days) and three weeks(21 days), all of which has significant improvement in functional oral intake(p < 0.05). Conclusion: The use of oral hygiene care program can improve the effectiveness of original swallowing treatment. Reference: 1. Arnold, M., Liesirova, K., Broeg-Morvay, A., Meisterernst, J., Schlager, M., Mono, M.L., and H. Sarikaya, 2016. Dysphagia in Acute Stroke: Incidence, Burden and Impact on Clinical Outcome. PLoS ONE, 11: e0148424. 2. Chipps, E. Gatens, C. Gnter, L. Musto, M. Dbis-Bohn, A. Gliemmo, M. Dudley, K.Holloman, C. Hoet, A. E.and T. Landers, 2014. Pilot study of an oral care protocol on poststroke survivors. Rehabilitation Nurse, 39: 294-304. 3. Crary, M.A. Mann, G.D. and M.E. Groher, 2005. Initial psychometric assessment of afunctional oral intake scale for dysphagia in stroke patients. Archives of Physical Medicine and Rehabilitation, 86: 1516-1520. 4. Huang, K. L. Liu, T. Y. Hang, Y. C. Leong, C. P. Ln, W. C. and Y. P. Pong, 2014. Functional outcome in acute stroke patients with oropharyngeal Dysphagia after swallowing therapy. Journal of Stroke & Cerebrovascular Diseases, 23: 2547-2553. 5. Kim, E.K. Park, E.Y. Sa Gong, J.W. Jang, S.H. Choi, Y.H. and HK. Lee, 2016. Lasting effect of an oral hygiene care program for patients with stroke during in-hospital rehabilitation: a randomized single-center clinical trial. Disability Rehabilitation, 15: 1-6. 6. Yu, P. Fu, Q. Shi, J. Tao, W. Pang, H. Cen, X. and X. Liu, 2016. Effects of Different Levels of Caregiver Training on Oral Hygiene After Stroke. Journal of the American Geriatrics Society, 64: 1335-1140.
Biography
Chen, Hsiao-Jung is Ph. D. student from Chang Gung University, Tao-Yuan, Taiwan. She has published 5 papers in journals and 2 poster. crchen51@gmail.com
