Effect of Swallowing Exercises on Swallowing Function for Patients with Neurogenic Dysphagia

Document Type : Original Article

Authors

1 Assistant Professor of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt

2 Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Assiut University, Egypt

3 Lecturer of Gerontological Nursing, Faculty of Nursing, Assiut University, Egypt

4 Lecturer of Medical-Surgical Nursing, Faculty of Nursing, Benisuef University, Egypt

Abstract

Background: Neurogenic dysphagia is one of the most common dangerous disorders for patients with neurological diseases. Aim: The aim of the study was to evaluate the effect of swallowing exercises on swallowing function for patients with neurogenic dysphagia. Patients and Methods: Research design: Quasi experimental (pre/post test) research design was used. Sample and Setting: A selected sample of 60 patients diagnosed with neurogenic dysphagia was recruited and also followed up for 2 months at neurological department and neurological outpatients clinic at neurological, psychiatric and neurosurgery Assiut University Hospital. Each patient was oriented and trained by the researchers to know the effect of practicing swallowing exercises and received brochure to be oriented about its effect on swallowing function. Tools: Patients assessment questionnaire, functional oral intake scale, Bazaz dysphagia score, eating assessment tool-10 and the 8-point penetration-aspiration scale. Results: The study finding revealed a highly statistical significant improvement (p < 0.0001) post application of the swallowing exercises as regard all outcome measures; functional oral intake scale, Bazaz dysphagia scale, aspiration and complications. Conclusion: Swallowing exercises significantly improve swallowing function and decrease severity of neurogenic dysphagia, aspiration and complications. Recommendation: The swallowing exercises (brochure) should be utilized in neurology hospitals as a teaching guide for patients with neurogenic dysphagia.

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