Abdelbaky, A., Abdel Aziz, A., Mohamed, E., Eltomy, E., Mohamed, A., AbdelHakim, E. (2023). Shaker Exercises, Feeding Modification, and Associated-depression Relief as Dysphagia Care Bundle: A quasi-Experimental Study in Elderly Patients. Assiut Scientific Nursing Journal, 11(36), 194-207. doi: 10.21608/asnj.2023.200230.1546
Aml S Abdelbaky; Ahmed Abdel Rahman Abdel Aziz; Ebtsam A. Mohamed; Ekhlass M. Eltomy; Aml Ali Mohamed; Eman Abdel Razik AbdelHakim. "Shaker Exercises, Feeding Modification, and Associated-depression Relief as Dysphagia Care Bundle: A quasi-Experimental Study in Elderly Patients". Assiut Scientific Nursing Journal, 11, 36, 2023, 194-207. doi: 10.21608/asnj.2023.200230.1546
Abdelbaky, A., Abdel Aziz, A., Mohamed, E., Eltomy, E., Mohamed, A., AbdelHakim, E. (2023). 'Shaker Exercises, Feeding Modification, and Associated-depression Relief as Dysphagia Care Bundle: A quasi-Experimental Study in Elderly Patients', Assiut Scientific Nursing Journal, 11(36), pp. 194-207. doi: 10.21608/asnj.2023.200230.1546
Abdelbaky, A., Abdel Aziz, A., Mohamed, E., Eltomy, E., Mohamed, A., AbdelHakim, E. Shaker Exercises, Feeding Modification, and Associated-depression Relief as Dysphagia Care Bundle: A quasi-Experimental Study in Elderly Patients. Assiut Scientific Nursing Journal, 2023; 11(36): 194-207. doi: 10.21608/asnj.2023.200230.1546
Shaker Exercises, Feeding Modification, and Associated-depression Relief as Dysphagia Care Bundle: A quasi-Experimental Study in Elderly Patients
1Lecturer of Department of Medical Surgical Nursing, Faculty of Nursing, University, Minia, Egypt.
2Associated Professor of Ear, Nose, and Throat, Faculty of Medicine, Department of Otorhinolaryngology, University, Minia, Egypt
3Lecturer of Department of Psychiatric and Mental Health Nursing, Faculty of Nursing, University, Minia, Egypt
4Assistant. Professor of Department Community Health Nursing, Faculty of Nursing, University, Minia, Egypt.
5Lecturer of Geriatric Nursing, Department of Medical Surgical Nursing, Faculty of Nursing, University, Minia, Egypt
Abstract
Background: Dysphagia is frequently overlooked by elderly individuals who may consider it a normal part of aging. This condition causes psychological distress, such as depression. Therefore, early, multidisciplinary care is essential. Aim of the study: To evaluate the effectiveness of shaker exercises, feeding modification, and associated-depression relief as dysphagia care bundle among elderly patients. Design: Quasi-experimental research design (study/ control) was utilized in the current study. Sample: Purposive sample of 120 elderly patients with dysphagia were collected from the outpatient clinic of the Ear, Nose, and Throat of El-Minia university hospital and randomly divided into the bundle group and the control group which include 60 elderly patients in each. Tools: Three tools and one scale were used for data collection before and after intervention: Eat-10 scale, the 3-ounce Water Swallow Test (3OWST), and Geriatric Depression Scale (Short Form). Results: In the post-intervention phase, the mean scores of Eat-10 scale declined from 16.2±4.8 to 8.3±2.27 among the bundle group with (p-value <0.0001), while it modestly decreased from 15.3±4.6 to 13.4±3.8 among the control group with (p-value=0.2965). The proportion of individuals with normal swallowing in 3-ounce Water Swallow Test were increased among the bundle and control group from 31.7 and 36.7 to 70 % and 38.3%, respectively. The proportion of individuals with moderate to severe depression levels among the participants in the bundle and control groups decreased from 63.3% and 66.7% to 25% and 63.3%, respectively. Conclusion: The study concludes that the intervention protocol was effective in improving dysphagia and its associated depression among the elderly patients. Recommendations: Further researches with larger sample, multiple outcome metrics of timing, and intensity of intervention are needed.
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