Effect of Compensatory Strategies on Severity and Functional Outcome of Oropharyngeal Dysphagia for Stroke Patients

Document Type : Original Article

Authors

1 Lecturer of Medical Surgical Nursing, Faculty of Nursing, Zagazig University, Egypt

2 Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Zagazig University, Egypt.

3 Lecturer of Medical Surgical Nursing, Faculty of Nursing, Zagazig University, Egypt.

Abstract

Post-stroke dysphagia is one of the greatest feared consequences of stroke associated with tougher outcome, dependence, and quality of life of stroke survivors. Aim: This study aimed to evaluate the effect of compensatory strategieson severity and functional outcome of oropharyngeal dysphagia for stroke patients.Design: A pretest and post-test quasi-experimental research design was used. Setting: This study was conducted in the intensive care unit, Neurology department in New Surgery Hospital and Outpatient Clinic of Neurology, associated to Zagazig University Hospitals. Sample: A Purposive sample of 60 post stroke hospitalized adult patients was conducted. Tools: Tool I: A Structured interview questionnaire, Tool II: The Gugging Swallowing Screen (GUSS), Tool III: Swallow Function Scoring System (SFSS), and Tool IV: Swallowing Disturbance Questionnaire. Results: Two thirds (66.7%) & the (most 90.0%) of patients in the study group respectively had independent feeding ability through post and follow up phases. highly statistically significant differences were found among the patients in the study group regarding physical, functional, and emotional symptoms of dysphagia through the three phases of the study with X ̅ S. D (161.6 ± 8.2, 82.5 ± 29.2, & 57.8 ± 26.5 respectively) at p=0.000 and F=41.91. Conclusion: Rendering to the study results, it can be concluded that use of the compensatory strategies had a statistically significant positive effect on lessening symptoms, severity, and handicap, of dysphagia. Recommendation: More study on larger sample sizes is proposed to examine various models of compensatory strategies for post stroke dysphagia.

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