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요양시설 거주 뇌졸중 노인을 위한 연하 훈련 프로그램의 효과

Effects of Swallowing Training Program for Nursing Home Residents with Stroke

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초록

Purpose: This study aimed to verify the effects of a swallowing training program on swallowing function and depressionfor nursing home residents with dysphagia after stroke. Methods: This is a quasi-experimental study with non-equivalentcontrol group pre-post test design. The program (oro-facial muscle strengthening exercises, swallowing exercises,expiratory muscle strengthening exercises, and brain stimulation exercises) applied to the experimental group three timesper week for eight weeks, 40-45 minutes for each intervention. The final data from 42 people (21 experimental and 21control) were analyzed by SPSS/WIN 25.0 using descriptive statistics. x2test, t-test, Wilcoxon rank sum test, andFriedman test. Results: The experimental group was significantly improved than control group in oro-facial musclestrength, swallowing symptoms (Z=-2.22, p=.026), and oral intake function level (Z=-2.00, p=.046). However, there wasno significant difference between two groups in depression. Conclusion: This study is meaningful in that it reorganizedand mediated a swallowing training program as a safe, non-invasive exercise that nurses can implement in a nursingfacility with limited medical personnel and it could be easily followed by older adults.

Abstract

Purpose: This study aimed to verify the effects of a swallowing training program on swallowing function and depressionfor nursing home residents with dysphagia after stroke. Methods: This is a quasi-experimental study with non-equivalentcontrol group pre-post test design. The program (oro-facial muscle strengthening exercises, swallowing exercises,expiratory muscle strengthening exercises, and brain stimulation exercises) applied to the experimental group three timesper week for eight weeks, 40-45 minutes for each intervention. The final data from 42 people (21 experimental and 21control) were analyzed by SPSS/WIN 25.0 using descriptive statistics. x2test, t-test, Wilcoxon rank sum test, andFriedman test. Results: The experimental group was significantly improved than control group in oro-facial musclestrength, swallowing symptoms (Z=-2.22, p=.026), and oral intake function level (Z=-2.00, p=.046). However, there wasno significant difference between two groups in depression. Conclusion: This study is meaningful in that it reorganizedand mediated a swallowing training program as a safe, non-invasive exercise that nurses can implement in a nursingfacility with limited medical personnel and it could be easily followed by older adults.

참고문헌 (30)

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