뇌졸중 환자에게 제공한 연하곤란 간호중재 프로그램 효과
Development and Evaluation of a Dysphagia Nursing Intervention Program for Patients with a Stroke
0
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to develop and provide a standardized nursing intervention program for stroke patients with dysphagia and evaluate the effectiveness of the program. Methods: Data on the number of tube feedings, incidence of aspiration pneumonia and length of stay were collected from 42 patients in the control group and 51 patients in the experimental group over the 6 months of this study. The data were analyzed using x^2-test and t-test. Results: The number of tube feedings in the experimental group was significantly lower than control group (p=.002). The incidence of aspiration pneumonia in the experimental group was not significantly lower than the control group (p=.097). Length of stay in the experimental group was significantly shorter than the control group (p<.001). Conclusion: The results of this study indicate that a standardized nursing intervention program for stroke patients with dysphagia could be useful to decrease tube feedings and length of stay.
Abstract
Purpose: The purpose of this study was to develop and provide a standardized nursing intervention program for stroke patients with dysphagia and evaluate the effectiveness of the program. Methods: Data on the number of tube feedings, incidence of aspiration pneumonia and length of stay were collected from 42 patients in the control group and 51 patients in the experimental group over the 6 months of this study. The data were analyzed using x^2-test and t-test. Results: The number of tube feedings in the experimental group was significantly lower than control group (p=.002). The incidence of aspiration pneumonia in the experimental group was not significantly lower than the control group (p=.097). Length of stay in the experimental group was significantly shorter than the control group (p<.001). Conclusion: The results of this study indicate that a standardized nursing intervention program for stroke patients with dysphagia could be useful to decrease tube feedings and length of stay.
참고문헌 (24)
- 권형민, "급성 뇌졸중 후 발생하는 폐렴에 관한 예측 인자", 대한신경과학회지, 21(5), pp.2~460 (2003), 대한신경과학회
- 김남초, "신경외과 중환자실의 병원성폐렴 발생 위험요인", 한국보건간호학회지, 15(2), pp.239~248 (2001)
- 김수경, "뇌졸중 환자의 연하장애 치료:사례연구", 대한작업치료학회지, 10(2), pp.135~142 (2002)
- 김유정, "Chlorhexidine gluconate 구강간호와 30ﾟ두부거상 체위가 중환자실의 인공호흡기관련 폐렴발생에 미치는 효과", 석사, pp.2009
- 박명숙, "흡인성 폐렴 노인과 지역사회획득 폐렴 노인의 임상양상 비교", 노인간호학회지, 10(2), pp.142~151 (2008), 노인간호학회
- 백은경, "연하곤란을 동반한 뇌졸중 환자의 흡인지표 개발", 석사, pp.2006
- 서문자, "통합적 재활간호" (2005), 신광출판사
- 서울대학교병원, "임상간호 실무지침 I: 간호방법(제2개정판)" (2003), 서울대학교출판부
- 서원희, "뇌졸중 환자에서의 흡인성폐렴의 발생률 및 임상적 고찰", 대한재활의학회지, 18(1), pp.52~58 (1994)
- 윤두상, "병원기반 코호트에서 급성 허혈성 뇌졸중 및 일과성 뇌허혈 환자의 치명률 및 합병증이 장기 예후에 미치는 영향", 대한신경과학회지, 22(5), pp.433~439 (2004), 대한신경과학회
- 윤해숙, "뇌졸중 환자에서의 연하곤란의 임상적 고찰", 대한재활의학회지, 14(2), pp.196~202 (1990)
- 이은미, "뇌졸중환자의 적절한 체위 유지가근골격계합병증 예방에 미치는 영향", 재활간호학회지, 2(2), pp.163~175 (1999)
- 이은옥, "간호․의료연구와 통계분석(제3판)" (1998), 수문사
- 이청기, "뇌졸증 환자에서 뇌 병변 위치에 따른 연하곤란의 양상", Annals of Rehabilitation Medicine, 25(2), pp.193~201 (2001), 대한재활의학회
- 정태훈, "폐렴의 정의 및 분류.결핵 및", 호흡기질환, 42(3), pp.297~306 (1996)
- Daniels, S. K, "Aspiration inpatients with acute stroke", Archives of Physical Medicineand Rehabilitation, 79(1), pp.14~19 (1998)
- Horner, J., "Aspiration inbilateral stroke patients", Neurology, 40(11), pp.1686~1688 (1990)
- Huang, J. Y., "Training in swallowing prevents aspiration pneumoniain stroke patients with dysphagia", The Journal ofInternational Medical Research, 34(3), pp.303~306 (2006)
- Mamun, K., "Role of nasogastric tube in preventingaspiration pneumonia in patients with dysphagia", Singapore Medical Journal, 46(11), pp.627~631 (2005)
- Odderson, I. R, "Swallowmanagement in patients on an acute stroke pathway:Quality is cost effective", Archives of Physical Medicineand Rehabilitation, 76(12), pp.1130~1133 (1995)
- Perry, L, "Screening swallowing function of patientswith acute stroke. Part one: Identification, implementationand initial evaluation of a screening tool for use bynurses", Journal of Clinical Nursing, 10(4), pp.463~473 (2001)
- Ramritu, P., "Identification and nursing management of dysphagia inindividuals with neurological impairment: A systematicreview. York" (2001), NHS Centre for Reviews and Dissemination
- Trapl, M., "Dysphagia bedsidescreening for acute-stroke patients: The gugging swallowingscreen", Stroke, 38(11), pp.2948~2952 (2007)
- Westergren, A, "Detection of eating difficulties afterstroke: A systematic review", Internatinal Nursing Review, 53(2), pp.143~149 (2006)