시각적 자극과 연하체조가 장기요양시설 뇌졸중 노인의 연하기능에 미치는 효과
The effects of visual stimuli and swallowing promoting exercise to swallowing function of stroke elderly in a long term care facility
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Purpose: This study was done to investigate effects on swallowing function following visual stimulation and swallowing promotion exercises before meals for elders with swallowing difficulties following stroke. Methods: Participants for this nonequivalent control pre-post test design were 72 elders with stroke. Convenience sampling method was used to assign participants to experimental (36) and control (36) groups. The intervention was provided for about 15 minutes at every lunch and dinner time for 4 weeks. Outcome variables were Gugging Swallowing Screen (GUSS) score, body weight, total caloric intake, self-efficacy for swallowing, and coughing episodes during meal times. Results: Fifty-one participants were women (72.9%) and 74.3% were stroke only patients. Patients in the experimental group took less time to finish their meals and a higher percent had solid chopped food compared to the control group. Differences were statistically significant. In ANCOVA analysis using GUSS score as a covariate, the only significant improvement after the intervention was self-efficacy for swallowing. Conclusion: Visual stimulation and swallowing promotion exercises could lead to improvement in self-efficacy for swallowing even if they did not decrease coughing episodes during meal time.
Abstract
Purpose: This study was done to investigate effects on swallowing function following visual stimulation and swallowing promotion exercises before meals for elders with swallowing difficulties following stroke. Methods: Participants for this nonequivalent control pre-post test design were 72 elders with stroke. Convenience sampling method was used to assign participants to experimental (36) and control (36) groups. The intervention was provided for about 15 minutes at every lunch and dinner time for 4 weeks. Outcome variables were Gugging Swallowing Screen (GUSS) score, body weight, total caloric intake, self-efficacy for swallowing, and coughing episodes during meal times. Results: Fifty-one participants were women (72.9%) and 74.3% were stroke only patients. Patients in the experimental group took less time to finish their meals and a higher percent had solid chopped food compared to the control group. Differences were statistically significant. In ANCOVA analysis using GUSS score as a covariate, the only significant improvement after the intervention was self-efficacy for swallowing. Conclusion: Visual stimulation and swallowing promotion exercises could lead to improvement in self-efficacy for swallowing even if they did not decrease coughing episodes during meal time.
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