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자료유형
학술저널
저자정보
저널정보
한국노인간호학회 노인간호학회지 노인간호학회지 제15권 제3호
발행연도
2013.1
수록면
298 - 308 (11page)

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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.

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