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한정희 ( Han Jung-Hee ) - 서울아산병원
이지은 ( Lee Gee-Eun ) - 서울아산병원
전주현 ( Jun Joo-Hyun ) - 서울아산병원
임유진 ( Lim Yoo-Jin ) - 서울아산병원
윤은진 ( Yoon Eun-Jin ) - 서울아산병원
김여옥 ( Kim Yeo-Ok ) - 서울아산병원
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Abstract
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Purpose: Aspiration pneumonia (AP) is the major complication of dysphagia in patients with acute stroke. Nursing management for dysphagia influences on patients’ health outcomes. The purpose of this study was to develop and evaluate the effects of Dysphagia Nursing Protocol (DNP) for patients with acute stroke. We aimed to examine the incidence of AP and the dependency rate at the discharge.
Methods: We used a non-equivalent control group posttest only design in this study. DNP was developed with content validity index > 0.75 in all items. This protocol was composed of the evaluation, education, complication prevention, and checking phases. After training the staff nurses, we applied DNP protocol to the experimental group. The control group was enrolled from June to August 2013 (n=80), and the experimental group was June to August 2014 (n=64).
Results: The incidence of AP was 16.3% in control group while 4.7% in experimental group (p=.028), and the Odds Ratio (OR) was 0.26 (p=.045). The dependency ratio was 66.3% in control group while 43.8% in experimental group (p=.011), and the OR was 0.33 (p=.011).
Conclusion: DNP was beneficial for the reducing the risk of AP and the improved the functional status.
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KeyWords
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연하 장애, 뇌졸중, 흡인성 폐렴, 일상생활 의존율, 간호
Dysphagia, Stroke, Aspiration pneumonia, Dependency ratio, Nursing
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원문 및 링크아웃 정보
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등재저널 정보
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