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한미순 ( Han Mi-Soon ) - 시립동부노인전문요양센터
김화순 ( Kim Hwa-Soon ) - 인하대학교 간호학과
이영휘 ( Lee Young-Whee ) - 인하대학교 간호학과
김수현 ( Kim Soo-Hyun ) - 인하대학교 간호학과
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Abstract
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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. Higher percent of patients in the experimental group had solid chopped food compared to the control group. 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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KeyWords
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뇌졸중, 연하체조, 연하기능, 시각적 자극, 노인
Stroke, Swallowing promoting exercise, Swallowing function, Visual stimuli, Elderly
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원문 및 링크아웃 정보
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등재저널 정보
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