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Journal of Korean Gerontological Nursing 2013;15(3):298-308.
시각적 자극과 연하체조가 장기요양시설 뇌졸중 노인의 연하기능에 미치는 효과
한미순·김화순·이영휘·김수현
The Effects of Visual Stimuli and Swallowing Promoting Exercise to Swallowing Function of Stroke Elderly in a Long Term Care Facility
Han, Mi Soon · Kim, Hwasoon · Lee, Young Whee · Kim, Soo Hyun
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. 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.
Key words: Stroke, Swallowing promoting exercise, Swallowing function, Visual stimuli, Elderly
Key words: 뇌졸중, 연하체조, 연하기능, 시각적 자극, 노인
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