Rehabilitation Nursing Program for people with Impaired Swallowing in the context of Stroke: Exploratory Study

• Autor(a) principal: Pereira de Sá, Neusa Mafalda
• Data de Publicação: 2023
• Outros Autores: Marques de Oliveira, Filipe, Gonçalves Sacramento, Cláudia Lucinda, dos Santos Oliveira, Maria Inês, Tavares Almeida, Fernanda Lúcia
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.33194/rper.2023.265
• topic: Enfermagem de reabilitação; AVC; Disfagia; Deglutição comprometida; Reabilitação.; Rehabilitation nursing; stroke; Dysphagia; Compromised swallowing; Rehabilitation.; Enfermería en rehabilitatión; Ictus; Disfagia; Deglución comprometida; Rehabilitación.

Introduction: Stroke is the main cause of death in Portugal and one of the main causes of the presence of swallowing disorders. The evaluation and screening of impaired swallowing are recognized as indicators of the quality of health care. Rehabilitation nursing has great importance in the early detection of any commitment to swallowing, as well as in the definition of a rehabilitation program aimed at regaining skills and preventing complications. This study aims to analyze the effects of a program developed by rehabilitation nurses for people with impaired swallowing in the context of stroke. Method: Quantitative, exploratory, descriptive, and retrospective study. Results: 218 individuals were evaluated. The population evaluated is predominantly male, the mean age was 73 years and the predominant vascular event was ischemic stroke. On admission, 50.5% of participants had swallowing disorders. Of these, 13.5% developed respiratory infection. Initially, 110 people were included in the study. 6 of these died, so the final data refer to 104 people. Statistically significant relationships were established between impaired swallowing and higher National Institute of Health Stroke Scale (NIHSS) scores. Conclusion: Most people showed improvement in swallowing ability after the rehabilitation nurse's intervention through a structured rehabilitation program. Impaired swallowing is related to higher scores on the NIHSS, and no relationship has been established with other variables such as stroke typology and location.