Effect of Shaker’s Swallowing Exercises on Swallowing Ability among Dysphagic Patients with Cerebrovascular Accident

Document Type : Original Article

Authors

1 Fellow Medical Surgical Nursing, Student Hospital, Mansoura University

2 Lecturer in Medical - Surgical Nursing Department, Faculty of Nursing, Beni-Suef University

3 Lecturer in Medical-Surgical Nursing, Nursing College, Badr University in Cairo

4 Lecturer in Medical - Surgical Nursing Department, Faculty of Nursing, Port Said University

5 Medical Surgical Nursing Department, Faculty of Nursing, Mansoura University

Abstract

Background: Cerebrovascular accident (CVA) is the medical term for a stroke. A stroke is the
sudden death of some brain cells due to lack of oxygen. Dysphagia is one of the most common
symptoms in patients who have had their throat muscles paralyzed by a stroke. The aim of the
study: was to evaluate the effect of Shaker’s swallowing exercises on swallowing ability among
dysphagic patients with cerebrovascular accident. Research design: A quasi-experimental research
design was used to achieve the aim of the study. Settings: The study was conducted at the
neurological department (A-B), Al-batina private building, at Main Mansoura University Hospital.
Subjects: Purposive sample of 50 hospitalized adult patients with cerebrovascular accident were
included in the study. Tools of data collection: Three tools were used for data collection: Tool I:
Patient's Structured Interview Questionnaire, Tool II: Dysphagic patient's reported practice
assessment sheet, and Tool III Swallowing ability observational checklist. Results: The study
revealed that there was an improvement with highly statistically significant differences detected
between dysphagic patients' knowledge regarding Shaker swallowing exercise pre, post two weeks,
and one-month post- implementation. There was a highly significant positive correlation between
dysphagic patient's total knowledge and swallowing ability at different phases of implementation (p
< 0.001).Conclusion: The study concluded that Shaker’s swallowing exercises were effective in
improving swallowing ability among dysphagic patients with cerebrovascular accident.
Recommendation: Shaker's swallowing exercise is recommended to be used in clinical settings for
dysphagic patients with a cerebrovascular accident in medical wards and the neurological ward.

Keywords

Egyptian Journal of Health Care
Volume 11, Issue 1
March 2020
Pages 1153-1169

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