Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
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Development of Evidence-based Dysphagia Nursing Care Protocol for Nursing Home Residents

노인요양시설 거주 노인을 위한 한국형 근거기반 연하장애 간호 프로토콜 개발

  • Bang, Hwal Lan (College of Nursing, Seoul National University) ;
  • Park, Yeon-Hwan (College of Nursing & The Research Institute of Nursing Science, Seoul National University)
  • 방활란 (서울대학교 간호대학 대학원) ;
  • 박연환 (서울대학교 간호대학)
  • Received : 2012.11.19
  • Accepted : 2013.02.04
  • Published : 2013.04.30
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Abstract

Purpose: The purpose of this study was to develop an evidence-based dysphagia nursing care protocol for nursing home (NH) residents in Korea. Methods: The protocol was developed based on international guidelines and literatures. After testing content validity by experts, the protocol was applied to the intervention group (n=35) for 4 weeks at one NH in December, 2011, whereas the control group (n=34) received routine care. Results: The protocol was composed of one-page algorithm and detailed guidelines. Algorithm pathway was organized in 3 parts, including screening dysphagia risk, grouping by dysphagia risk level, and assigning nursing care into each group. The nursing care included positioning, oral care, meal time care, diet modification, providing exercise and maneuver, and checking dysphagia signs and symptoms. The experts verified the content validity. Protocol was revised to fit NH practice after the participant observation. Clinical validity was established upon evaluating usefulness, appropriateness, and convenience of the protocol by NH nurses. Dysphagia risk of the intervention group was significantly decreased. Conclusion: Developed protocol will improve the quality of dysphagia care in nursing homes as it can serve as a consistent and integrated standard for nursing care of residents with dysphagia.

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References

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