Analyses of Studies on Swallowing Rehabilitation Program for Stroke patients in Korea

곽혜원
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Abstract

The purpose of this study was to investigate the status of studies on swallowing rehabilitation interventions for stroke patients that had been conducted in the past 5 years (2010-2014) in Korea and to examine their findings. A literature search was conducted through RISS, National Assembly Library, and KISS, and 12 papers were analyzed. Four articles were from nursing science, and 8 from other disciplines. Qualitative evaluation of the articles was conducted by using an evaluation framework that was designed by the researcher, which took into account the checklist presented by the Scottish Intercollegiate Guideline Network (2013). In the results of the qualitative evaluation on the papers, 4 studies scored 7 out of 10 points, 6 studies scored between 5 and 6 points, and 2 studies scored 4 points. Intervention sessions were conducted for 25 minutes, on average, each at a frequency of 4.1 sessions per week, for a total of 33.7 sessions. This study found that direct swallowing training and comprehensive intervention of respiratory and oral, including pharyngeal were effective in relieving difficulties in swallowing. In the future, such findings are expected to be used in nursing interventions for establishment of the basis for evidence-based nursing practice.
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韩国脑卒中患者吞咽康复方案研究分析
本研究旨在调查韩国近5年来(2010-2014年)脑卒中患者吞咽康复干预的研究现状,并对研究结果进行检验。通过RISS、国会图书馆、KISS进行文献检索,分析了12篇论文。4篇文章来自护理科学,8篇来自其他学科。通过使用研究者设计的评估框架对文章进行定性评估,该评估框架考虑了苏格兰校际指导网络(2013)提出的清单。在对论文进行定性评价的结果中,有4项研究得到了7分(满分10分),6项研究得到了5到6分,2项研究得到了4分。干预疗程平均25分钟,每次频率为每周4.1次,共计33.7次。本研究发现,直接吞咽训练和呼吸、口腔包括咽部的综合干预对缓解吞咽困难是有效的。在未来,这些发现有望用于护理干预,为循证护理实践奠定基础。
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