Eating difficulties, complications and nursing interventions during a period of three months after a stroke

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Eating difficulties, complications and nursing interventions during a period of three months after a stroke. / Westergren, Albert; Ohlsson, Ola; Rahm Hallberg, Ingalill.

I: Journal of Advanced Nursing, Vol. 35, Nr. 3, 2001, s. 416-426.

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TY - JOUR

T1 - Eating difficulties, complications and nursing interventions during a period of three months after a stroke

AU - Westergren, Albert

AU - Ohlsson, Ola

AU - Rahm Hallberg, Ingalill

N1 - The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Caring Sciences (Closed 2012) (016514020), The Vårdal Institute (016540000)

PY - 2001

Y1 - 2001

N2 - AIM: The aim of this study was to describe eating difficulties and especially swallowing in patients with dysphagia, types of nursing intervention, and the development of complications over 3 months. The aim was also to explore common characteristics of eating difficulties that influenced the ability to finish meals. METHODS: Twenty-four consecutive patients admitted because of stroke and dysphagia were included. Nursing interventions, based on assessments, were individually designed. RESULTS: Three subgroups could be identified: those (n=9) who were unable to complete a meal, despite assisted feeding, because of reduced alertness/energy and impaired swallowing function; those (n=5) who could complete a meal, despite suffering from reduced alertness/energy; and those (n=10) who could complete meals with minor difficulties. Patients in the first two groups developed complications such as respiratory infections and/or malnutrition. There was a tendency towards that complications in the third group were less frequent and the hospital stay was significantly shorter than in the other groups. CONCLUSION: The level of alertness/energy in patients with dysphagia after stroke was important for the ability to eat and swallow and the development of complications over time, and thus of great importance for the interventions applied.

AB - AIM: The aim of this study was to describe eating difficulties and especially swallowing in patients with dysphagia, types of nursing intervention, and the development of complications over 3 months. The aim was also to explore common characteristics of eating difficulties that influenced the ability to finish meals. METHODS: Twenty-four consecutive patients admitted because of stroke and dysphagia were included. Nursing interventions, based on assessments, were individually designed. RESULTS: Three subgroups could be identified: those (n=9) who were unable to complete a meal, despite assisted feeding, because of reduced alertness/energy and impaired swallowing function; those (n=5) who could complete a meal, despite suffering from reduced alertness/energy; and those (n=10) who could complete meals with minor difficulties. Patients in the first two groups developed complications such as respiratory infections and/or malnutrition. There was a tendency towards that complications in the third group were less frequent and the hospital stay was significantly shorter than in the other groups. CONCLUSION: The level of alertness/energy in patients with dysphagia after stroke was important for the ability to eat and swallow and the development of complications over time, and thus of great importance for the interventions applied.

KW - malnutrition

KW - energy

KW - alertness

KW - intervention

KW - dysphagia

KW - nursing care

KW - stroke

KW - respiratory infection

U2 - 10.1046/j.1365-2648.2001.01884.x

DO - 10.1046/j.1365-2648.2001.01884.x

M3 - Article

VL - 35

SP - 416

EP - 426

JO - Journal of Advanced Nursing

T2 - Journal of Advanced Nursing

JF - Journal of Advanced Nursing

SN - 0309-2402

IS - 3

ER -