Effect of Swallowing Exercises on Improving Dysphagia among Stroke Patients in Neurocritical Care Unit

Document Type : Original Article


1 faculty of nursing, Mansoura university

2 Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt

3 Assist. Professors of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt

4 critical care and emergency nursing,faculty of nursing,mansoura university


Background: Patients with stroke frequently experience dysphagia. One of the stroke sequel that poses the greatest risk to
one's life is post-stroke dysphagia, which can result in negative outcomes like pneumonia, starvation, dehydration, and even death.
Guidelines for treatment of post stroke dysphagia include a variety of physical therapy and precautions to prevent complications
related to dysphagia. Swallowing exercises for post-stroke dysphagic patients appear to be a secure and efficient treatment that can
have a substantial influence on patients' clinical outcomes. Aim: the aim of this study is to investigate the effect of swallowing
exercises on improving dysphagia among stroke patients in neurocritical care unit. Method: the study has a quasi-experimental
research design with a convenience sample of 76 adult critically ill patients who admitted to neurocritical care unit of a New
General Mansoura Hospital in Egypt. Data were collected using patient’s dysphagia assessment tool and 30ml water, swallowing
test tool. Results: there was a statistically significant increase in the average total score of dysphagia screening questionnaire afte
swallowing training in comparison to its value before training program (P<0.001). Conclusion and recommendation: swallowing
exercises is an effective method for improving post stroke dysphagia, therefore this intervention should be included in the
routinaly nursing care for post stroke patient. Further large scale studies are required to strengthen the evidence to use this program
in dysphagia rehabilitation.