scholarly journals DYSPHAGIA TOWARDS NUTRIENT INTAKE AND MALNUTRITION CASE IN STROKE PATIENTS: LITERATURE REVIEW

2020 ◽  
Vol 9 (2) ◽  
pp. 118-126
Author(s):  
Hafika Yunisari Pradina ◽  
Ria Ambarwati

Dysphagia is one of the most important clinical manifestations of stroke and can pose a greater risk of malnutrition for patients during and after hospitalization. The purpose of this research is to review the literature about dysphagia on nutrient intake and malnutrition case in stroke patients. Type of the research is literature review which consist of journals cited the incidence of stroke patients suffered Dysphagia from 2015–2020 year of national and international publication. The result of dysphagia people can only consumed 10–33% of nutrient intake during 2 weeks and 3 months at home. This condition is insufficient for the energy and nutritional needs of the patient and can effect malnutrition case due to dysphagia which is 6-78%. The enteral formula can be obtained to reach energy and nutrients by focusing to the stroke patient treatment. Dysphagia experienced by stroke patient will affect nutrient intake and the malnutrition case. The suggestion of this paper is pointed to the health workers and the family of dysphagia people to concern energy and nutrients needs of the patient regularly.

Author(s):  
Enny Mulyatsih ◽  
Moses Glorino Pandin

Background: Nearly two-thirds of acute stroke patients have dysphagia. Dysphagia is difficulty to swallow food or liquids. Early detection of dysphagia is crucial in stroke patients as a result of increased morbidity and mortality due to malnutrition and respiratory tract infections. Aim: Our purpose was to conduct a literature review of dysphagia screening for stroke patient. Methods: We used the bolean operator to search articles of “or” and “and” with the key words were "Dysphagia" or “Screening”, AND "Stroke" or Acute Stroke” AND "Nursing". Data based used were Scopus, Proquest and Science Direct with inclusion criteria using full text in English which published from 2019 to 2021. We obtained 240 articles and then we screened by reading the main focus of articles with paying attention to the topics and the suitability of article content.Result: Twenty five publications relating to dysphagia screening met the inclusion criteria. There are five methods of dysphagia screening performed by nurses or other health workers: 1) a simple Questionnaire Test (4QT) method; 2) Water Swallow Test (WST) method; 3) Bed Side Screening Tool for Dysphagia (BSTD) method; 4) Volume Viscosity Swallow Test (V-VST) method; 5) EAT-10 method.Conclusion: screening is the first step in the identification of swallowing impairment or dysphagia of stroke patient. Dysphagia is an independent predictor of poor patient outcome and prolonged recovery time. Nurse has an important role to conduct a screening and must ensure that the selected tools has high reliability and concurrent validity. Key Words: Dysphagia, Nursing, Screening, Stroke


Author(s):  
Enny Mulyatsih ◽  
Moses Glorino Rumambo Pandin

ABSTRACT Background: Nearly two-thirds of acute stroke patients have dysphagia. Dysphagia defined as difficulty in swallowing of liquids or food, vary in severity with symptoms ranging from mild throat discomfort to inability to eat. It’s well known that dysphagia is associated with aspiration pneumonia, dehydration, malnutrition, prolonged length of stay, and increased mortality. Early screening reduces pneumonia rates in stroke and it is usually performed by nurses. Dysphagia screening is recommended but no protocol or tool is pointed.Aim: the aim of this study is to conduct a literature review of dysphagia screening for stroke patient Methods: Literature search three databases (Scopus, Proquest, and Science Direct), with the keywords "Dysphagia" AND "Stroke" AND "Nursing", published in English between 2019 and 2021. Result: Twenty five publications relating to dysphagia screening met the inclusion criteria. There are five methods of dysphagia screening performed by nurses or other health workers: 1) a simple Questionnaire Test (4QT) method, which is by asking the following four questions: does the patient cough or choke while eating or drinking; whether the patient takes longer than usual to eat; does the patient change the thickness of the food to be able to swallow, and whether the voice turns hoarse after eating or drinking; 2) Water Swallow Test (WST) method; 3) Bed Side Screening Tool for Dysphagia (BSTD) method; 4) Volume Viscosity Swallow Test (V-VST) method, namely modification of feeding with first pudding, nectar and finally water; 5) Simplified Cough Test Method. The five screening methods for dysphagia above have been tested for sensitivity and specificity, as well as positive and negative predictive valuesConclusion: screening is a first step in the identification of swallowing impairment or dysphagia of stroke patient. Dysphagia is an independent predictor of poor patient outcome and prolonged recovery time. Nurse has an important role to conduct a screening and must ensure that the selected tools has high reliability and concurrent validity. Key Words: Stroke, Dysphagia, Screening, Nursing


2020 ◽  
Vol 3 (2) ◽  
pp. 38-49
Author(s):  
Septeana Tria Adin Adila ◽  
Fitria Handayani

Introduction: Stroke patients rely heavily on family on decision-making for health actions should be done. The family members were found to have attitudes that are not right in doing in-home care for it is associated with knowledge of family low. On other side, the family knowledge level would lead in readiness of taking care of family members suffering from stroke with better. Based on the variation of knowledge level and influence, the researchers are interested to do literature review regarding the level of stroke knowledge on the patients families after the stroke last less than 1 year. Methods: The study aimed to review stroke knowledge level on the patients families after the stroke last attack less than 1 year. This study was a literature review conducted based on the issue, methodology, similarities and proposal advanced research. Search articles used EBSCO, google scholar, SINTA (Science and Technology Index), science direct, clinical key, and Scopus with the publication of the last 5-10 years. Results: The result showed that level of knowledge of post-stroke patients families with the last attacked less than a year from the ten articles that have been analyzed, 6 articles majority was still low with the range 63,8%-100% and 4 articles was high knowledge with the range 58%-74%. The majority low level of knowledge 3 articles was from India. Factors that affect the level of family knowledge about stroke were the education provision, education level and age.Conclusion: The stroke knowledge level in patients families post-stroke with the attacks last less than 1 year, the majority still in the low category so that expected health workers especially the nurses in giving health education on patients and families.


2021 ◽  
Vol 4 (3) ◽  
pp. 332-343
Author(s):  
Yanti Srinayanti ◽  
Wina Widianti ◽  
Dian Andriani ◽  
Fidya Anisa Firdaus ◽  
Henri Setiawan

Stroke was a disturbance in part or all brain function caused by abnormal blood flow to the brain, disrupting bodily functions such as muscle weakness. One of the efforts that could be done to overcome muscle weakness in stroke patients was the Range Of Motion (ROM) exercise which could be done independently or assisted by health workers. The purpose of this literature review was to identify the effect of range of motion (ROM) exercise in increasing muscle strength in stroke patients. This study used a descriptive method with a literature review approach. The search strategy used six international journal databases: PubMed, JSTOR, Wiley Online Library, Sage Journal, ScienceDirect, and Taylor & Francis Online. In addition, a search was conducted on one national journal database, namely Google Scholar. The selection was conducted by assessing articles that met the inclusion criteria, such as publication range from 2005-2021, in English, Indonesian, and other languages that can be translated and opened full access text. After the selection process, nine articles that met the inclusion criteria were obtained, with 197 respondents assigned randomly and grouped into 58 control groups, 55 intervention groups, 84 combined groups. The results showed that the ROM exercise method positively affected increasing muscle strength in stroke patients. Based on these results, it could be concluded that this nurse's independent intervention needed to be carried out in stroke patients to increase muscle strength


2021 ◽  
Vol 1 ◽  
pp. 1097-1102
Author(s):  
Indah Nofitasari ◽  
Benny Arief Sulistyanto

AbstractMuscle weakenss is the biggest impact on stroke patients, so that Range Of Motion (ROM) exercises are needed to maintain muscle strength and join mobility. The incidence of stroke and disability tends to increase if Range Of Motion (ROM) exercises are not carried out. This is due to a decrease in muscle strength. The purpose of this study was to describe the effect of Range Of Motion therapy on improving motor function in stroke patients. The method was literature review used the keywords “stroke”, “Range Of Motion(ROM)”, “Muscle strength”. The study was conducted by searching for serval articles from a predetermined database, namely the last 10 years. The three articles showed the strength of the muscle scale, after being given the Range Of Motion (ROM) intervention. The t-test of statistic test shows p valued <0,01 wich means there was a effect. It can be concluded there is the effect of Range Of Motion (ROM)training on muscle strength in stroke patients. Therefore, it is expected for the health workers, especially nurses to be able to apply ROM intervention more intensively in stroke patients as an additional therapy.Keywords: Stroke, Range Of Motion (ROM), Muscle strength AbstrakKelemahan otot merupakan dampak terbesar pada pasien stroke, untuk itu diperlukan latiham Range Of Motion (ROM) bertujuan untuk mempertahankan atau memelihara kekuatan otot, mobilitas persendian. Peningkatan angka kejadian stroke dan kecacatan tersebut apabila latiham Range Of Motion (ROM) tidak dilaksanakan maka akan terjadi penurunan kekuatan otot.Tujuan dari Karya Tulis Ilmiah ini adalah untuk mengetahui bagaimana gambaran pengaruh terapi ROM terhadap peningkatan fungsi motorik pada pasien stroke. Metode yang dilakukan adalah Literature Review dengan menggunakan kata kunci “Stroke”, “Range Of Motion (ROM)”, “kekuatan otot”. Penelitian dilakukan dengan cara mencari beberapa artikel dari database yang telah ditentukan yaitu 10 tahun terakhir. Pada ketiga artikel menunjukkan kekuatan skala otot, setelah diberikan intervensi Range Of Motion (ROM). Uji statistik t-test menunjukkan p value < 001 menyatakan ada pengaruh. Kesimpulan Karya Tulis Ilmiah ini terdapat pengaruh latihan Range Of Motion (ROM) terhadap kekuatan otot pada pasien stroke, sehingga sangat di harapkan agar tenaga kesehatan khususnya perawat dapat lebih intensif memberikan intervensi ROM pada pasien stroke sebagai terapi tambahan untuk pasien stroke.Kata kunci:Stroke, Range Of Motion (ROM), kekuatan otot


2019 ◽  
Vol 2 (2) ◽  
pp. 75-81
Author(s):  
Eva Nilam Permata ◽  
Dewi Irawati

Stroke has a deadly domino effect and is the number one cause of neurological defects in the world. Stroke patients can experience neurological deficits including cognitive impairment and disruption in fulfilling functional status reducing patient outcome. This literature review aims to identify the appropriate intervention to improve patient outcome among stroke patients. The authors conducted a literature search using several databases, namely ProQuest, EBSCO, Sage, and Science Direct from 2008 to 2018. The keywords appropriateness in the search were “stroke-patient”, “nursing intervention”, “patient outcome”. The literature search showed there are several nursing interventions for stroke patients that have an effect on increasing patient outcomes, namely intervention of dysphagia management, mobilization exercises, acupressure, cognitive enhancement, and self-management empowerment interventions. Nursing intervention given to stroke patients varies depending on the patient's response that arises as a result of a disorder related to the function of the part of the brain affected in stroke patients. Nurses through nursing interventions have a role in improving outcomes in stroke patients   Keywords: Nursing Intervention; Patient Outcome; Stroke-Patient


2019 ◽  
Vol 19 (3) ◽  
pp. 111-132
Author(s):  
Jiyeon Park ◽  
Yuri Kim ◽  
Sukhyang Lee ◽  
Yuri Kim ◽  
Jieun Oh ◽  
...  

Author(s):  
N. Nozdryukhina ◽  
E. Kabayeva ◽  
E. Kirilyuk ◽  
K. Tushova ◽  
A. Karimov

Despite significant advances in the treatment and rehabilitation of stroke, level of post-stroke disability remains at a fairly high level. Recent innovative developments in the rehabilitation of these patients provide good results in terms of functional outcome. One of such developments is method of virtual reality (VR), which affects not only the speed and volume of regaining movement, as well as coordination, but also normalizes the psycho-emotional background, increasing the motivation of patients to improve the recovery process. This article provides a literature review of the use of the VR method in the rehabilitation of post-stroke patients, neurophysiological aspects of recovery of lost functions using this method are considered.


2020 ◽  
Author(s):  
Amir Karami ◽  
Brandon Bookstaver ◽  
Melissa Nolan

BACKGROUND The COVID-19 pandemic has impacted nearly all aspects of life and has posed significant threats to international health and the economy. Given the rapidly unfolding nature of the current pandemic, there is an urgent need to streamline literature synthesis of the growing scientific research to elucidate targeted solutions. While traditional systematic literature review studies provide valuable insights, these studies have restrictions, including analyzing a limited number of papers, having various biases, being time-consuming and labor-intensive, focusing on a few topics, incapable of trend analysis, and lack of data-driven tools. OBJECTIVE This study fills the mentioned restrictions in the literature and practice by analyzing two biomedical concepts, clinical manifestations of disease and therapeutic chemical compounds, with text mining methods in a corpus containing COVID-19 research papers and find associations between the two biomedical concepts. METHODS This research has collected papers representing COVID-19 pre-prints and peer-reviewed research published in 2020. We used frequency analysis to find highly frequent manifestations and therapeutic chemicals, representing the importance of the two biomedical concepts. This study also applied topic modeling to find the relationship between the two biomedical concepts. RESULTS We analyzed 9,298 research papers published through May 5, 2020 and found 3,645 disease-related and 2,434 chemical-related articles. The most frequent clinical manifestations of disease terminology included COVID-19, SARS, cancer, pneumonia, fever, and cough. The most frequent chemical-related terminology included Lopinavir, Ritonavir, Oxygen, Chloroquine, Remdesivir, and water. Topic modeling provided 25 categories showing relationships between our two overarching categories. These categories represent statistically significant associations between multiple aspects of each category, some connections of which were novel and not previously identified by the scientific community. CONCLUSIONS Appreciation of this context is vital due to the lack of a systematic large-scale literature review survey and the importance of fast literature review during the current COVID-19 pandemic for developing treatments. This study is beneficial to researchers for obtaining a macro-level picture of literature, to educators for knowing the scope of literature, to journals for exploring most discussed disease symptoms and pharmaceutical targets, and to policymakers and funding agencies for creating scientific strategic plans regarding COVID-19.


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