SCREENING DISFAGIA DENGAN INSTRUMENT STANDARDIZED SWALLOWING ASSESSMENT PADA PASIEN DENGAN GANGGUAN NEUROLOGI DI RSUP DR. WAHIDIN SUDIROHUSODO
Abstract
Screening of Dysphagia is one of the applications of Evidence Based Nursing (EBN) to reduce complications. From the results of the study found that Screening Dysphagia can be effectively carried out by nurses and cause a decrease in the level of pneumonia (Palli et al., 2017). Screening of Dysphagia also reduces the level of bronchoaspiration in acute stroke patients (Cocho et al., 2015). Many instruments that can be used in Screening of Dysphagia. The best instruments are used with top sensitivity and specificity and evaluation of the results of methodological quality evaluations with a 12 steps criterion adapted from (Jaeschke et al) Namely the Standarized Swallowing Assessment (SSA) instrument. The purpose of this EBN is to assess the effective, efficient and safe use of SSA instruments and the prevalence of dysphagia in dysphagia screening in the lontara neuro treatment room 3 floors 1 behind RSUP Dr. Wahidin SudirohusodoMakassar. In implementing this EBN, it was found that Dysphagia Screening using SSA instruments was effective, efficient and safe to use. Of the 19 patients, 6 were found to have dysphagia.
Downloads
References
Black, J. and Hawks, J. H. (2009) Medical Surgical Nursing Clinical Management for Positive Outcomes 8th ed (Vols. 1-2). St.Louis, Missouri. USA: Elsevier Inc.
Cocho, D. et al. (2015) ‘Reducción de la tasa de broncoaspiración con el test 2 volúmenes/3 texturas con pulsioximetría en una unidad de ictus’, Neurología. SEGO, 32(1), pp. 22–28. doi: 10.1016/j.nrl.2014.12.005.
Hines, S. et al. (2016) ‘Nursing Interventions for Identifying and Managing Acute Dysphagia are Effective for Improving Patient Outcomes: A Systematic Review Update’, 0(0). doi: 10.1097/JNN.0000000000000200.
Jiang, J. et al. (2016) ‘Validity and reliability of swallowing screening tools used by nurses for dysphagia : A systematic review’, Tzu Chi Medical Journal. Elsevier Taiwan LLC, 28(2), pp. 41–48. doi: 10.1016/j.tcmj.2016.04.006.
Jiang, J. L. et al. (2016) ‘Validity and reliability of swallowing screening tools used by nurses for dysphagia: A systematic review’, Tzu Chi Medical Journal. Elsevier Taiwan LLC, 28(2), pp. 41–48. doi: 10.1016/j.tcmj.2016.04.006.
Liu, H. et al. (2016) ‘Nursing management of post-stroke dysphagia in a tertiary hospital: a best practice implementation project’, JBI database of systematic reviews and implementation reports, 14(7), pp. 266–274. doi: 10.11124/JBISRIR-2016-002971.
Mandysová, P. et al. (2016) ‘A cross-border educational session promoting nursing dysphagia screening in Greece: A pilot study’, Kontakt. Faculty of Health and Social Sciences of University of South Bohemia in České Budějovice, 18(2), pp. e56–e63. doi: 10.1016/j.kontakt.2016.05.008.
Palli, C. et al. (2017) ‘Early Dysphagia Screening by Trained Nurses Reduces Pneumonia Rate in Stroke Patients: A Clinical Intervention Study’, Stroke, 48(9), pp. 2583–2585. doi: 10.1161/STROKEAHA.117.018157.