Quality of Life in Post-Stroke Patients with Dysphagia
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Publisher:The Ohio State University
Series/Report no.:The Ohio State University. College of Nursing Honors Theses; 2012
Quality of Life in Post Stroke Patients with Dysphagia Dysphagia, defined as difficulty swallowing, is recognized as a problem for many patient populations and in many healthcare settings. Impaired swallowing has numerous health repercussions such as aspiration, which could lead to severe pneumonia and increased mortality, hypovolemia, failure to thrive, upper airway obstruction and numerous eating difficulties which could lead to social withdrawal. Quality of life is a complex concept and includes the patient’s physical comfort, spirituality, psychological well-being, autonomy of medical decision-making and continuity of care. There is considerable research on dysphagia, the associated risks, and the clinical implications that occur with its pathology. However, to date, there are no studies describing the relationship of the quality of life perspectives of post-stroke patients with dysphagia and their relational effect on the discharge disposition. The purpose of this study is to sescribe the impact of dysphagia on perceived quality of life in post-stroke patients in the acute rehabilitation setting and describe the relationship between quality of life in post stroke patients with dysphagia and their discharge dispositions from an acute rehabilitation setting. This is a secondary analysis of the ongoing randomized control study, “The Impact of an Oral Care Protocol on Post-Stroke Patients”. Inclusion criteria include: 1). 18 years of age, 2). primary diagnosis of stroke within 30 days of admission, 3). admission directly from acute care facility and 4). documentation of dysphagia. This study uses SWAL-QOL, a 44-item tool that assesses 9 concepts related to quality of life. Subscales include burden of dysphagia, eating duration and desire, symptom frequency, food selection, communication, mental health, fatigue and sleep. Reliability of the subscales are reported from 0.79 to 0.94. Data analysis will use descriptive and correlational statistics. Findings from this study should provide an enhanced understanding of dysphagia, and its’ impact on quality of life in post-stroke survivors.
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