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KMID : 1004620070130030019
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Clinical Nursing Research
2007 Volume.13 No. 3 p.19 ~ p.30
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Dysphagia Assessment Tool for Post-Stroke Patients
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Paek Eun-Kyung
Yoo Ji-Soo
Moon Kyung-Hee
Kim Hyo-Jin
Lee Eun-Seok
Lee Jung-Hae
Lee Seung-Hee
Sohn Hyun-Sook
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Abstract
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Purpose: This study was done using the parameters of oro-pharyngeal function and swallowing difficulties to develop an assessment tool for clinical appraisal.
Method: Preliminary parameters were selected from common parameters, related to dysphagia and aspiration in stroke patients, originating from 11 articles in the literature. First 39 parameters were classified by the following racteristics, 16 were related to disease, 13 to oro-pharyngeal function assessment and 10 to swallowing difficulties. Validity of the parameters was determined by a 75% or more agreement by expert consultants. Reliability of the parameters was determined by using the assessment tool with 45 patients who had a stroke.
Results: All 39 parameters were determined as adequate for the assessment tool by the opinions of the experts.
Tongue movement and soft palate function showed 96.9% agreement among the experts. Cronbach’s α for oro-pharyngeal functions and swallowing difficulties were 0.76 and 0.78, respectively. Intraclass correlation coefficients (ICC) for oro-pharyngeal functions and swallowing signs were 0.73 and 0.76, respectively.
Conclusions: In conclusion, this clinical assessment tool which was validated by experts and tested for reliability may be a useful bedside assessment tool for early detection of dysphagia and for prevention of complications of ysphagia in clinical nursing.
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KEYWORD
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Assessment Tool, Dysphagia, Reliability, Stroke, Validity
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