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291033

Effect of Oral Care and Swallowing Interventions on Post extubation Dysphagia among Children at Pediatric Intensive Care Units

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Last updated: 04 Jan 2025

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Abstract

Background, Post extubation dysphagia is a frequently experience problem in critically sick
children with recent intubation. Oral care and swallowing intervention are one of the treatment
modalities that can help to enhance swallowing function and reduce swallowing problems after
extubation. Aim was to evaluate the effect of oral care and swallowing interventions on post
extubation dysphagia among children at pediatric intensive care units. Design, A quasi-
experimental design was applied. Setting: the study was performed at the Pediatric intensive
care units at Menoufia University hospitals. Sample, A purposeful sampling of 60 hospitalized
pediatrics patients. Instruments four instruments were used. I; Social Characteristics Structured
Questionnaire, II; Oral Assessment Guide for Children. III; Bazaz dysphagia scale. IV;
Functional Oral Intake Scale. Results: There was a statistically significant improvement in the
total mean score of oral status in the study group after 7th and 14th days of intervention than on
pre intervention. Also, there was significant improvement in the study group in relation to
severity of dysphagia after 14th days of intervention than on pre intervention. Moreover, oral
intake level was improved in the study group after 14th days of intervention compared to control
group. Conclusion; nursing interventions that involves swallowing and oral care reduces post-
extubation dysphagia, improves clinical swallowing function, and increases the probability of
faster oral intake. Recommendations; swallowing education and oral care intervention should
be started as early as possible for children who intubated greater than 48 hours

DOI

10.21608/tsnj.2023.291033

Keywords

Post-extubation, Dysphagia, Swallowing exercise & Oral Care Interventions

Authors

First Name

Nagwa

Last Name

Rashed

MiddleName

Ibrahim

Affiliation

Lecturer of Pediatric Nursing, Faculty of Nursing, Menoufia University, Egypt

Email

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City

-

Orcid

-

First Name

Alyaa

Last Name

Salama

MiddleName

Hosameldin

Affiliation

Lecturer of Pediatric Nursing, Faculty of Nursing, Menoufia University, Egypt

Email

alyaasalama@yahoo.com

City

-

Orcid

-

First Name

Doaa

Last Name

Zayed

MiddleName

Abdelsattar

Affiliation

Lecturer of Pediatric Nursing, Faculty of Nursing, Menoufia University, Egypt

Email

doaazd84@gmail.com

City

-

Orcid

-

Volume

28

Article Issue

1

Related Issue

40286

Issue Date

2023-03-01

Receive Date

2023-01-02

Publish Date

2023-03-01

Page Start

47

Page End

65

Print ISSN

2314-5595

Online ISSN

2735-5519

Article File

TSNJ_Volume 28_Issue 1_Pages 47-65.pdf

PDF . 1.1MB

Link

https://tsnj.journals.ekb.eg/article_291033.html

Detail API

https://tsnj.journals.ekb.eg/service?article_code=291033

Order

291,033

Type

Original Article

Type Code

1,053

Publication Type

Journal

Publication Title

Tanta Scientific Nursing Journal

Publication Link

https://tsnj.journals.ekb.eg/

MainTitle

Effect of Oral Care and Swallowing Interventions on Post extubation Dysphagia among Children at Pediatric Intensive Care Units

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Type

Article

Created At

25 Dec 2024