Nursing Dysphagia Screening To Preventing The Occurrence Of Pneumonia In Stroke Patients In Indonesia (Comparison Between The National Institutes Of Health Stroke Scale, Nursing Admission Screening Tools, And Functional Independence Measure): Literature
Background: Dysphagia is a frequent complication in stroke. Patients with dysphagia have potential risk of pneumonia, malnutrition, dehydration, increased length of stay and even death. One og nursing intervention that is considered important in the management of stroke patients is dysphagia screening because it can reduce aspiration and pneumonia and other complications that can occur in dysphagia. Aim: The aim of this literature review was to comparison between The National Institutes Of Health Stroke Scale, Nursing Admission Screening Tools, and Functional Independence Measure to preventing the occurrence of pneumonia in stroke patients in Indonesia. Design: This paper used narrative review. Data source: A literature search was conducted of articles published from 2010 through October 2018 using the PubMed, Embase, Cochrane Library and Ebscohost databases on compared three of dysphagia screening. Result: This search resulted in a total of 16 articles. Evidence has indicated that The National Institutes Of Health Stroke Scale Screening is considered to be the most effective type of dysphagia screening in preventing pneumonia in stroke patients who experience dysphagia. Conclusion: The NIHSS has a sensitivity value, specificity, positive predictive value, and negative predictive value that is quite good and considered safe to be applied in screening for dysphagia in stroke patients in Indonesia.
Keywords: dysphagia screening, dysphagia in stroke, The National Institutes of Health Stroke Scale, Nursing Admission Screening Tools, Functional Independence Measure
Arnold, M., Liesirova, K., Broeg-Morvay, A., Meisterernst, J., Schlager, M., Mono, M. L., … Sarikaya, H. (2016). Dysphagia in acute stroke: Incidence, burden and impact on clinical outcome. PLoS ONE, 11(2), 1–11. https://doi.org/10.1371/journal.pone.0148424
Aydin, T., et al. (2016). Functional independence measure scores of patients with hemiplegia followed up at home and in university hospitals. J Phys Ther Sci. 2016 Feb; 28(2): 553–557. Published online 2016 Feb 29. doi: [10.1589/jpts.28.553]
Bath, P. M., Scutt, P., Love, J., Clavé, P., Cohen, D., Dziewas, R., … Hamdy, S. (2016). Pharyngeal Electrical Stimulation for Treatment of Dysphagia in Subacute Stroke: A Randomized Controlled Trial. Stroke, 47(6), 1562–1570. https://doi.org/10.1161/STROKEAHA.115.012455
Bratava, D., Dagget, VS., Hagg, HW., Damush, T. . . Chumbler, NR. (2013). Comparation of two approaches to screen for dysphagia among acute ischemic stroke patients: Nursing admission screening tools versus National Institutes of Health Stroke Scale. Journal of Rehabillitation Research and Development. Volume 46, Number 9, 2009 Pages 1127-1134.
Bray BD, Smith CJ, Cloud GC, et al.(2017). The association between delays in screening for and assessing dysphagia after acute stroke, and the risk of stroke-associated pneumonia. J Neurol Neurosurg Psychiatry 2017;88:25–30. (http://dx.doi.org/10.1136/jnnp-2016-313356).
Hanum, P., & Lubis, R. (2017). Hubungan karakteristik dan dukungan keluarga lansia dengan kejadian stroke pada lansia hipertensi di rumah sakit umum pusat haji adam malik medan Support from the Elderly Families, Stroke in the Elderly with Hypertension. Jumantik, 3(1), 72–88.
Jeyaseelan, R. D., Vargo, M. M., & Chae, J. (2015). National Institutes of Health Stroke Scale (NIHSS) as An Early Predictor of Poststroke Dysphagia. PM and R, 7(6), 593–598. https://doi.org/10.1016/j.pmrj.2014.12.007
Liu, H., Shi, Y., Shi, Y., Hu, R., & Jiang, H. (2016). Nursing management of post-stroke dysphagia in a tertiary hospital. JBI Database of Systematic Reviews and Implementation Reports, 14(7), 266–274. https://doi.org/10.11124/JBISRIR-2016-002971
Lyden, P. (2017). Using the National Institutes of Health Stroke Scale. Stroke. 2017;48:513–519
Moloney, J and Washle, M. (2017). I had no idea what a complicated business eating is…”: a qualitative study of the impact of dysphagia during stroke recovery.Journal of Disability and rehabilitation. https://doi.org/10.1080/09638288.2017.1300948
Palli, C., Fandler, S., Doppelhofer, K., Niederkorn, K., Enzinger, C., Vetta, C., … Gattringer, T. (2017). Early Dysphagia Screening by Trained Nurses Reduces Pneumonia Rate in Stroke Patients: A Clinical Intervention Study. Stroke, 48(9), 2583–2585. https://doi.org/10.1161/STROKEAHA.117.018157
Park, J. S., Oh, D. H., Hwang, N. K., & Lee, J. H. (2016). Effects of neuromuscular electrical stimulation combined with effortful swallowing on post-stroke oropharyngeal dysphagia: A randomised controlled trial. Journal of Oral Rehabilitation, 43(6), 426–434. https://doi.org/10.1111/joor.12390
Rebecca, Jeyaseelan, Mary, John, Chae. (2015). National Institutes of Health Stroke Scale (NIHSS) as An Early Predictor of Poststroke Dysphagia. American Academy of Physical Medicine and Rehabilitation. http://dx.doi.org/10.1016/j.pmrj.2014.12.007.
Rekam Medis RSUPN Dr. Cipto Mangunkusumo Jakarta tahun 2017.
Winstein, C. J., Stein, J., Arena, R., Bates, B., Cherney, L. R., Cramer, S. C., … Zorowitz, R. D. (2016). Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association. Stroke (Vol. 47). https://doi.org/10.1161/STR.0000000000000098
Yoon, E.W et al. (2016). Outcome of Rehabilitation and Swallowing Therapy After Percutaneous Endoscopic Gastrostomy in Dysphagia Patients. Springer Science+Business Media New York 2016. DOI 10.1007/s00455-016-9717-7
Zhao, L., Liu, L., Zhang, C. S., Zeng, L., Zhao, J., Wang, L., … Li, B. (2018). Effect of He ’ s Santong Needling Method on Dysphagia after Stroke : A Study Protocol for a Prospective Randomized Controlled Pilot Trial, 2018. https://doi.org/10.1155/2018/6126410