Differences In Swallowing Function Before And After Shaker Exercise In Acute Stroke Patient

Abstract

Dysfunction of swallowing disorders is a problem in acute stroke patient caused by nervous disorders and occurs in adult and elderly patients. The impact is the risk of pneumonia, malnutrition, dehydration and decreased quality of life. Shaker Exercise is a swallowing exercise that is widely used in patients with swallowing dysfunction. This study used pretest-posttest experimental design with control group and stratified random sampling for 16 respondents for each control group and intervention group which customized with inclusion and exclusion criteria. Shaker exercise tiga kali sehari. Oral care and positioning were given to control group three times a day during 5 days. The evaluation of swallowing function using Gugging Swallowing Severity Scale (GUSS) before and after intervention during two weeks. Data analiyze using Friedman test. The result showed p<0.05 in the evaluation of second week. Swallowing function in intervention group was increase 4.69 point whereas in control group was increase 2.13 point.  Shaker Exercise intervention can be used as the alternative in nursing care for the patient who suffered dysfunction of swallowing disorders in stroke patient.