A Study to Assess the Effectiveness of Comprehensive Nursing Intervention on Post Extubation Dysphagia Among Endotracheal Extubated Patients in Selected Hospital

Abstract

Background: Post extubation dysphagia is defined as the difficulty or lack of ability to effectively and competently transfer food and liquid from the mouth to the stomach after extubation. Collaborative nursing intervention is needed to improve oral intake and to reduce risk of complications. Therefore, this research aims to evaluate the efficacy of comprehensive nursing intervention on post extubation dysphagia among endotracheal extubated patients. Method: A quantitative evaluative research technique, quasi experimental non- equivalent control group posttest only design was used. The number of samples was 60; 30 in intervention group and 30 in observation group had been selected via the use of non-probability purposive sampling method. First of all, the researcher got authorization from relevant authority. The written document consent become received from the samples. Gugging swallowing screen was used to assess the dysphagia among endotracheal extubated patients. After assessing 1st posttest, comprehensive nursing intervention was given to the samples in the intervention group. 2 nd post test was conducted between day 5 and day 10. Results: The findings confirmed that there was a significant variation in mean 2nd posttest dysphagia score on post extubation dysphagia between observation group and intervention group. There was considerable association between 1 st posttest level of dysphagia amongst samples in intervention group and their gender. There has been no significant association between the 1st posttest level of dysphagia among samples in intervention category and their demographic variables (age, educational qualifications, diagnosis and duration of intubation). Conclusion: It appears that evidently the comprehensive nursing intervention effective in decreasing the dysphagia. Therefore, it can be suggested that comprehensive nursing intervention can be provided to post extubation dysphagia patients.