A study to Assess the Knowledge and Practice Among BSc Nursing 3rd year Students, on Biomedical Waste Management in Selected Nursing Colleges, Bhubaneswar, Odisha

Abstract

Oropharyngeal Dysphagia is one of the most frequent symptoms in patients with cerebrovascular Accident which is paralysis of throat muscles. To find out the effectiveness of Oropharyngeal Dysphagia exercise on swallowing ability among patients with Cerebrovascular Accident. This research design selected for this study was Pre-test Post-test control group design. The study was conducted in Neuro HDU, Neuro Surgery and Neuro medicine ward in selected tertiary care hospital, Bhubaneswar, Odisha. The investigator selected 50 Cerebrovascular Accident patients (Interventional-25 and control-25) with mild and moderate swallowing difficulty. Computer generated Random number list (Opaque sealed envelope) sampling technique was used. The tools used for data collection are demographic, clinical data and Mann Assessment of Swallowing Ability (MASA) scale. Pre-test was conducted to assess the severity of swallowing difficulty by using MASA scale. Then Oropharyngeal Dysphagia exercises was administered after Pre-test for 10-15 minutes of 10-20 repetitions for 2 times a day for 1 week to the Interventional group with mild and moderate swallowing difficulty.  Routine care was given to control group for 7 days. Post test was conducted after 7 days with the same tool and data were analysed. Statistical findings revealed that Post-test mean score of Swallowing difficulty in Interventional and control group were 169 & 158.8 respectively with difference of Pre- test and post test score in Interventional and control group were 9.7 &1.6 respectively which found to be statistically significant at p<0.05 level. Oropharyngeal Dysphagia Exercises were effective among the Cerebrovascular Accident patients regarding their Swallowing Ability.