Adherence of Primary Caregiver To Post Stroke Dysphagia Recommendations In Pakistan

Q4 Health Professions

Pakistan Armed Forces Medical Journal Pub Date : 2024-02-28 DOI:10.51253/pafmj.v74i1.5981

Rimsha Shakeel, Nazia Mumtaz, G. Saqulain, Maryam Shakeel, Nadeem Ahmad

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Abstract

Objective: To find the adherence of primary caregivers to post-stroke dysphagia recommendations in Pakistan. Study Design: Cross-sectional study Place and Duration of Study: Armed Forces Institute of Rehabilitation Medicine, Rawalpindi Pakistan, from Jun 2019 to April 2020. Methodology: We recruited 92 primary caregivers of either gender aged ≥ 18 years, assisting stroke patients with dysphagia in feeding and activities of daily living. Caregivers of cases with multiple disabilities, those not aware of dysphagia recommendations and those not involved in the implementation of dysphagia recommendations were excluded. Caregiver Mealtime and Dysphagia Questionnaire (CMDQ) were used for data collection. Results: Out of 92 Caregivers 17(18.48%) were non-compliant while 75(82%) reported significant compliance to dysphagia recommendations with mean scores of 3.11±0.48 and 1.98±0.51, respectively. In addition, the significant difference between scores of compliant and non-compliant groups was noted for the domains of Quality, Avoidance and Disagreement (p<0.001). Conclusion: Most primary caregivers were compliant and adhered to the dysphagia recommendation of stroke in Pakistan

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巴基斯坦初级护理人员对卒中后吞咽困难建议的遵守情况

研究目的了解巴基斯坦主要护理人员对卒中后吞咽困难建议的遵守情况：横断面研究：巴基斯坦拉瓦尔品第武装部队康复医学研究所，2019 年 6 月至 2020 年 4 月：我们招募了 92 名年龄≥ 18 岁的男女主要护理人员，他们协助吞咽困难的中风患者进行进食和日常生活活动。排除了多重残疾病例的护理者、不了解吞咽困难建议的护理者以及未参与吞咽困难建议实施的护理者。数据收集采用了照顾者进餐和吞咽困难问卷（CMDQ）。结果：在 92 位护理人员中，有 17 位（18.48%）未遵守吞咽困难建议，而有 75 位（82%）明显遵守了吞咽困难建议，平均得分分别为 3.11±0.48 和 1.98±0.51。此外，在 "质量"、"回避 "和 "不同意 "方面，遵从组和不遵从组的得分存在明显差异（P<0.001）：大多数主要护理人员都遵守并坚持执行巴基斯坦卒中吞咽困难建议

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