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Development and Evaluation of an Enteral Nutrition Protocol for Dysphagia in Patients with Acute Stroke
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Sung-Hee Yoo, So-Sun Kim
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J Korean Acad Nurs 2014;44(3):280-293. Published online June 30, 2014
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DOI: https://doi.org/10.4040/jkan.2014.44.3.280
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Abstract
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Purpose
The study was done to develop an evidence-based enteral nutrition (EN) protocol for effective nutritional support for dysphagia in patients with acute stroke, and to evaluate effects of this protocol on clinical outcomes.
Methods
A methodological study was used to develop the EN protocol and a quasi-experimental study to verify the effectiveness of the protocol. The preliminary EN protocol was drawn by selecting recommendations from previous well-designed EN guidelines, and then developing additional recommendations based on high-quality evidence. Content validation was assessed by an expert group, and clinical applicability by care providers and patients. The scale-level content validity index of the final EN protocol was 0.99. Assessment was done of differences in percentage of caloric goals achieved and presence of undernutrition, aspiration pneumonia, and gastrointestinal (GI) complications after application of the EN protocol.
Results
In the EN protocol group, the percentage of caloric goals achieved (R2=.24, p=.001) and the reduction of GI complications (p=.045) were significantly improved, but the presence of undernutrition (p=.296) and aspiration pneumonia (p=.601) did not differ from the usual care group.
Conclusion
Results indicate that the new EN protocol for dysphagia in patients with acute stroke significantly increased their nutritional intake and reduced GI complications.
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Citations
Citations to this article as recorded by 
- Nursing Algorithm for Stroke Patients with Sensory Disorder
Yoonjeong Lee, Jia Lee Korean Journal of Adult Nursing.2018; 30(3): 301. CrossRef - Adaptation and Evaluation of the Incontinence Care Protocol
Kyung Hee Park, Heejung Choi Journal of Korean Academy of Nursing.2015; 45(3): 357. CrossRef - Effects of a Dysphagia Nursing Protocol on Reducing Aspiration Pneumonia and Improving Daily Activity Dependency in Patients with Acute Stroke
Jung-Hee Han, Gee-Eun Lee, Joo-Hyun Jun, Yoo-Jin Lim, Eun-Jin Yoon, Yeo-Ok Kim Korean Journal of Adult Nursing.2015; 27(3): 304. CrossRef
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The Life of Adolescent Patients with Complex Congenital Heart Disease
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Sunhee Lee, So-Sun Kim
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J Korean Acad Nurs 2010;40(3):411-422. Published online June 30, 2010
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DOI: https://doi.org/10.4040/jkan.2010.40.3.411
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Abstract
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Purpose
In the present study, an analysis of the life of adolescents with complex congenital heart disease (CHD) was done using grounded theory. Consideration was given to the socio-cultural context of Korea.
Methods
After approval from the institutional review board of Y hospital, 12 patients ranging in age from 14 to 35 were recruited. Data were gathered using in-depth interviews. Theoretical sampling was performed until the concepts were saturated.
Results
The results confirmed the life of adolescents with complex CHD as a 'journey to finding uniqueness of oneself as a person with CHD'. The life consisted of 3 stages. In the crisis stage, participants had a feeling of threat to self-existence, and made an effort to be the same as others. In the self-recognition stage, participants who had sufficient role-performance built self-esteem while those who did not fell into self-accusation. In the self-establishment stage, participants who reached sufficiency in independence and knowledge planned the future, whereas those who did not conformed to the realities of life.
Conclusion
The results of present study provide help in understanding the experiences of adolescents with CHD and provide a basis for developing nursing intervention strategies for these patients.
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Citations
Citations to this article as recorded by 
- Workplace Harassment in Patients with Congenital Heart Disease
Efrén Martínez-Quintana, Beatriz Déniz-Alvarado, Carlos Gallego-Sosa, Javier Pardo-Maiza, Jesús María González-Martín, Fayna Rodríguez-González International Journal of Bullying Prevention.2025; 7(1): 36. CrossRef - Management of Caustic Esophageal Injury: A Survey Study in Türkiye and Review of the Literature
Sümeyye Sözduyar, Denizcan İnal, Ergun Ergün, Gülnur Göllü, Ahmet Murat Çakmak, Ufuk Ateş Journal of Ankara University Faculty of Medicine.2024;[Epub] CrossRef - Effects of Familial Relationships on School Adjustment of Adolescents and Young Adults With Congenital Heart Disease
Youngji Moon, Jo Won Jung, Sunhee Lee Journal of Cardiovascular Nursing.2023; 38(1): 52. CrossRef - Quality of Life in Congenital Heart Disease Patients According to Their Anatomical and Physiological Classification
Efr閚 Mart韓ez-Quintana, Hiurma Estupi襻n-Le髇, Ana Beatriz Rojas-Brito, Liuva D閚iz-D閚iz, Alejandro Barreto-Mart韓, Fayna Rodr韌uez-Gonz醠ez Congenital Heart Disease.2023; 18(2): 197. CrossRef - La intervención psicocardiológica en la rehabilitación cardiovascular de niños escolares con cardiopatías congénitas: una revisión sistemática
T. Rodríguez Rodríguez, A. Nohaya Alonso, N. González Vales Rehabilitación.2022; 56(4): 353. CrossRef - Factor analysis of the Korean version of the Illness Cognition Questionnaire for adolescents with chronic illness
Dasuel Lee, Dae‐Chul Jeong, Nack‐Gyun Chung, Sunhee Lee International Journal of Nursing Practice.2021;[Epub] CrossRef - The effects of rational emotive behavior therapy for depressive symptoms in adults with congenital heart disease
Ju Ryoung Moon, June Huh, Jinyoung Song, I-Seok Kang, Seung Woo Park, Sung-A Chang, Ji-Hyuk Yang, Tae-Gook Jun, Jong-Sook Han Heart & Lung.2021; 50(6): 906. CrossRef - The adaptation process of mothers raising a child with complex congenital heart disease
Jeong-Ah Ahn, Sunhee Lee Journal of Child Health Care.2018; 22(4): 520. CrossRef - The Center for Epidemiologic Studies Depression Scale is an adequate screening instrument for depression and anxiety disorder in adults with congential heart disease
Ju Ryoung Moon, June Huh, Jinyoung Song, I-Seok Kang, Seung Woo Park, Sung-A Chang, Ji-Hyuk Yang, Tae-Gook Jun Health and Quality of Life Outcomes.2017;[Epub] CrossRef - The relationship between perceived parental rearing behaviors and school adjustment of adolescent cancer survivors in Korea
Sunhee Lee, Dong Hee Kim Medicine.2017; 96(32): e7758. CrossRef - The effect of a resilience improvement program for adolescents with complex congenital heart disease
Sunhee Lee, Junga Lee, Jae Young Choi European Journal of Cardiovascular Nursing.2017; 16(4): 290. CrossRef - Comparison of Physical Activity and Health-related Quality of Life in Adolescents with and without Congenital Heart Disease: A Propensity Matched Comparison
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Juliana Bertoletti, Giovana C. Marx, Sérgio P. Hattge, Lúcia C. Pellanda Cardiology in the Young.2015; 25(3): 526. CrossRef - Comparison of Coping Strategy and Disease Knowledge in Dyads of Parents and Their Adolescent With Congenital Heart Disease
Jeong-Ah Ahn, Sunhee Lee, Jae Young Choi Journal of Cardiovascular Nursing.2014; 29(6): 508. CrossRef - Coping and Resilience of Adolescents With Congenital Heart Disease
Sunhee Lee, Sue Kim, Jae Young Choi Journal of Cardiovascular Nursing.2014; 29(4): 340. CrossRef
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