Ingesta oral do paciente hospitalizado com disfagia orofaríngea neurogênica
Oral Intake of hospitalized patient with neurogenic oropharyngeal dysphagia
Carolina Castelli Silvério; Ana Maria Hernandez; Maria Inês Rebelo Gonçalves
Resumo
Objetivo: verificar a evolução na ingesta oral e a ocorrência de broncopneumonias (BCP) em pacientes hospitalizados com disfagia orofaríngea neurogênica, após atuação fonoaudiológica.
Métodos: 50 pacientes adultos, divididos em grupos: I: 31 pacientes pós-acidente vascular encefálico; II: sete pacientes pós-traumatismo crânio-encefálico; III: 12 pacientes com demência. Foram levantadas as informações antes e após a atuação fonoaudiológica: nível da Functional Oral Intake Scale (FOIS), ocorrência de BCP; número de atendimentos fonoaudiológicos e motivo de interrupção destes.
Resultados: houve aumento significativo dos níveis da escala FOIS e redução do percentual de ocorrência de BCP nos três grupos estudados. Nos grupos pós-AVE e demência a interrupção da fonoterapia ocorreu devido à alta hospitalar, enquanto que no grupo pós-TCE devido à alta fonoaudiológica.
Conclusão: os pacientes deste estudo demonstraram avançar das consistências alimentares na ingesta oral, e redução da ocorrência de BCP, após a intervenção fonoaudiológica com relação à disfagia.
Palavras-chave
Abstract
Purpose: to verify the evolution of oral intake and the occurrence of bronchopneumonia (BCP) in hospitalized patients with neurogenic oropharyngeal dysphagia, after speech-language pathology intervention.
Methods: 50 adult patients, divided into groups: I: 31 patients post-stroke; II: seven patients post-traumatic brain injury; III: 12 patients with dementia. Information was collected before and after speech-language pathology intervention: level of the Functional Oral Intake Scale (FOIS), occurrence of BCP; number of speech-language pathology sessions and reason for their interruption.
Results: there was a significant increase in FOIS levels and a reduction in the percentage of BCP occurrence in the three groups studied. In the post-stroke and dementia groups, speech therapy was interrupted due to hospital discharge, while in the post-TBI group due to speech-language pathology discharge.
Conclusion: the patients in this study demonstrated an advance in food consistencies in oral intake, and a reduction in the occurrence of BCP, after speech-language pathology intervention regarding dysphagia.
Keywords
Referencias
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Submitted date:
24/06/2009
Accepted date:
18/12/2009
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