Peningkatan fungsi menelan dengan latihan menelan pada pasien stroke yang mengalami disfagia

Abstract

Dysphagia is a complication that often appears in stroke patients which can cause aspiration. One of the nursing interventions to treat dysphagia in stroke patients is swallowing exercises. This study aims to determine the effectiveness of swallowing exercises on swallowing function in stroke patients with dysphagia. This study was a literature review involving twelve literature obtained from three databases, namely: Google Scholar, Pubmed and ScienceDirect during 2010 to 2020, with the criteria of using a true experiment or quasy experiment design and involving stroke patients with dysphagia. The results of the review show that there were three swallowing exercise techniques found, namely effortful swallow, shaker exercise and Mandelsohn maneuver. Variation in duration of each technique was 20 minutes to 60 minutes. There were several articles that did not mention the technique and duration of swallowing exercises. Several articles combined swallowing exercise with other interventions such as electrical stimulation, vitalstim therapy, and acupuncture; with better results than a single intervention. Furthermore, it was concluded that the three swallowing exercise techniques proved effective in improving swallowing function in stroke patients with dysphagia.