DEVELOPMENT OF A HANDBOOK FOR THE REHABILITATION OF POST-STROKE DYSPHAGIA AND COMMUNICATION DISORD

Huyen Phan Thi Van; Dien Le Khanh; Trung Vo Nguyen

doi:10.59354/ydth175.2024.273

Từ khóa:

handbook, communication disorders, dysphagia, post-stroke, Speech and Language Therapy, caregiver

Tóm tắt

Objective: Development of a handbook for the rehabilitation of post-stroke dysphagia and communication disorders.

Subjects and methods: Surveying the awareness and opinions of 20 post-stroke patients’ caregivers at the Rehabilitation and Neurology department at Military Hospital 175 with self-design questionare. The handbook was written based on the Arizona State University Handbook Development and evaluated by experts before applying to the caregivers. After 1 week of use, the Patient Education Materials Assessment Tool was used to evaluate understandability, applicability and convenience by caregivers.

Results: 70% of caregivers agreed that stroke leaves many serious sequelae for the patient. 55% of caregivers agreed that the sequelae post-stroke, especially the sequelae of dysphagia and/or communication disorders, greatly affect the patient, caregivers, family, and society. 80% of relatives and caregivers are having difficulty understanding dysphagia, communication disorders post-stroke, and Speech & Language Therapy for rehabilitation post-stroke dysphagia and communication disorders. 70% of caregivers have difficulty finding information. 95% of caregivers need to be provided information by the handbook for the rehabilitation of dysphagia, and communication disorders post-stroke. The handbook was completed with 43 pages, evaluated by 06 Speech and Language therapists, 01 Rehabilitation doctor, 01 Neurologist and rated by caregivers for understandability at 98.2%, applicability and convenience at 100% according to the Patient Education Materials Assessment Tool.

Conclusion: Caregivers’ need for communication disorders and dysphagia knowledge is urgent and understandable. Speech and Language therapy plays an important role in the rehabilitation of post-stroke dysphagia and communication disorders. In the context of a shortage of human resources in Speech and Language Therapy, the handbook should be widely applied in the Rehabilitation deparments, Neurology departments, and nursing homes...

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