Background: Neurogenic dysphagia is one of the most common dangerous disorders for patients with neurological diseases. Aim: The aim of the study was to evaluate the effect of swallowing exercises on swallowing function for patients with neurogenic dysphagia. Patients and Methods: Research design: Quasi experimental (pre/post test) research design was used. Sample and Setting: A selected sample of 60 patients diagnosed with neurogenic dysphagia was recruited and also followed up for 2 months at neurological department and neurological outpatients clinic at neurological, psychiatric and neurosurgery Assiut University Hospital. Each patient was oriented and trained by the researchers to know the effect of practicing swallowing exercises and received brochure to be oriented about its effect on swallowing function. Tools: Patients assessment questionnaire, functional oral intake scale, Bazaz dysphagia score, eating assessment tool-10 and the 8-point penetration-aspiration scale. Results: The study finding revealed a highly statistical significant improvement (p < 0.0001) post application of the swallowing exercises as regard all outcome measures; functional oral intake scale, Bazaz dysphagia scale, aspiration and complications. Conclusion: Swallowing exercises significantly improve swallowing function and decrease severity of neurogenic dysphagia, aspiration and complications. Recommendation: The swallowing exercises (brochure) should be utilized in neurology hospitals as a teaching guide for patients with neurogenic dysphagia.
Background: The most significant clinical consequence of liver cirrhosis is ascites, which is the buildup of fluid in the abdominal cavity. Aim: This study was conducted to evaluate the effect of development of nursing education program for patients with Child Pugh score A liver cirrhosis to minimize ascites. Design: A quasi-experimental research design. Sample: A purposive sample of sixty adult patients with child Pugh score A liver cirrhosis, which placed into two equal-numbered groups at random: the study group and the control group. Setting: The tropical medicine department, the gastroenterology department, and the outpatient clinic at El-Rajhi Liver Hospital, Assiut University. Tools: Tool I: A Structured Interview, Tool II: Compliance of patients with medication and Tool III: Assessment occurrence and degree of ascites sheet. Results: The result revealed that regarding study groups, after 6 months (16.7%) developed ascites while after 12 months (33.3%) developed ascites in comparison to control groups which after 6 months were (46.7%) while after 12 months (73.3%) developed ascites. Conclusion: Nursing education has a good effect on improving patients’ knowledge, increasing level of drug compliance and minimizing occurrence of ascites Recommendations: It is recommended to repeat of this research using a bigger likelihood sample picked from other regions so that the results can be used more widely.