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Enhancing Spiritual Well-Being, Physical Activity, and Happiness in Hospitalized Older Adult Patients with Swallowing Difficulties: A Comparative Study of Thickeners and Swallowing Exercises

Swallowing difficulties often occur in older adult patients during acute hospitalization, leading to reduced nutritional intake, increased frailty, and various psychosocial challenges. This randomized controlled study aimed to assess the effects of two interventions, thickeners and swallowing exerci...

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Autores principales: Kao, Yu-Yin, Lai, Yun-Ru, Huang, Chiung-Yu, Tsai, Meng-Yun, Kuo, Ming-Chun, Chen, Hsin-Wei, Lee, Suey-Haur, Lee, Chen-Hsiang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10530574/
https://www.ncbi.nlm.nih.gov/pubmed/37761792
http://dx.doi.org/10.3390/healthcare11182595
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author Kao, Yu-Yin
Lai, Yun-Ru
Huang, Chiung-Yu
Tsai, Meng-Yun
Kuo, Ming-Chun
Chen, Hsin-Wei
Lee, Suey-Haur
Lee, Chen-Hsiang
author_facet Kao, Yu-Yin
Lai, Yun-Ru
Huang, Chiung-Yu
Tsai, Meng-Yun
Kuo, Ming-Chun
Chen, Hsin-Wei
Lee, Suey-Haur
Lee, Chen-Hsiang
author_sort Kao, Yu-Yin
collection PubMed
description Swallowing difficulties often occur in older adult patients during acute hospitalization, leading to reduced nutritional intake, increased frailty, and various psychosocial challenges. This randomized controlled study aimed to assess the effects of two interventions, thickeners and swallowing exercises, on the spiritual well-being, physical activity, and happiness of older adult patients with swallowing difficulties during acute hospitalization from October 2019 to August 2020. Sample size calculation was performed using a conservative estimate approach, resulting in an estimate-required sample size of 42 participants. The sampling method was a random cluster sampling approach, with three ward rooms assigned to the thickeners group, swallowing exercises group and control group, respectively. Seventy-two participants were assigned to the intervention groups (thickeners or swallowing exercises) or the control group using a 1:1:1 stratified random assignment. Data were collected before and after the intervention, and matched samples were analyzed using t-tests, ANOVA, and generalized estimating equations for statistical analysis. Both intervention groups showed significant improvements in spiritual well-being (p < 0.001), physical activity (p < 0.001), and happiness (p < 0.001) compared to the control group. However, there were no significant differences between the intervention groups. Our findings suggest that interventions involving thickeners and swallowing exercises have positive effects on the spiritual well-being, physical activity, and happiness of older adult patients with swallowing difficulties during acute hospitalization and emphasize the importance of implementing these interventions to enhance the overall well-being and quality of life of this vulnerable patient population.
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spelling pubmed-105305742023-09-28 Enhancing Spiritual Well-Being, Physical Activity, and Happiness in Hospitalized Older Adult Patients with Swallowing Difficulties: A Comparative Study of Thickeners and Swallowing Exercises Kao, Yu-Yin Lai, Yun-Ru Huang, Chiung-Yu Tsai, Meng-Yun Kuo, Ming-Chun Chen, Hsin-Wei Lee, Suey-Haur Lee, Chen-Hsiang Healthcare (Basel) Article Swallowing difficulties often occur in older adult patients during acute hospitalization, leading to reduced nutritional intake, increased frailty, and various psychosocial challenges. This randomized controlled study aimed to assess the effects of two interventions, thickeners and swallowing exercises, on the spiritual well-being, physical activity, and happiness of older adult patients with swallowing difficulties during acute hospitalization from October 2019 to August 2020. Sample size calculation was performed using a conservative estimate approach, resulting in an estimate-required sample size of 42 participants. The sampling method was a random cluster sampling approach, with three ward rooms assigned to the thickeners group, swallowing exercises group and control group, respectively. Seventy-two participants were assigned to the intervention groups (thickeners or swallowing exercises) or the control group using a 1:1:1 stratified random assignment. Data were collected before and after the intervention, and matched samples were analyzed using t-tests, ANOVA, and generalized estimating equations for statistical analysis. Both intervention groups showed significant improvements in spiritual well-being (p < 0.001), physical activity (p < 0.001), and happiness (p < 0.001) compared to the control group. However, there were no significant differences between the intervention groups. Our findings suggest that interventions involving thickeners and swallowing exercises have positive effects on the spiritual well-being, physical activity, and happiness of older adult patients with swallowing difficulties during acute hospitalization and emphasize the importance of implementing these interventions to enhance the overall well-being and quality of life of this vulnerable patient population. MDPI 2023-09-21 /pmc/articles/PMC10530574/ /pubmed/37761792 http://dx.doi.org/10.3390/healthcare11182595 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kao, Yu-Yin
Lai, Yun-Ru
Huang, Chiung-Yu
Tsai, Meng-Yun
Kuo, Ming-Chun
Chen, Hsin-Wei
Lee, Suey-Haur
Lee, Chen-Hsiang
Enhancing Spiritual Well-Being, Physical Activity, and Happiness in Hospitalized Older Adult Patients with Swallowing Difficulties: A Comparative Study of Thickeners and Swallowing Exercises
title Enhancing Spiritual Well-Being, Physical Activity, and Happiness in Hospitalized Older Adult Patients with Swallowing Difficulties: A Comparative Study of Thickeners and Swallowing Exercises
title_full Enhancing Spiritual Well-Being, Physical Activity, and Happiness in Hospitalized Older Adult Patients with Swallowing Difficulties: A Comparative Study of Thickeners and Swallowing Exercises
title_fullStr Enhancing Spiritual Well-Being, Physical Activity, and Happiness in Hospitalized Older Adult Patients with Swallowing Difficulties: A Comparative Study of Thickeners and Swallowing Exercises
title_full_unstemmed Enhancing Spiritual Well-Being, Physical Activity, and Happiness in Hospitalized Older Adult Patients with Swallowing Difficulties: A Comparative Study of Thickeners and Swallowing Exercises
title_short Enhancing Spiritual Well-Being, Physical Activity, and Happiness in Hospitalized Older Adult Patients with Swallowing Difficulties: A Comparative Study of Thickeners and Swallowing Exercises
title_sort enhancing spiritual well-being, physical activity, and happiness in hospitalized older adult patients with swallowing difficulties: a comparative study of thickeners and swallowing exercises
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10530574/
https://www.ncbi.nlm.nih.gov/pubmed/37761792
http://dx.doi.org/10.3390/healthcare11182595
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