the aim of this study is to evaluate the effect of Nursing care Bundle on Oral Intake among Critically Ill Children with Post-Extubation Dysphagia
undergoing emergency oral endotracheal intubation for at least 48 hours
able to communicate and having no sensory deficit and accepted to participate in the research
children who had a history of neuromuscular disease, preexisting swallowing problems and agitated children were excluded.
Parallel
a nursing care bundle on oral intake
Procedure/Surgerya nursing care bundle on oral intake will be started the day after their successful extubation and extend for 14th days. Additionally, the participants will be provided with a brief education on safe swallowing.
Change from baseline of oral health post-extubation on Post-Extubation Oral Assessment Scale
It consisted of eight categories including Voice, ability to swallow, lips, saliva, tongue, mucous membranes, gingiva and teeth. scoring of each component 0 score indicates (normal) , 1 score indicates (mild abnormality) and 2 scores indicate (sever abnormality). Total score (0-3) indicates minimal risk of post-extubation complications ,4-6 indicates moderate risk of complications and 7-10 indicates high risk of post-extubation complications.
change from the baseline in swallowing on Pediatric Dysphagia Screening Questionnaire (PDSQ)
it designed to identify children at risk for oropharyngeal dysphagia. scoring of each component 0 score indicates (no difficultly) ,1 score indicates (mild difficulty)2 scores (moderate difficulty) and 3 score indicates (severe difficulty). Total score (0-5) indicates minimal or to no dysphagia risk ,6-10 indicates to some dysphagia risk, 11-15 indicates high dysphagia risk and 16-18 indicates Severe dysphagia risk.
change from baseline of normal oral intake of the children on the Pediatric Functional Oral Intake Scale (P-FOIS)
it includes a 6-point scale used to assess a child's oral intake ability. It categorizes intake into seven levels, ranging from complete dependence on non-oral feeding to successful oral intake.
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