The Effectiveness of a Combination of Swallowing Exercises with Benson Relaxation and Aromatherapy on the Swallowing Ability of Stroke Patients
Keywords:
Dysphagia, Swallowing exercises, Benson relaxation, Aromatherapy
Abstract
Stroke patients with dysphagia require proper initial screening so as not to cause severe complications. More optimal efforts are needed to improve swallowing ability to avoid complications. Swallowing exercises combined with Benson Relaxation and Aromatherapy are expected to provide better results in increasing the swallowing ability score of stroke patients with dysphagia. This study aims to determine the effect of the combination of Swallowing Exercise with Benson Relaxation and Aromatherapy on the swallowing ability of stroke patients. This type of research is a quasi-experimental pre and post-test. Researchers intervened in two groups of respondents. One group intervened with a combination of swallowing exercises with Benson relaxation, and one group combined swallowing exercises with aromatherapy. The sampling technique was consecutive sampling. The number of samples was 44 people: 20 people in Intervention Group I and 25 in Intervention Group II. Statistical analysis used a dependent t-test (paired t-test) to test the difference in the average score of swallowing ability before and after the intervention and an independent t-test to test the difference in the average score after the intervention in intervention groups I and II. This research showed a significant difference in the average score of swallowing ability before and after the intervention in the intervention group I and II, and there is no difference in the average score of swallowing ability after the intervention in the intervention group I and II. Swallowing exercise combined with Benson relaxation and aromatherapy can improve the swallowing ability score of dysphagia patients due to stroke.
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22. Panebianco M, Marchese-Ragona R, Masiero S, Restivo DA. Dysphagia in neurological diseases: a literature review. Neurol Sci. 2020;41(11):3067–73.
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28. Gong M, Dong H, Tang Y, Huang W, Lu F. Effects of aromatherapy on anxiety: A meta-analysis of randomized controlled trials. J Affect Disord [Internet]. 2020;274(May):1028–40. Available from: https://doi.org/10.1016/j.jad.2020.05.118
29. Sebastian, Lonnie Aquaro MSN, RN-BC; Kear, Tamara PhD, RN, CNN F. The Effect of Lavender Aromatherapy on Heart Rate, Blood Pressure, and Perceived Stress Among Cardiac Rehabilitation Patients: A Pilot Study. Holist Nurs Pract. 2021;28.
30. Kholibrina CR, Aswandi A. The aromatherapy formulation of essential oils in reducing stress and blood pressure on human. IOP Conf Ser Earth Environ Sci. 2021;914(1).
31. Cuti EC, Kovacevic I, Cuti T, Hospital G. POTENTIAL OF AROMATHERAPY AS A LIFESTYLE MEASURE IN BLOOD PRESSURE REDUCTION: AN ANCIENT PRACTICE INCORPORATED IN MODERN MEDICINE: PILOT PROJECT. J Hypertens. 2021;3:2021.
32. Sadeghi Z, Ghoreishi ZS, Flowers H, Mohammadkhani P, Ashtari F, Noroozi M. Depression, Anxiety, and Stress Relative to Swallowing Impairment in Persons with Multiple Sclerosis. Dysphagia [Internet]. 2021;36(5):902–9. Available from: https://doi.org/10.1007/s00455-020-10207-x
33. Daneshpajooh L, Najafi Ghezeljeh T, Haghani H. Comparison of the effects of inhalation aromatherapy using Damask Rose aroma and the Benson relaxation technique in burn patients: A randomized clinical trial. Burns [Internet]. 2019;45(5):1205–14. Available from: https://doi.org/10.1016/j.burns.2019.03.001
34. Vasu DT, Mohd Nordin NA, Ghazali SE. Effectiveness of autogenic relaxation training in addition to usual physiotherapy on emotional state and functional independence of stroke survivors. Med (United States). 2021;100(33).
2. World Health Organization (WHO). World Stroke Day 2019. 2019. p. https://www.who.int/.
3. Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth’s Textbook of medical-surgical nursing. 11 th. Philadelphia: Lippincott William & Wilkins; 2010.
4. Atanelov L, Christian AB. Dysphagia after stroke : an overview. 2013;187–96.
5. Jiang J, Fu S, Wang W, Ma Y. Validity and reliability of swallowing screening tools used by nurses for dysphagia : A systematic review. Tzu Chi Med J. 2016;28(2):41–8.
6. Huang K, Liu T, Huang Y. Functional Outcome in Acute Stroke Patients with Oropharyngeal Dysphagia after Swallowing Therapy. J Stroke Cerebrovasc Dis. 2014;23(10):2547–53.
7. Butcher, H. K., Bulechek, G. M., Dochterman, J. M. M. and & Wagner C. Nursing Interventions Classification (NIC) E-Book. Elsevier Health Science; 2018.
8. Easterling C. ‘25 Years of Dysphagia Rehabilitation : What Have We Done , What are We Doing , and Where are We Going ?’, Dysphagia. Dysphagia. 2017;32(1):50–4.
9. Hegland, K. W., Davenport, P. W., Brandimore, A. E., Singletary, F. F., & Troche MS. Rehabilitation of swallowing and cough functions following stroke: an expiratory muscle strength training trial. Arch Phys Med Rehabil. 2016;97(8):1345–51.
10. Jiang L, Wang Y, Li N, Qiu W, Wu H, Huo J, et al. Comprehensive swallowing exercises to treat complicated dysphagia caused by esophageal replacement with colon. 2017;0(June 2016):4–8.
11. Enny Mulyatsih AA. Petunjuk perawatan pasien pasca stroke di rumah. Balai Penerbit Fakultas kedokteran Indonesiaa; 2008.
12. Xia W, Zheng C, Zhu S. Does the addition of specific acupuncture to standard swallowing training improve outcomes in patients with dysphagia after stroke ? a randomized controlled trial. 2016;
13. Chen L, Fang J, Ma R, Gu X, Chen L, Li J, et al. Additional effects of acupuncture on early comprehensive rehabilitation in patients with mild to moderate acute ischemic stroke : a multicenter randomized controlled trial. BMC Complement Altern Med. 2016;1–9.
14. Mao, L. Y., Li, L. L., Mao, Z. N., Han, Y. P., Zhang, X. L., Yao, J. X., & Li M. Therapeutic effect of acupuncture combining standard swallowing training for post-stroke dysphagia: A prospective cohort study. Chin J Integr Med. 2016;22(7):525–31.
15. Li, L. X., Deng, K., & Qu Y. Acupuncture treatment for post-stroke dysphagia: an update meta-analysis of randomized controlled trials. Chin J Integr Med. 2018;24(9):686–95.
16. Poorolajal, J., Ashtarani, F., & Alimohammadi N. Effect of Benson relaxation technique on the preoperative anxiety and hemodynamic status: A single blind randomized clinical trial. Artery Res. 2017;17:33–8.
17. Rasubala GF, Lucky Tommy Kumaat M. PENGARUH TEKNIK RELAKSASI BENSON TERHADAP SKALA NYERI PADA PASIEN POST OPERASI DI RSUP. PROF. DR. R.D. KANDOU DAN RS TK.III R.W. MONGISIDI TELING MANADO Grece. 2017;5(1).
18. Riyani H Sahar. efektifitas relaksasi benson dan latihan napas dalam terhadap perubahan kecemasan pada lansia di BPSTW Gau Mabaji Gowa. Skripsi. 2016;
19. Ratnawati D, Siregar T, Wahyudi CT. Terapi Relaksasi Benson Termodifikasi Efektif Mengontrol Gula Darah pada Lansia dengan Diabetes Mellitus. J keokteran dan Kesehat. 2018;4(2):83–93.
20. Purwasih EO, Permana I, Primanda Y. Relaksasi Benson Dan Terapi Murottal Surat Ar-Rahmaan Menurunkan Kadar Glukosa Darah Puasa Pada Penderita Diabetes Melitus Tipe 2 Di Kecamatan Maos. J Ilm Kesehat Keperawatan. 2017;13(2).
21. Heshmatifar N, Sadeghi H, Mahdavi A, Nakhaie MRS, Rakhshani MH. The Effect of Benson Relaxation Technique on Depression in Patients Undergoing Hemodialysis. 2015;17(8):34–40.
22. Panebianco M, Marchese-Ragona R, Masiero S, Restivo DA. Dysphagia in neurological diseases: a literature review. Neurol Sci. 2020;41(11):3067–73.
23. Langmore SE, Pisegna JM. Efficacy of exercises to rehabilitate dysphagia: A critique of the literature. Int J Speech Lang Pathol [Internet]. 2015;17(3):222–9. Available from: http://dx.doi.org/10.3109/17549507.2015.1024171
24. Bakhtiyari J, Sarraf P, Nakhostin-Ansari N, Tafakhori A, Logemann J, Faghihzadeh S, et al. Effects of early intervention of swallowing therapy on recovery from dysphagia following stroke. Iran J Neurol [Internet]. 2015;14(3):119–24. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26622975%0Ahttp://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=PMC4662683
25. Mourão AM, Almeida EO, Lemos SMA, Vicente LCC, Teixeira AL. Evolução da deglutição no pós-AVC agudo: estudo descritivo. Rev CEFAC. 2016;18(2):417–25.
26. Bath PM, Lee HS, Everton LF. Swallowing therapy for dysphagia in acute and subacute stroke. Stroke. 2019;50(3):E46–7.
27. Dwi Mulianda, Dwi Pudjonarko HK. Central Java International Nursing Confrence. In: Suhartini D, editor. Effects of Benson’s Relaxation Response on Physiological Responses in Patients with Acute Ischemic Stroke in Several Regional Hospitals in Semarang. Semarang: PERSATUAN PERAWAT NASIONAL INDONESIA (PPNI) REGIONAL PROPINSI JAWA TENGAH; 2018. p. 26.
28. Gong M, Dong H, Tang Y, Huang W, Lu F. Effects of aromatherapy on anxiety: A meta-analysis of randomized controlled trials. J Affect Disord [Internet]. 2020;274(May):1028–40. Available from: https://doi.org/10.1016/j.jad.2020.05.118
29. Sebastian, Lonnie Aquaro MSN, RN-BC; Kear, Tamara PhD, RN, CNN F. The Effect of Lavender Aromatherapy on Heart Rate, Blood Pressure, and Perceived Stress Among Cardiac Rehabilitation Patients: A Pilot Study. Holist Nurs Pract. 2021;28.
30. Kholibrina CR, Aswandi A. The aromatherapy formulation of essential oils in reducing stress and blood pressure on human. IOP Conf Ser Earth Environ Sci. 2021;914(1).
31. Cuti EC, Kovacevic I, Cuti T, Hospital G. POTENTIAL OF AROMATHERAPY AS A LIFESTYLE MEASURE IN BLOOD PRESSURE REDUCTION: AN ANCIENT PRACTICE INCORPORATED IN MODERN MEDICINE: PILOT PROJECT. J Hypertens. 2021;3:2021.
32. Sadeghi Z, Ghoreishi ZS, Flowers H, Mohammadkhani P, Ashtari F, Noroozi M. Depression, Anxiety, and Stress Relative to Swallowing Impairment in Persons with Multiple Sclerosis. Dysphagia [Internet]. 2021;36(5):902–9. Available from: https://doi.org/10.1007/s00455-020-10207-x
33. Daneshpajooh L, Najafi Ghezeljeh T, Haghani H. Comparison of the effects of inhalation aromatherapy using Damask Rose aroma and the Benson relaxation technique in burn patients: A randomized clinical trial. Burns [Internet]. 2019;45(5):1205–14. Available from: https://doi.org/10.1016/j.burns.2019.03.001
34. Vasu DT, Mohd Nordin NA, Ghazali SE. Effectiveness of autogenic relaxation training in addition to usual physiotherapy on emotional state and functional independence of stroke survivors. Med (United States). 2021;100(33).
Published
2024-04-24
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Cahyati Y, Ipa M, Rosdiana I. The Effectiveness of a Combination of Swallowing Exercises with Benson Relaxation and Aromatherapy on the Swallowing Ability of Stroke Patients. woh [Internet]. 2024Apr.24 [cited 2024Dec.3];7(2):120-3. Available from: https://jurnal.fkmumi.ac.id/index.php/woh/article/view/851
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