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Volume 05
Journal of Clinical Nutrition & Dietetics
ISSN: 2472-1921
JOINT EVENT
June 17-18, 2019 London, UK
Nutrition World 2019
Euro Obesity 2019
June 17-18, 2019
&
26
th
World Nutrition Congress
15
th
Euro Obesity and Endocrinology Congress
Knowledge and practice concerning swallowing disorders in hemiplegic patients among nurses of Bobo-
Dioulasso urban primary health care centers in Burkina Faso
Diendéré J
1
, Appolinaire Sawadogo
2
, Athanase Millogo
2
, Alassane Ilboudo
2
, Christian Napon
2
, Méda Nicolas
3
, Jean Kaboré
2
, Ziemlé-Clément Méda
2
,
Jean Testa
3
, Pierre-Marie Preux
4
, Jean-Yves Salle
4
and
Jean-Claude Desport
4
1
Health Sciences Research Institute, Burkina Faso
2
Souro Sanou Hospital, Burkina Faso
3
Centre Muraz, Burkina Faso
4
UMR 1094 Tropical Neuroepidemiology, France
Introduction:
The quality of management of swallowing disorders (SD) from admission onwards influences the
patients' nutritional status and their prognosis. Neurological diseases are the main causes of SD, affecting one in
three patients with hemiplegia (Hp). In Burkina Faso (BF), primary health care center (PHCC) nurses are the first to
manage these patients, but there are no data related to their management of SD. The study aimed to assess knowledge
and practices regarding SD in Hp among PHCC nurses in Bobo–Dioulasso.
Methodology:
This cross-sectional study was performed August 1–September 15 2014. Subjects underwent a
standardized survey to determine their knowledge and practices concerning SD in Hp.
Findings:
Of 125 nurses surveyed (83.3% of the targeted workers), 82.4% had experience of caring for Hp. The role of
the central nervous system in cases of Hp and SD was recognized by 56.8% of nurses; 42.3% knew that SD can cause
aspiration, and 36.0% were aware of rescue techniques to use when aspiration occurs; 39.2% correctly assessed the
impact on nutritional status of SD. Knowledge in this area was better among respondents who recently completed
training school. 65.6% and 1.6% respectively knew about the impact of posture and the texture of food on the ability
to swallow. Among the 103 nurses with experience of treating Hp, 68.0% considered clinical interview the best way
to detect SD, and 30.1% did not give the patient advice in this area. In multivariate analysis, detection of SD was
associated with good knowledge of the value of voice disorders (OR=3.5, 95% CI=1.4-8.1; p=0.005).
Conclusion:
Few nurses had been warned of the connection between Hp and SD, which are classic issues and
potential complications. Practices varied, but most were not in accord with what are recognized as good strategies
for SD screening and management.
jeoffray.diendere@gmail.comJ Clin Nutr Diet 2019, Volume 05