ASSESSING THE SUITABILITY OF TEXTURE-MODIFIED DIETS FOR EACH DYSPHAGIA LEVEL AMONG POST-STROKE INPATIENTS AT HANOI REHABILITATION HOSPITAL IN 2025
Main Article Content
Abstract
Aims: Post-stroke dysphagia (PSD) is a common complication among stroke survivors, affecting 45–65% of patients and contributing to malnutrition and respiratory complications. Proper dietary texture modification is essential for safe swallowing and adequate nutrition. This study aimed to evaluate the appropriateness of dietary texture based on dysphagia severity and for Post-stroke dysphagia patients at Hanoi Rehabilitation Hospital.
Methods: A cross-sectional study was conducted on 40 post-stroke patients with dysphagia and their caregivers from April to June 2025. The Gugging Swallowing Screen (GUSS) was used to classify swallowing function, and the International Dysphagia Diet Standardisation Initiative (IDDSI) framework was applied to assess meal texture.
Results: Half of the meals (50%) were found appropriate for the patients’ dysphagia level.
Conclusions: Dietary texture for PSD patients was only partially appropriate. Educational interventions are needed to improve caregivers’ understanding of safe and nutritious feeding practices for dysphagic stroke patients.
Keywords
Post-stroke dysphagia, nutrition care, IDDSI, rehabilitation
Article Details
References
2. Mayo Clinic. Mayo Clinic Guide to a Healthy Pregnancy, Third Edition - Mayo Clinic Press [Internet]. Mayo Clinic Press. 2025. Available from: https://mcpress.mayoclinic.org/product/mayo-clinic-guide-to-a-healthy-pregnancy-third-edition/
3. Martino R, Foley N, Bhogal S, Diamant N, Speechley M, Teasell R. Dysphagia after stroke: incidence, diagnosis, and pulmonary complications. Stroke. 2005 Dec;36(12):2756-63. doi: 10.1161/01.STR.0000190056.76543.eb.
4. Wang YJ, Zhao XQ, Wang SS, Ji RJ, Wang CX. Chinese consensus on standardized nutrition management in patients with stroke. Chin J Stroke. 2020;15:681–9.
5. Zhang YS, Li LH, Zhang TT, Gu CM. New progress in research on enteral nutrition management in stroke patients abroad. Chin J Prac Nurs. 2020;36:557–61.
6. Nguyễn Thùy Linh, Trần Phương Thảo, Bùi Thu Hiền, Phạm Thị Tuyết Chinh. Ứng dụng chất lỏng có độ nhớt tiêu chuẩn trên bệnh nhân đột quỵ não khó nuốt. Tạp chí Dinh dưỡng và Thực phẩm. 25/9/2018; 14(5):23-8.
7. ESPEN. (2017). ESPEN guideline on hospital nutrition. European Society for Clinical Nutrition and Metabolism.
8. Mai Thành Nghiêm, Nguyễn Trung Kiên, Ông Văn Mỹ. Nghiên cứu tình hình rối loạn nuốt ở bệnh nhân đột quỵ não cấp tại Bệnh viện Đa khoa Trung ương Cần Thơ năm 2021 - 2022. Tạp chí Y học Việt Nam. 26/8/2022; 517(2):73-6. doi: 10.51298/vmj.v517i2.3234.
9. Crary MA, Carnaby GD, Sia I, Khanna A, & Waters MF. Spontaneous swallowing frequency has potential to identify dysphagia in acute stroke. 2013 Dec;44(12):3452-7. doi: 10.1161/STROKEAHA.113.003048.
10. Finestone HM, & Greene-Finestone LS. Rehabilitation medicine: 2. Diagnosis of dysphagia and its nutritional management for stroke patients. CMAJ. 2003 Nov 11;169(10), 1041-1044.
11. Nguyễn Thế Vinh, Trần Phương Nga, Nguyễn Công Thành, Nguyễn Mạnh, Tuyên, Nguyễn Thị Hồng Thắm, Trần Thị Thanh Vân. Nghiên cứu mối liên quan giữa tình trạng dinh dưỡng với một số đặc điểm lâm sàng, cận lâm sàng ở bệnh đột quỵ não cấp có rối loạn nuốt. Tạp chí Y Dược Lâm sàng 108. 17:112-18. Doi: 10.52389/ydls.v17iDB.1434.
12. Kakehi S, Isono E, Wakabayashi H, Shioya M, Ninomiya J, Aoyama Y & Suzuki B. Sarcopenic dysphagia and simplified rehabilitation nutrition care process: an update. Ann Rehabil Med. 2023 Oct;47(5):337-347. doi: 10.5535/arm.23101.
13. Smithard DG, Smeeton NC, Wolfe CD. Long-term outcome after stroke: does dysphagia matter?. Age Ageing. 2007 Jan;36(1):90-4. doi: 10.1093/ageing/afl149.