ArticleJournal of Korean gerontological nursing2026
Effectiveness of a swallowing rehabilitation program for elderly lung cancer patients after lobectomy: A quasi-experimental study using a non-equivalent control group pretest-posttest design.
Article in Journal of Korean gerontological nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study aimed to determine the effect of a swallowing rehabilitation program on the incidence of dysphagia, aspiration pneumonia, nutritional status, and swallowing-related quality of life in elderly lung cancer patients after lobectomy.
methodsA quasi-experimental study using a non-equivalent control group pretest-posttest design was conducted from June to October 2024. The participants were 63 lung cancer patients aged 65 years or older scheduled for lobectomy. The experimental group (n=30) received a swallowing rehabilitation program in addition to conventional respiratory rehabilitation, while the control group (n=33) received only conventional respiratory rehabilitation. The program was implemented eight times over 4 days after surgery. Dysphagia was assessed daily for 4 days postoperatively, aspiration pneumonia was assessed on the fourth postoperative day, nutritional status was assessed daily, and swallowing-related quality of life was evaluated preoperatively and on the fourth postoperative day.
resultsThe incidence of dysphagia was lower in the experimental group that received the swallowing rehabilitation program, with four cases reported, compared with 13 cases in the control group (χ2=5.42, p=.025). There were no significant differences between groups in the incidence of aspiration pneumonia, nutritional status, or swallowing-related quality of life.
conclusionThe swallowing rehabilitation program was effective in reducing the incidence of dysphagia in elderly lung cancer patients after lobectomy. It may serve as a practical nursing intervention to promote recovery and swallowing function in this patient population.
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