The Relationship between Nasogastric Tube Feeding and Hemineglect in Patients after Right Hemisphere Stroke

Authors

Kwo-Shieng Tuo
Shu-Fen Sun
Ken-Hao Hsu
Jue-Long Wang

Translated Title

右腦中風半側忽略和吞嚥功能的關聯性

Abstract

The purpose of this study was to evaluate impairment of swallowing, nasogastric tube feeding, feeding function, and complications of pneumonia in 42 patients hospitalized following a right hemispheic stroke with or without hemineglect. Twenty-three patients with diagnoses of right hemispheric stroke and left hemineglect, as demonstrated by computed tomographic scan or magnetic resonance imaging, comprised the experimental group. The diagnosis of hemineglect is based on the Schenkenberg test (i.e., line bisection test) of greater than 10% right deviation. Nineteen age-, lesion-, and Brunnstrom stage-matched right hemispheic stroke patients without hemineglect were designated as the control group. The 23 patients with neglect were then divided into two groups, 15 with severe neglect and 8 with mild neglect, corresponding to more than 50% right deviation or 10-50% right deviation, respectively.The results of this study revealed that more than one-half of patients status post a right hemispheric stroke with severe hemineglect require nasogastric tube feeding. Most of the patients with severe hemineglect who didn't require nasogastric tube feeding, however, could not feed themselves independently. Therefore, we should pay more attention to these patients regarding their thorough evaluation, treatment, and prevention of complications. No significant differences were noted between the patients with mild hemineglect and the patients without hemineglect. Indeed, most such patients could feed themselves independently. No cases of pneumonia were noted in these patients during hospitalization. The results of this study have demonstrated that nasogastric tube feeding rates did not increase inpatients after a right hemispheric stroke without severe hemineglect (i.e., line bisection test deviation ≤ 50%) as compared with patients in which there was no hemineglect.

Language

Traditional Chinese

DOI Link

https://doi.org/10.6315/2006.34(1)08

First Page

55

Last Page

59

Recommended Citation

Tuo, Kwo-Shieng; Sun, Shu-Fen; Hsu, Ken-Hao; and Wang, Jue-Long (2006) "The Relationship between Nasogastric Tube Feeding and Hemineglect in Patients after Right Hemisphere Stroke," Rehabilitation Practice and Science: Vol. 34: Iss. 1, Article 8.
DOI: https://doi.org/10.6315/2006.34(1)08
Available at: https://rps.researchcommons.org/journal/vol34/iss1/8