Clinical Indicators of Impaired Swallowing in Children with Neurological Disorders

Int J Nurs Knowl. 2020 Jul;31(3):194-204. doi: 10.1111/2047-3095.12271. Epub 2019 Dec 31.

Abstract

Objective: To investigate the clinical indicators of the nursing diagnosis impaired swallowing in children with neurological disorders.

Methods: An integrative review was performed on the Scopus, Web of Science, PubMed, Lilacs and Cinahl databases; by crossing the terms impaired degluition, dyphagia, deglutition disorders, cerebral palsy, microcephaly, which resulted in 45 articles.

Results: Eighteen indicators were identified in the oral phase, ten in the pharyngeal phase, and nine in the esophageal phase. There was a percentage of 80.4% of the indicators cited in NANDA-International, especially those referring to the oral phase.

Conclusions: There are clinical indicators in both phases of impaired swallowing in children with neurological dysfunctions presenting heterogeneous distribution.

OBJETIVO: investigar os indicadores clínicos do diagnóstico de enfermagem Deglutição prejudicada em crianças com disfunções neurológicas. MÉTODO: Realizou-se uma revisão integrativa nas bases de dados Scopus, Web of Science, PubMed, Lilacs e Cinahl; por meio do cruzamento dos termos Impaired Degluition, Dyphagia, Deglutition Disorders, Cerebral Palsy, Microcephaly, que resultou em 45 artigos. RESULTADOS: Foram identificados dezoito indicadores na fase oral, dez na fase faríngea e nove na fase esofágica. Observou-se um percentual de 80.4% dos indicadores citados na NANDA-Internacional destacando-se os referentes a fase oral. CONCLUSÕES: existem indicadores clínicos em ambas as fases da deglutição prejudicada em crianças com disfunções neurológicas apresentando distribuição de forma heterogênea. DESCRITORES: Deglutição; Paralisia Cerebral; Microcefalia; Criança; Diagnóstico de Enfermagem.

Keywords: Cerebral palsy; child; deglutition; microcephaly; nursing diagnosis.

Publication types

  • Review

MeSH terms

  • Child
  • Deglutition Disorders / complications
  • Deglutition Disorders / pathology*
  • Female
  • Humans
  • Male
  • Nervous System Diseases / complications
  • Nervous System Diseases / pathology*