성인간호학회지 (Korean Journal of Adult Nursing)

  • 제26권4호
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  • Pages.393-402
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  • 2014
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  • 1225-4886(pISSN)
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  • 2288-338X(eISSN)
한국성인간호학회 (Korean Society of Adult Nursing)
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복지회관 이용 노인의 연하장애 위험성과 연하 관련 삶의 질

The Risk of Dysphagia and Dysphagia-specific Quality of Life among Community Dwelling Older Adults in Senior Center

  • Kim, Min-Su (Seoul National University, Bundang Hospital) ;
  • Park, Yeon-Hwan (College of Nursing.The Research Institute of Nursing Science, Seoul National University)
  • 투고 : 2014.02.25
  • 심사 : 2014.07.06
  • 발행 : 2014.08.31
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초록

Purpose: The aim of this study was to describe the risk of dysphagia among older adults in senior centers and to find the relationships between the risk of dysphagia and dysphagia-specific quality of life. Methods: The participants were 260 community-dwelling older adults, aged 65 years in two senior centers. Data were collected by self-report questionnaires or face to face interviews. The instruments were the modified dysphagia risk assessment scale for elderly and dysphagia-specific quality of life questionnaire. The data were analyzed using t-test, $x^2$-test, logistic regression, and pearson's correlation. Results: 162 older adults (62.3%) were classified as having the risk of dysphagia. Severe dry mouth (OR=15.677, CI=2.986~82.297), neurologic disease (OR=10.125, CI=1.092~93.899), gastritis (OR=5.731, CI=1.482~22.173), denture discomfort (OR=2.969, CI=1.016~8.677), teeth discomfort (OR=2.61, CI=1.311~5.196) were the significant factors predicting the risk of dysphagia. There is a significant correlation between the risk of dysphagia and dysphagia-specific quality of life. Conclusion: Dysphagia could be a major health problem among community dwelling older adults. It can affect the dysphagia-specific quality of life. Older adults having severe dry mouth, neurologic disease, or gastritis should receive dysphagia risk assessment and proper management on a regular basis. An effective nursing intervention needs to be developed for the older adults with risk factors of dysphagia.

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참고문헌

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  1. Socio-demographic factors and diet-related characteristics of community-dwelling elderly individuals with dysphagia risk in South Korea vol.12, pp.5, 2018, https://doi.org/10.4162/nrp.2018.12.5.406
  2. Content Validity of the Swallowing Monitoring and Assessment Protocol for the Elderly vol.23, pp.4, 2018, https://doi.org/10.12963/csd.18544
  3. Prevalence and influencing factors of dysphagia in elderly patients vol.42, pp.4, 2018, https://doi.org/10.21851/obr.42.04.201812.208
  4. 급성 뇌졸중 입원 환자의 연하장애 유병률과 관련요인 vol.5, pp.1, 2014, https://doi.org/10.17703/jcct.2019.5.1.417
  5. Correlation analysis between elderly oral myofunction, oral microorganisms, and cognitive function vol.19, pp.2, 2014, https://doi.org/10.13065/jksdh.20190021
  6. Nutrition Care Management Practices for In-Patients with Dysphagia in Korean Clinical Settings vol.8, pp.4, 2014, https://doi.org/10.7762/cnr.2019.8.4.272
  7. Importance and Performance of Nutrition Management for In-Patients with Dysphagia Perceived by Dietitians at Clinical Settings in Seoul and Gyeonggi Areas vol.29, pp.5, 2014, https://doi.org/10.17495/easdl.2019.10.29.5.421
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  9. The Effects of Orofacial Myofunctional Training on the Changes of Lip and Tongue Strength in Elderly People vol.19, pp.4, 2019, https://doi.org/10.17135/jdhs.2019.19.4.279
  10. 복지관 이용 노인을 위한 연하기능증진 구강간호 프로그램이 우울, 자기효능감, 주관적 구강건강상태 및 연하 관련 삶의 질에 미치는 효과 vol.31, pp.2, 2014, https://doi.org/10.12799/jkachn.2020.31.2.166
  11. Chief Complaints of Swallowing Problems in Korean Community-Dwelling Older Adults vol.26, pp.2, 2021, https://doi.org/10.12963/csd.21825