문화기술의 융합 (The Journal of the Convergence on Culture Technology)

  • 제5권1호
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  • Pages.417-428
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  • 2019
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  • 2384-0358(pISSN)
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  • 2384-0366(eISSN)
국제문화기술진흥원 (The International Promotion Agency of Culture Technology)
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급성 뇌졸중 입원 환자의 연하장애 유병률과 관련요인

Prevalence and associated factors of dysphagia in patients hospitalized with acute stroke

  • 장희경 (경상대학교 간호대학) ;
  • 윤숙경 (경상대학교병원 간호부) ;
  • 길초롱 (경상대학교 건강과학연구원)
  • 투고 : 2019.01.31
  • 심사 : 2019.02.11
  • 발행 : 2019.02.28
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초록

본 연구는 급성 뇌졸중 입원 환자의 연하장애 유병률과 그 관련요인을 탐색하기 위한 서술적 조사연구로, 일상급종합병원에 급성 뇌졸중으로 진단받은 입원 환자 131명(연령 범위 34-92세, 58.0% 남성)을 대상으로 수행되었다. 본 연구의 결과 급성 뇌졸중 입원 환자의 유병률은 24.4%였으며, 대상자의 나이, 뇌졸중 중증도, 구강상태, 일상활동 의존도가 연하장애에 영향을 미치는 것으로 나타났다. 이러한 결과를 기반으로 뇌졸중 발병 직후부터 연하장애 조기 발견을 위한 적극적인 간호사정과 예방적 중재 프로그램 개발과 적용이 필요하다.

The aims of this study were to evaluate the prevalence of dysphagia in patients hospitalized with acute stroke and to identify factors associated with dysphagia. The study was conducted in a tertiary hospital and a total of 131 patients hospitalized with acute stroke (aged 34-92 years old, 58.0% male) were enrolled. The prevalence of dysphagia was 24.4% out of 131 participants and risk factors associated with dysphagia were age, neurological severity, oral health status, and dependence in activity of daily living of participants. Considering the long-term rehabilitation trajectory, it is necessary to apply the early screening and preventive nursing intervention for dysphagia during acute stage of stroke patient.

키워드

표 5. 급성 뇌졸중 환자의 흡인 위험도 영향요인 Table 5. Multiple logistic regression to explain the dysphagia in stroke patients (N=131)

GJMGCK_2019_v5n1_417_t0005.png 이미지

표 1. 대상자의 인구사회학적 및 건강관련 특성 Table 1. General and Health-related Characteristics of the Participants (N=131)

GJMGCK_2019_v5n1_417_t0006.png 이미지

표 2. 연하장애 유무에 따른 대상자 특성의 차이 Table 2. Socio-demographic and health-related characteristics of the participants (N=131)

GJMGCK_2019_v5n1_417_t0007.png 이미지

표 3. 흡인위험과 뇌졸중 중증도에 따른 연하장애 유병률 Table 3. Prevalence of dysphagia according to risk of aspiration and Stroke severity (N=131)

GJMGCK_2019_v5n1_417_t0008.png 이미지

표 4. 측정변수들 간의 상관관계 Table 4. Correlation among variables (N=131)

GJMGCK_2019_v5n1_417_t0009.png 이미지

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