대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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수정된 연하곤란사정도구와 비디오 연하영상 조영술의 흡인 위험 예측비교

Comparison for Risk Estimate of Aspiration between the Revised Dysphagia Assessment Tool and Videofluoroscopy in Post-Stroke Patients

  • 문경희 (연세대학교 신촌세브란스병원 재활병원 간호팀) ;
  • 손현숙 (연세대학교 신촌세브란스병원 재활병원) ;
  • 이은석 (연세대학교 신촌세브란스병원 재활병원) ;
  • 백은경 (연세대학교 신촌세브란스병원 재활병원) ;
  • 강은주 (연세대학교 신촌세브란스병원 재활병원) ;
  • 이승희 (연세대학교 신촌세브란스병원 재활병원) ;
  • 한나리 (연세대학교 신촌세브란스병원 재활병원) ;
  • 이민혜 (연세대학교 신촌세브란스병원 재활병원) ;
  • 김덕용 (연세대학교 의과대학 재활의학교실 및 재활의학연구소) ;
  • 박창기 ;
  • 유지수 (연세대학교 간호대학.간호정책연구소)
  • 투고 : 2009.12.21
  • 심사 : 2010.05.25
  • 발행 : 2010.06.30
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초록

Purpose: The purpose of this study was to determine the significant factors for risk estimate of aspiration and to evaluate the efficiency of the dysphagia assessment tool. Methods: A consecutive series of 210 stroke patients with aspiration symptoms such as cough and dysphagia who had soft or regular diet without tube feeding were examined. The dysphagia assessment tool for aspiration was compared with videofluoroscopy using Classification and Regression Tree (CART) analysis. Results: In CART analysis, of 34 factors, the significant factors for estimating risk of aspiration were cough during swallowing, oral stasis, facial symmetry, salivary drooling, and cough after swallowing. The risk estimate error of the revised dysphagia assessment tool was 25.2%, equal to that of videofluoroscopy. Conclusion: The results indicate that the dysphagia assessment tool developed and examined in this study was potentially useful in the clinical field and the primary risk estimating factor was cough during swallowing. Oral stasis, facial symmetry, salivary drooling, cough after swallowing were other significant factors, and based on these results, the dysphagia assessment tool for aspiration was revised and complemented.

키워드

참고문헌

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피인용 문헌

  1. 뇌졸중 후 연하곤란 사정과 중재 체크리스트 개발 및 활용정도 vol.25, pp.2, 2013, https://doi.org/10.7475/kjan.2013.25.2.113