Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지
DOI QR코드

DOI QR Code

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

복지회관 이용 노인의 연하장애 위험성과 연하 관련 삶의 질

  • Kim, Min-Su (Seoul National University, Bundang Hospital) ;
  • Park, Yeon-Hwan (College of Nursing.The Research Institute of Nursing Science, Seoul National University)
  • Received : 2014.02.25
  • Accepted : 2014.07.06
  • Published : 2014.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

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.

Keywords

References

  1. Cabre, M., Serra-Prat, M., Palomera, E., Almirall, J., Pallares, R., & Calve, P. (2010).Prevalence and prognostic implications of dysphagia in elderly patients with pneumonia. Age and Ageing, 39(1), 39-45. http://dx.doi.org/10.1093/ageing/afp100
  2. Chen, A. Y., Frankowski, R., Bishop-Leone, J., Hebert, T., Leyk, S., Lewin, J., et al. (2001). The development and validation of a dysphagia-specific quality of life questionnaire for patients with head and neck cancer. Archives of Otolaryngology Head & Neck Surgery, 127(7), 870-876.
  3. Chen, P. H., Golub, J. S., Hapner, E. R., & Johns III, M. M. (2009). Prevalence of perceived dysphagia and quality-of-life impairment in a geriatric population. Dysphagia, 24(1), 1-6. http://dx.doi.org/10.1007/s00455-008-9156-1
  4. Easterling, C., & Robbins, E. (2008). Dementia and dysphagia. Geriatric Nursing, 29(4), 275-285. http://dx.doi.org/10.1016/j.gerinurse.2007.10.015
  5. Eggenberger, S. K., & Nelms, T. P. (2004). Artificial hydration and nutrition in advanced alzheimner's disease: Facilitating family decision-making. Journal of Clinical Nursing, 13(6), 661-667. http://dx.doi.org/10.1111/j.1365-2702.2004.00967.x
  6. Ekberg, O., Hamdy, S., Woisard, V., Wuttge-Hanning, A., & Ortega, P. (2002). Social and psychological burden of dysphagia: Its impact on diagnosis and treatment. Dysphagia, 17(2), 139-146. http://dx.doi.org/10.1007/s00455-001-0113-5
  7. Engelen, L., Fontifn-Tekamp, A., & Bilt, A. (2005). The influence of product and oral characteristics on swallowing. Archives of Oral Biology, 50(8),739-746. http://dx.doi.org/10.1016/j.archoralbio.2005.01.004
  8. Fukada, J., Kamakura, Y., Manzai, T., & Kitaike, T. (2006). Development of dysphagia risk screening system for elderly persons. Japanese Society of Dysphagia Rehabilitation, 10(1), 31-42.
  9. Ginocchio, D., Borghi, E., & Schindler, A. (2009). Dysphagia assessment in the elderly, Dysphagia, 27(1), 9-15.
  10. Holland, G., Jayasekeran, N., Pendleton, M., Horan, M., Jonens, M., & Hamdy, S. (2011). Prevalence and symptom profiling of oropharyngeal dysphagia in a community dwelling of an elderly population: A self-reporting questionnaire survey. Disease of the Esophagus, 24(7), 476-480. http://dx.doi.org/10.1111/j.1442-2050.2011.01182.x
  11. Kawashima, K., Motohashi, Y., & Fujishima, I. (2004). Prevalence of dysphagia among community-dwelling elderly individuals as estimated using a questionnaire for dysphagia screening. Dysphagia, 19(4), 266-271. http://dx.doi.org/10.1007/s00455-004-0013-6
  12. Lin, L. C., Wu, S. C., Chen, H. S., Wang, T. G., & Chen, M. Y. (2002). Prevalence of impaired swallowing in institutionalized older people in Taiwan. Journal of the American Geriatrics Society, 50(6), 1118-1123. http://dx.doi.org/10.1046/j.1532-5415.2002.50270.x
  13. Ministry of Health and Welfare, Seoul, Industry-Academic Cooperation Foundation of Kemyung University. (2009, February). Senior Survey 2008. Retrieved August 1, 2013, from the Ministry of Health and Welfare Web site: http://www.mw.go.kr/front_new/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=031604&CONT_SEQ=264469&page=1
  14. Ministry of Health and Welfare, Seoul, Institute for Health and Social Affairs. (2012, July). Senior Survey 2011. Retrieved August 1, 2013, from the Ministry of Health and Welfare Web site: http://www.mw.go.kr/front_new/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=030502&CONT_SEQ=274151&page=1
  15. Miura, H., Kariyasu, M., Yamasaki, K., & Arai, Y. (2007). Evaluation of chewing and swallowing disorders among frail community-dwelling elderly individuals. Journal of Oral Rehabilitation, 34(6), 422-427. http://dx.doi.org/10.1111/j.1365-2842.2007.01741.x
  16. Morris, H. (2006). Dysphagia in elderly: A management challenge for nurse. British Journal of Nursing, 15(10), 558-562. https://doi.org/10.12968/bjon.2006.15.10.21132
  17. Ney, D., Weiss, J., Kind, A., & Robbins, J. (2009). Senescent swallowing: Impact, strategies and interventions. Nutritional Clinical Practice, 24(3), 395-413. http://dx.doi.org/10.1177/0884533609332005
  18. Plowman-Prine, E. K., Sapienza, C. M., Okun, M. S., Pollock, S. L., Jacobson, C., Wu, S. S., et al. (2009). The relationship between quality of life and swallowing in Parkinson's disease. Movement Disorders, 24(9), 1352-1358. http://dx.doi.org/10.1002/mds.22617
  19. Rofes, L., Arreola, V., Almirall, J., Cabre, M., Campins, L., Carcia- Peris, P., et al. (2011). Diagnosis and management of oropharyngeal dysphagia and its nutritional and respiratory complications in the elderly. Gastroenterology Research & Practice, 2011, 1-13. http://dx.doi.org/10.1155/2011/818979
  20. Roy, N., Stemple, J., Merrill, R., & Thomas, L. (2007). Dysphagia in the elderly: Preliminary evidence of prevalence, risk factors, and socioemotional effects. Annals of Otology, Rhinology & Laryngology, 116(11), 858-865.
  21. Sharp, H. M. (2006). Ethical issues in the management of dysphagia after stroke. Topics in Stroke Rehabilitation, 13(4), 18-25. http://dx.doi.org/10.1310/tsr1304-18
  22. Sharp, H. M., & Bryant, K. N. (2003). Ethical issue in dysphagia: When patients refuse assessment or treatment. Seminars in Speech and Language, 24(4), 285-299. http://dx.doi.org/10.1055/s-2004-815578
  23. Shepherd, A. (2010). Recognizing and treating dysphagia can help residents maintain their dignity. Nursing & Residential Care, 12(10), 491-494. http://dx.doi.org/10.12968/nrec.2010.12.10.78406
  24. Whang, S. A. (2010). Dysphagia risks, activities of daily living, and depression among community dwelling elders. Unpublished master's thesis, Ewha Womans University, Seoul.
  25. Yun, O. J., & Lee, Y. H. (2012). The effect of singing intervention for women elderly with dysphagia risk. Journal of Korean Academy of Nursing, 24(4), 380-389. http://dx.doi.org/10.7475/kjan.2012.24.4.380

Cited by

  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
  8. Comparative Analysis of Cognitive and Physical Function according to Dysphagia of Aged Patients in Geriatric Hospitals vol.21, pp.3, 2014, https://doi.org/10.17079/jkgn.2019.21.3.190
  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