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Prevalence and influencing factors of dysphagia in elderly patients

  • Son, Hyo-Jin (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Park, Yu-Mi (Department of Prosthodontics, Chosun University Dental Hospital) ;
  • Yim, Sun-Young (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Heo, Yu-Ri (Department of Prosthodontics, School of Dentistry, Chosun University) ;
  • Son, Mee-Kyoung (Department of Prosthodontics, School of Dentistry, Chosun University)
  • 투고 : 2018.10.30
  • 심사 : 2018.11.07
  • 발행 : 2018.12.31

초록

The purpose of this study was to identify the risk of dysphagia among patients that visited prosthodontics department, and evaluate the difference in risks arising from oral conditions and disease in order to preliminarily intervene the various influencing factors of dysphagia. A questionnaire was given to patients that were aged 65 years or older who visited the prosthodontics department between September to December 2017. The data was collected and analyzed using the t-test, $x^2-test$ and logistic regression analysis. The mean age of the patients was 75 years. Out of 300 patients, 206 patients (68.7%) had a risk of dysphagia. There were statistically significant differences between the -non-risk and risk groups, which included the number of natural teeth, total number of teeth including prosthesis, denture use, denture discomfort, number of tooth brushing, oral dryness, digestive system diseases, and musculoskeletal diseases. Among these, oral dryness was a risk factor while the total number of teeth, including natural teeth and prostheses, served as a protective factor. More than half of the elderly patients were at risk of dysphagia. Oral dryness is influenced by many factors and it should continuously be managed. Patients should fully recover their masticatory function by preserving the remaining teeth and compensating for the missing teeth. A dental practitioner should be fully aware of the risk of dysphagia in elderly patients and be able to intervene and offer proper patient health care in advance through treatment guidelines and education.

키워드

과제정보

연구 과제 주관 기관 : College of Dentistry, Chosun University

참고문헌

  1. Kim MS, Park YH. The risk of dysphagia and dysphagiaspecific quality of life among community dwelling older adults in senior center. Korean J Adult Nurs 2014;26:393-402. doi: 10.7475/kjan.2014.26.4.393.
  2. Hyun HK. Dental management of the patient difficulty in swallowing. J Korean Dent Asooc 2015;53:789-794.
  3. Park MS, Ryu SA. Degree of dry mouth and factors influencing oral health-related quality of life for communitydwelling elders. J Korean Acad Nurs 2010;40:747-755. doi: 10.4040/jkan.2010.40.5.747.
  4. Son MK, Ko SM, Kwak JM, Park II, So JS, Lee SK, Lee JN. Visiting the Japanese dysphasia rehabilitation treatment, and research and development of the nursing home dentists' dysplasia treatment model. Seoul: Health Policy Institute; 2017 May. Report No.: Research Report 17-04.
  5. Whang SA. Prevalence and influencing factors of dysphagia risk in the community-dwelling elderly. J Korea Gerontol Soc 2014;34:37-48.
  6. Fukada J, Kamakura Y, Manzai T, Kitaike T. Development of dysphagia risk screening system for elderly persons. Jpn J Dysphagia Rehabil 2006;10:31-42.
  7. Yun OJ, Lee YH. The effect of singing intervention for women elderly with dysphagia risk. Korean J Adult Nurs 2012;24:380-389. https://doi.org/10.7475/kjan.2012.24.4.380
  8. Daniels SK, Ballo LA, Mahoney MC, Foundas AL. Clinical predictors of dysphagia and aspiration risk: outcome measures in acute stroke patients. Arch Phys Med Rehabil 2000;81:1030-1033. doi: 10.1053/apmr.2000.6301.
  9. Whang SA. Dysphagia risks, activities of daily living, and depression among community dwelling elders [Thesis]. Seoul: Ewha Womans University, 2010.
  10. Okamoto N, Tomioka K, Saeki K, Iwamoto J, Morikawa M, Harano A, Kurumatani N. Relationship between swallowing problems and tooth loss in community-dwelling independent elderly adults: the Fujiwara-kyo study. J Am Geriatr Soc 2012;60:849-853. doi: 10.1111/j.1532-5415.2012.03935.x.
  11. Easterling CS, Robbins E. Dementia and dysphagia. Geriatr Nurs 2008;29:275-285. doi: 10.1016/j.gerinurse.2007.10.015.
  12. Eggenberger SK, Nelms TP. Artificial hydration and nutrition in advanced Alzheimer's disease: facilitating family decision-making. J Clin Nurs 2004;13:661-667. doi: 10.1111/j.1365-2702.2004.00967.x.
  13. Ney DM, Weiss JM, Kind AJ, Robbins J. Senescent swallowing: impact, strategies, and interventions. Nutr Clin Pract 2009;24:395-413. doi: 10.1177/0884533609332005.
  14. Kim H. Age- and gender-related differences of muscle mass in Korean. Korean J Obes 2012;21:220-227. https://doi.org/10.7570/kjo.2012.21.4.220
  15. Cabre M, Serra-Prat M, Palomera E, Almirall J, Pallares R, Clave P. Prevalence and prognostic implications of dysphagia in elderly patients with pneumonia. Age Ageing 2010;39:39-45. doi: 10.1093/ageing/afp100.
  16. Lim HJ, Lee EK. Factors influencing the number of remaining natural teeth in elderly people visiting dental care services. J Korean Soc Dent Hyg 2013;13:693-700. doi: 10.13065/iksdh.2013.13.4.693.
  17. Jang JH, Baik SH, Kim AJ, Jung SH, Kim OS, Kim SH. The effect of xerostomia on perceived oral health among elderly people wearing dentures. J Korean Acad Oral Health 2016;47:23-35.
  18. Cassolato SF, Turnbull RS. Xerostomia: clinical aspects and treatment. Gerodontology 2003;20:64-77. doi: 10.1111/j.1741-2358.2003.00064.x.
  19. Turner MD, Ship JA. Dry mouth and its effects on the oral health of elderly people. J Am Dent Assoc 2007;138 Suppl:15S-20S. doi: 10.14219/jada.archive.2007.0358.
  20. Kendall KA, Leonard RJ, McKenzie S. Common medical conditions in the elderly: impact on pharyngeal bolus transit. Dysphagia 2004;19:71-77. doi: 10.1007/s00455-003-0502-z.
  21. Roy N, Stemple J, Merrill RM, Thomas L. Dysphagia in the elderly: preliminary evidence of prevalence, risk factors, and socioemotional effects. Ann Otol Rhinol Laryngol 2007;116:858-865. doi: 10.1177/000348940711601112.
  22. Yokoi T, Kato M, Hayashi M, Nagai M, Mizuike C, Nakagoshi R. Relationship between basic activities and dysphagia in frail elderly persons. Rigakuryoho Kagaku 2005;20:165-170. doi: 10.1589/rika.20.165.
  23. Cheon HW, Yu MS, Choi MH. The association of oral diseases and chronic diseases in Korean adult population. J Korean Soc Dent Hyg 2012;12:235-249. https://doi.org/10.13065/jksdh.2012.12.2.235
  24. Yim SW, Kim YH, Son HM. Risk for dysphagia and nutritional status in community-dwelling elders. J Korean Gerontol Nurs 2014;16:288-298. doi: 10.17079/jkgn.2014.16.3.288.
  25. Ohara Y, Hirano H, Watanabe Y, Edahiro A, Sato E, Shinkai S, Yoshida H, Mataki S. Masseter muscle tension and chewing ability in older persons. Geriatr Gerontol Int 2013;13:372-377. doi: 10.1111/j.1447-0594.2012.00909.x.
  26. Kwag JM, Park II, Son MK. Suggestion for understanding and activation of the nursing home dentist system. Oral Biol Res 2017;41:127-133. doi: 10.21851/obr.41.03.201709.127.