• Journal of Korea Entertainment Industry Association
• /
• v.13 no.4
• /
• pp.377-384
• /
• 2019

This study was intended to understand the status of dysphagia related knowledge, attitude and nursing performance of nursing staff's in geriatric hospitals, to confirm the correlation among these, and to provide basic resources for dysphagia nursing intervention programs. The 220 subjects were nursing staff's who worked in geriatric hospitals located in G city and N city. For data analysis, The descriptive statistic was used to analyze the subjects' general characteristics, and dysphagia related characteristics, knowledge, attitude and nursing performance degree. For the differences of dysphagia related knowledge, attitude and nursing performance according to the subjects' general characteristics, t-test and ANOVA were used. The correlation of the subjects' knowledge, attitude and nursing performance degree was analyzed with Pearson's correlation coefficient. The score of the subjects' dysphagia related knowledge was average 14.07±2.94, the subjects' dysphagia related attitude was average 3.59±0.39, the subjects' dysphagia nursing performance was 3.10±0.43. dysphagia nursing performance had a significantly positive correlation with dysphagia related knowledge(r=0.295, p=.000) and dysphagia related attitude(r=0.392, p=.000). The above result of the study indicated positive attitude based on accurate knowledge is needed for nursing staff's in geriatric hospitals to improve nursing performance for dysphagia. When education programs for dysphagia are planned in geriatric hospitals, it is necessary to consider knowledge level and attitude simultaneously.

• The Korean Journal of Nuclear Medicine
• /
• v.32 no.3
• /
• pp.276-289
• /
• 1998

Purpose: To evaluate dysphagia objectively and quantitatively, and to clarify the effect of neck position and viscosity changes in patients with aspiration and laryngeal penetration. Materials and Methods: We studied 35 patients with dysphagia and 21 normal controls using videofluoroscopy and scintigraphy. Videofluoroscopy was performed with barium with three different viscosity, and scintigraphy was done with water, yogurt, and steamed egg mixed with Tc-99m tin colloid. If aspiration was found during videofluoroscopic examination, patient's neck position was changed and study repeated. Videofluoroscopy was analyzed qualitatively. We calculated 7 quantitative parameters from scintigraphy. According to the videofluoroscopic findings, we divided patients into 3 subgroups; aspiration, laryngeal penetration, and no-aspiration group. Results: The result of videofluoroscopy revealed that the most common finding was the delay in triggering pharyngeal swallow. Pharyngeal transit time (PTT) and pharyngeal swallowing efficiency(PSE) in patients with aspiration were signifi-cantly different from other groups. After neck position change, aspiration could be reduced in all of 7 patients, and laryngeal penetration reduced by about 82%. PTT and PSE were also improved after position change. Aspiration and laryngeal penetration occurred more frequently in thin liquid swallowing than in thick liquid and solid swallowing. Conclusion: PTT and PSE were useful for the evaluation of dysphagia. Aspiration and laryngeal penetration could be reduced when appropriate position assumed. We could decrease the chance of aspiration by changing the patient diet consistency. Scintigraphy might be useful tool to quantitate and follow up these changes.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
• /
• 2019.05a
• /
• pp.104-107
• /
• 2019

Modern people have abundant food and various forms of life compared to the past, but they have come to form an unhealthy diet, such as skipping breakfast and not eating in time in a busy life. When these eating habits are maintained for a long time, it leads to digestive trouble. The most easily occurring symptoms are called reflux esophagitis and dysphagia. Among them, dysphagia requires quick and accurate diagnosis as they develop into various forms of complications or are also identified as presymptoms of gastric and laryngeal cancers. The result of the diagnosis is still passively judged by the doctor and each of results are different depending on the doctor. The result of the diagnosis here means the severity. When they identify treatment or complications following the results of the diagnosis, the wrong diagnosis may lead to excessive or insufficient treatment. In this paper, to figure out the severity of dysphagia in the diagnosis of dysphagia, we studied the development of a program using the K-means algorithm in the processing of X-ray images for identifying residual food in epiglottic vallecula and pyriform sinus in the section leading to esophagus.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.13 no.2
• /
• pp.685-693
• /
• 2012

The purpose of this study was to develop a dysphagia assessment tool and a intervention program for elderly in the long-term care facilities and to evaluate its effect. The dysphagia assessment tool consists of 20 items was developed through literature review, previous studies and discussion with nursing/medical members. The intervention program consisted of 72 items and participants for evaluation were 50 elders who were registered at long-term care facilities in 4 regions of Seoul. Collected data were analyzed using SPSS Statistics 18.0 and Spearman's Correlation, t-test, and $x^2$-test. After the application of the dysphagia assessment tool and intervention program, the weight in experimental group was increased (t=4.913, p=.000) and the total time of swallowing was reduced (t=-4.557, p=.000) than control group. These findings were statistically significant. Considering these results, by applying the dysphagia assessment tool and the intervention program, the lives of the elderly in long-term care facilities are expected to be improved and emergency situations such as aspiration pneumonia and asphyxia will be decreased.

• The Journal of the Korean bone and joint tumor society
• /
• v.18 no.1
• /
• pp.32-36
• /
• 2012

A 56 year-old female presented with dysphagia 8 weeks ago and newly developed dysphonia 2 weeks ago. The radiology study and swallowing difficulty evaluation study revealed the esophagus and the posterior wall of the laryngopharynx to be severely compressed by the mass of the anterior $4^{th}$ and $5^{th}$ vertebral body of cervical spine. En bloc excisional biopsy of the bony mass was performed, which completely resolved the clinical symptoms. We report a rare case of osteochondroma occurring at the anterior portion of cervical spine leading to dysphasia and dysphonia with a review of relevant literature.

• Journal of Chest Surgery
• /
• v.37 no.3
• /
• pp.282-285
• /
• 2004

Aberrant right subclavian artery (ARSA) is an anomaly with a reported incidence of 0.5% to 2%. Most patients with an ARSA remain asymptomatic; however about to% of adult patients have compressive symptoms. A case is reported of a 64-year old female patient who had a few years of history of dysphagia and recurrent pneumonia. Angiography was performed, which demonstrated an ARSA with common origin of the right and left carotid arteries. Surgical correction was performed via right thoracotomy. The proximal aberrant artery was mobilized behind the esophagus. The distal, right subclavian artery was exposed, transected, and transposed with reimplantation into the aortic root by graft bypass.

• Journal of Korean Academy of Nursing
• /
• v.44 no.3
• /
• pp.280-293
• /
• 2014

Purpose: The study was done to develop an evidence-based enteral nutrition (EN) protocol for effective nutritional support for dysphagia in patients with acute stroke, and to evaluate effects of this protocol on clinical outcomes. Methods: A methodological study was used to develop the EN protocol and a quasi-experimental study to verify the effectiveness of the protocol. The preliminary EN protocol was drawn by selecting recommendations from previous well-designed EN guidelines, and then developing additional recommendations based on high-quality evidence. Content validation was assessed by an expert group, and clinical applicability by care providers and patients. The scale-level content validity index of the final EN protocol was 0.99. Assessment was done of differences in percentage of caloric goals achieved and presence of undernutrition, aspiration pneumonia, and gastrointestinal (GI) complications after application of the EN protocol. Results: In the EN protocol group, the percentage of caloric goals achieved ($R^2=.24$, p=.001) and the reduction of GI complications (p=.045) were significantly improved, but the presence of undernutrition (p=.296) and aspiration pneumonia (p=.601) did not differ from the usual care group. Conclusion: Results indicate that the new EN protocol for dysphagia in patients with acute stroke significantly increased their nutritional intake and reduced GI complications.

• Journal of Chest Surgery
• /
• v.32 no.9
• /
• pp.851-854
• /
• 1999

Hemangioma in the esophagus is an uncommon tumor. There have only been about 30 cases reported in the world literatures. It occurs predominantly in men and although majority are asymptomatic, may cause bleeding and dysphagia. Hemangioma in the esophagus was diagnosed with a barium swallowed esophagography and endoscopy. The main treatment modes recommended are surgery and endoscopic resection. We experienced one case of cav ernous hemangioma occurring at the distal esophagus. The patient was a forty-six year old male with dysphagia and indigestion. Barium esophagogram showed a filling defect at the distal portion. Esophagoscopy showed a bluish polypoid mass. Surgical resection was per formed and the pathologic diagnosis was confirmed as cavernous hemangioma. Postoperative course was uneventful and the patient had been followed up without any problems.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.13 no.10
• /
• pp.4582-4587
• /
• 2012

The purpose of this study was to identify an effects of Proprioceptive Neuromuscular Facilitation(PNF) on swallowing function of the stroke patients. For this purpose, subjects were 9 experimental group and 9 control group of the stoke patients. The experimental group has been proceeded total 12 times based on 3 times per 30~50 minutes at a supplied place in the PNF program. The results of this study were as follows. First, the dysphagia scale of the experimental group that was provided with PNF, had a considerable statistic difference. Secondly, the oral pharyngeal functions of the experimental group that was provided with PNF, had a considerable statistic difference. Thirdly, the swallowing speed of the experimental group that was provided with PNF, had a statistic difference in the swallowing speed reduced of the first set, in total. Therefore, PNF is informed to have a effect in advancing the swallowing function of the stroke patients. And in the future, it is considered that researches that it develops the motor program in which the various techniques are combined and it can contribute to the swallowing functions for patients of stroke.

• Proceedings of the Korea Contents Association Conference
• /
• 2014.11a
• /
• pp.189-190
• /
• 2014

뇌경색, 뇌 신경장애 및 뇌졸중환자 중 급성기 환자는 의식이 없어 연하기능장애로 인한 흡인성 폐렴을 유발하기 때문에 비위관(nasogastric tube)을 삽입하고 영양공급을 한다. 재활훈련 후 회복기에 침상선별검사를 시행하지만 임상적 검사를 통해서는 무증상흡인은 발견할 수 없다. 그래서 연하장애로 비위관을 삽입한 연하재활치료 중인 환자 10명을 대상으로 VFSS를 시행하여 식이재료에 따른 삼킴 정도, 자세에 따른 삼킴을 재활의학과전문의가 평가 후, 흡인이 있거나 삼킴 곤란 등이 있으면 연하재활치료를 시행하여 환자의 상태에 따라 약 30일 ~ 50일후에 재평가를 시행한 후 흡인이 없을 시 비위관을 제거 하였다. 이때 VFSS 영상을 기능적 연하곤란척도를 이용, 분석하여 부여된 점수를 통계 산출 하였는데 비위관 유지군은 $49.79{\pm}9.431$을 보여 흡인의 위험을 나타내며, 비위관 제거군은 $11.20{\pm}1.932$로 흡인의 위험성이 낮아 비위관 제거관련 의미 있게 낮은 점수를 보였다. 두 군의 유의성을 평가하기 위해 Mann-Whitney test를 시행한 결과 p<0.001로 통계적으로 유의하다고 평가하였다. 결론적으로 VFSS는 구강, 인두, 식도의 구조적 이상과 움직임을 가장 효과적으로 평가, 기도흡인여부를 즉시 확인 및 환자에게 적합한 식이나 연하자세를 결정할 수 있어 비위관 제거를 위한 연하평가에 가장 확실한 표준검사로 제안할 수 있다.