• The Journal of the Korea Contents Association
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• v.14 no.6
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• pp.288-297
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• 2014

The purpose of this study was to investigate the quality of life related to swallowing through Swallowing-Quality Of Life(SWAL-QOL) and examine the impact of SWAL-QOL on overall quality of life measured by Short-Form Health Survey(SF-36) and Geriatric Quality of Life(GQOL). For this purpose, the SWAL-QOL, SF-36 and GQOL have been conducted on 140 old people who were all over 60 years of age and physically and mentally normal. The collected data have been analyzed using a Windows SPSS 21.0 program. The results show that the SWAL-QOL are significant differences according to age(F=7.76, p<.01) and aspiration(t=-4.44, p<.01) and aspiration is ouly factor affecting the SW AL-QOL in elderly people. There are significant correlations between SF-36, GQOL and SW AL-QOL and the pearson product moment correlation coefficient is .39(p<.01) and .33(p<.01) respectively. The SWAL-QOL can predict approximately 36% and 25% of quality of life measured by SF-36 and GQOL. Therefore, this result will be able to utilize as basic data to improvement of quality of life related swallowing and overall quality of life related to health in normal elderly people.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.5
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• pp.2981-2988
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• 2014

The Purpose of the this study was to identify reliability and validity of the Korean version of the Swallowing Quality of Life questionnaire(KSWAL-QOL). The study was performed in 71 patients diagnosed dysphagia by videofluoroscopy and 80 healthy swallowers. The reliability was good with a Cronbach's ${\alpha}$ and intraclass correlation coefficient of .86~.96 and .80~.93, respectively. The Pearson product moment correlation coefficients between KSWAL-QOL scales ranged from .17~.74 which was showed significant correlation. Healty swallowers scored higher than dysphagic patients on all scales and statistically significant differences were observed across all the scales between healthy swallowers and dysphagic patients(p<.01). Tube feeders scored lower than non-tube feeders on all scales and statistically significant differences were observed in all the scales except sleep(p<.05). There are significant difference between diet steps in all scales except eating desire, communication, fear and people on diet fourth step feeding had the highest scores on the all scales(p<.05). Because KSWAL-QOL seems to be a reliable and valid tool, it is considered to be appropriate as a tool to measure quality of life of patient with swallowing disorder.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.11
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• pp.421-431
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• 2016

The purpose of this study was to identify the influence of depression, social isolation, and meaning in life on the swallowing related quality of life in patients with dysphagia. In this study, 87 the dysphagia patients diagnosed with stroke, degenerative disease, and neurological disorder in a general or rehabilitation hospital in Seoul, Gyeonggi, and Incheon were assessed. The data were collected between February and April, 2015 using CES-D, RULS, PIL, SWAL-QOL. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation, and stepwise multiple regression with SPSS 22.0. Of the participants, 20.7% reported having had depression, 92.0% middle-high social isolation and 64.4% existential vacuum. The mean scores were SWAL- QOL 158.89(35.97). Stepwise multiple regression revealed that tube feeding to have the greatest effect on SWAL-QOL(${\beta}=-0.57$, p<.001), followed in order by age (${\beta}=0.26$, p=.001), lower MIL (${\beta}=0.19$ p=.014), and education (${\beta}=0.17$, p=.032). The most influential factor to SWAL-QOL was tube feeding. These variables accounted for 50.7% of SWAL-QOL in dysphagia patients (F=28.84 p=.031). Therefore, it is essential to develop the intervention that can improve the meaning in life in patients with dysphagia. In addition there is a need to study the psychological factors and quality of life of tube feeding.

• The Korean Journal of Health Service Management
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• v.7 no.1
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• pp.167-177
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• 2013

This study was to evaluate the influences of swallowing function on quality of life and activity of daily living of inpatients in geriatric hospital. The subjects were consisted of elderly patients over the age of 65, 50 people in geriatric hospital of gwangju and jeonnam area. The results are as follows: First, swallowing function score of the subjects is $29.90{\pm}5.27$, SWAL-QOL score is $158.12{\pm}33.36$, ADL score is $80.40{\pm}22.91$. Second, swallowing function, SWAL-QOL details and ADL details of each other showed a statistically significant correlation. Third, the items of swallowing function affecting on quality of life are 'oral cavity in residue', 'to eat solid food', and 'phlegm obstructs the throat'. In conclusion, this study showed that swallowing function of inpatients in geriatric hospital is closely associated with the quality of life and the activity of daily living. Therefore, future development of programs for the improvement of swallowing function is required in order to improve the quality of life of inpatients in geriatric hospital.

• The Journal of Korean Medicine
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• v.35 no.1
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• pp.26-40
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• 2014

Objectives: This study investigated the effect of electroacupuncture on swallow function in stroke patients with dysphagia. The purpose was to determine whether electroacupuncture could improve swallow function and quality of life for patients with dysphagia caused by stroke. A pilot double-blind, randomized controlled trial design was used Methods: A total of 17 stroke patients with dysphagia were recruited to this study, 8 assigned to the swallowing electroacupuncture (SE) group and 9 to the control group. Swallowing electroacupuncture was assessed for 5 Hz electrical or sham stimulation for 20 min duration 3 times a week. Outcome measurements were DOSS, 14-item questionnaire from the SWAL-QOL, NIHSS and MBI. Assessment was carried out for baseline, 2 weeks and 4 weeks Results: In the 2 weeks follow up data, the study group showed significant difference in DOSS and SWAL-QOL compared with the baseline. The study group also showed significant difference in DOSS and SWAL-QOL compared with the control group. Similarly in the 4 weeks follow up data, the study group showed improvement tendency in DOSS and SWAL-QOL compared with baseline and also with the control. The NIHSS and MBI scores returned no significant differences. The swallowing electroacupuncture was well tolerated in all cases with no serious adverse effects. Conclusions: The findings from the pilot study indicated that electroacupuncture has significant effects on improvement in swallowing function and quality of life. With both inpatients and outpatients, further larger and longer-term follow-up study is needed to confirm this suggestion.

• Journal of Korean Public Health Nursing
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• v.28 no.3
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• pp.605-618
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• 2014

Purpose: The purpose of this study was to examine the effect of a swallowing rehabilitation program for elderly on the stage of dysphagia, nutritional status, and swallowing-quality of life. Methods: The research design was Pretest-Posttest Nonequivalent Groups Design. The subjects of this study consisted of 85 elderly patients hospitalized at geriatric hospitals between August 23rd and October 25th in 2012. Eighty five research subjects were assigned to experimental (42 patients) and control (43 patients) groups. The rehabilitation program was provided to the experimental group 5 days per week for 8 weeks. The effects were evaluated by measurement of Mid-upper Arm Muscle Circumference (MAMC), Total Lymphocyte Counts, albumin, Total Cholesterol, and Swallowing Quality of Life (SWAL-QOL). The collected data were analyzed with x2-test and independent t-test using PASW WIN 18.0. Results: Changes in the stage of dysphagia were not significant (p>.05). In nutrition status, the degree of MAMC points in the experimental group was significantly increased compared with that in the control group (t=2.36, p=.021). In swallowing quality of life, the score of SWAL-QOL in the experimental group was significantly increased, particularly burden (t=3.34, p=.002), frequency (t=2.68, p=.011), fear (t=2.44, p=.019), mental health (t=2.47, p=.018), and sleep (t=2.08, p=.044). Conclusion: Based on the results, this swallowing rehabilitation program for elderly would be helpful in promoting their nutritional status and swallowing-QOL in geriatric hospitals.

• 재활복지
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• v.22 no.1
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• pp.169-194
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• 2018

The aim of this study is to examine changes in swallowing function and quality of life with therapeutic singing-based music therapy for patients with dysphagia. The music therapy program was based on the previous study (Kim, 2010), and designed to improve breathing, phonation, and swallowing functions focusing on laryngeal elevation. Three patients with dysphagia participated in this study and each participant received a total of 11 or 12 individual music therapy sessions and each session was conducted for 30 minutes. In this study, three kinds of measurements were used. First, the measures of maximum phonation time (MPT), fundamental frequency, average intensity, jitter, shimmer, noise to harmonics ratio (NHR) by Praat test, second, laryngeal-diadochokinesis (L-DDK) to investigate laryngeal elevation, and last, the Swallowing-Quality of Life (SWAL-QOL) was measured. These cases have shown improved breathing, phonation, swallowing function, and the scores of SWAL-QOL in all of the patients. It suggests that this music therapy intervention was effective on laryngeal elevation, and the music intervention with therapeutic singing can be effectively implemented in further research for patients with dysphagia.

• Journal of the Korean Society of Physical Medicine
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• v.17 no.4
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• pp.75-83
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• 2022

PURPOSE: This study was conducted to find out the effects of neurocognitive rehabilitation therapy on the swallowing function and quality of life of stroke patients. METHODS: Thirty patients were selected and randomly allocated into an experimental and a control group. Patients in the experimental group received 15 minutes of neurocognitive rehabilitation treatment combined with 15 minutes of traditional treatment. For the control group, patients received 30 minutes of traditional dysphasia treatment. The experiments were conducted for 30 minutes a day, five times a week, for four weeks. New VFSS and SWAL-QOL were administrated to evaluate the outcomes. RESULTS: Swallowing functions were significantly improved in the experimental group and the control group (p < .05), but there was no statistically significant difference in pre- and post-interventional swallowing between the groups (p > .05). The quality of life was also significantly improved (p < .05) for both groups, but there was a statistically significant difference between the two groups (p > .05). Third, a correlational analysis between swallowing function and quality of life revealed a moderate correlation between New VFSS and SWAL-QOL (p < .05). CONCLUSION: The results of this study suggest that swallowing therapy through neurocognitive rehabilitation treatment program could be helpful for improving swallowing function and quality of life in stroke patients. Although there was no statistically significant changes from traditional rehabilitation therapy, training in recognizing the senses in the oral cavity and external environment through neurocognitive rehabilitation therapy can be applied as one of the treatment options.

• The Journal of the Korea Contents Association
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• v.16 no.11
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• pp.605-613
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• 2016

This study was investigated to effect of tongue strength and accuracy training (TSAT) on tongue strength, swallowing function, quality of life in chronic stroke patients with dysphagia. Eighteen chronic stroke patients with dysphagia participated in this study, and were allocated randomly to experimental(n=9) and control group(n=9). both group conducted to traditional dysphagia therapy, and experimental group was carried out additionally TSAT. TSAT performed using Iowa Oral Performance Instrument(IOPI), and was set up to 50%, 75%, 100% of maximum isometric tongue strength. Two groups received the treatment for five per weeks, eight weeks. Outcome measurements performed that Maximum Isometric Strength(MIS) was assessed by using IOPI for measure the tongue strength, and Swallowing Function Test(SFT) was used to assess the swallowing function. Swallowing-Quality of Life(SWAL-QOL) was used to evaluate quality of life related to swallow. In results of study, experimental group in comparison of change score between two group significantly improve than control group in anterior and posterior MIS, and SFT. SWAL-QOL was not significantly difference in both group. Based on thin study results, TSAT may be a effective intervention to improve on tongue strength, and swallowing function in chronic stroke patients with dysphagia.

• 재활복지
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• v.20 no.4
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• pp.283-299
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• 2016

The purpose of this study was to investigate the effect of dysphagia intervention function and life quality of stroke patients. each 5 patients were randomly assigned in two groups, control group performing indirect feeding and experimental group performing direct feeding. Evaluation of the swallowing function was performed before intervention, after 4weeks and 8 weeks using CDS, PAS with VFSS and quality of life was performed twice, before and after intervention. Two groups showed the improved swallowing function, control group showed the significant difference only in CDS(p<.05). but experimental group showed the significant differenc in CDS and PAS(p<.01). both groups showed the significant improvement in quality of life(p<.05). but in comparison between group, no significant statistical difference were found(p>.05). Therefore, this study showed that both the swallowing function and quality of life were improved as time passed, but swallowing function was much more improved in experimental group.