Prevalence and associated factors of dysphagia in nursing home residents

被引:156
作者
Park, Yeon-Hwan [1 ,2 ]
Han, Hae-Ra [3 ]
Oh, Byung-Mo [4 ]
Lee, Jinyi [5 ]
Park, Ji-ae [6 ]
Yu, Su Jeong [7 ]
Chang, HeeKyung [2 ]
机构
[1] Seoul Natl Univ, Coll Nursing, Seoul 110799, South Korea
[2] Seoul Natl Univ, Res Inst Nursing Sci, Seoul 110799, South Korea
[3] Johns Hopkins Univ, Sch Nursing, Baltimore, MD 21205 USA
[4] Seoul Natl Univ Hosp, Dept Rehabil Med, Seoul 110744, South Korea
[5] Armed Forces Nursing Acad, Dept Nursing, Daejeonsi 305155, South Korea
[6] Samsung Med Ctr, Nursing Staff Dev Dept, Seoul 135710, South Korea
[7] Sangji Univ, Dept Nursing, Wonjusi 220702, Gangwondo, South Korea
基金
新加坡国家研究基金会;
关键词
Deglutition; Deglutition disorders; Swallowing; Prevalence; Older; Long-term care facilities; STROKE PATIENTS; DEMENTIA; DEPRESSION; PNEUMONIA; CARE; TOOL;
D O I
10.1016/j.gerinurse.2013.02.014
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Dysphagia is a major health care problem in nursing homes. It can lead to fatal complications including aspiration pneumonia and even death. The aims of this study were to evaluate the prevalence of dysphagia in nursing home residents in South Korea and to identify factors associated with dysphagia. The study was conducted in two urban nursing homes and a total of 395 older adults (aged 65-103 years old, 76.5% female) were enrolled. The presence of dysphagia was evaluated using the Gugging Swallowing Screen (GUSS) test. Out of 395 older adults, the prevalence of dysphagia was 52.7%. The following were all risk factors associated with dysphagia: Aged 75 years or older, male gender, history of dementia, feeding time longer than 20 mm, severe dependent functional status, solid meal type, high nutritional risk, and underweight. To prevent complications from dysphagia in nursing home residents, systematic screening and evaluation programs for dysphagia are needed. (C) 2013 Mosby, Inc. All rights reserved.
引用
收藏
页码:212 / 217
页数:6
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