수정된 연하곤란사정도구와 비디오 연하영상 조영술의 흡인 위험 예측비교

Purpose: The purpose of this study was to determine the significant factors for risk estimate of aspiration and to evaluate the efficiency of the dysphagia assessment tool. Methods: A consecutive series of 210 stroke patients with aspiration symptoms such as cough and dysphagia who had soft or regul...

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Bibliographic Details
Published in:Journal of Korean Academy of Nursing 2010, Vol.40 (3), p.359-366
Main Authors: 문경희(Moon, Kyung Hee), 손현숙(Sohn, Hyun Sook), 이은석(Lee, Eun Seok), 백은경(Paek, Eun Kyung), 강은주(Kang, Eun Ju), 이승희(Lee, Seung Hee), 한나리(Han, Na Ri), 이민혜(Lee, Meen Hye), 김덕용(Kim, Deog Young), 박창기(Park, Chang Gi), 유지수(Yoo, Ji-Soo)
Format: Article
Language:Korean
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Summary:Purpose: The purpose of this study was to determine the significant factors for risk estimate of aspiration and to evaluate the efficiency of the dysphagia assessment tool. Methods: A consecutive series of 210 stroke patients with aspiration symptoms such as cough and dysphagia who had soft or regular diet without tube feeding were examined. The dysphagia assessment tool for aspiration was compared with videofluoroscopy using Classification and Regression Tree (CART) analysis. Results: In CART analysis, of 34 factors, the significant factors for estimating risk of aspiration were cough during swallowing, oral stasis, facial symmetry, salivary drooling, and cough after swallowing. The risk estimate error of the revised dysphagia assessment tool was 25.2%, equal to that of videofluoroscopy. Conclusion: The results indicate that the dysphagia assessment tool developed and examined in this study was potentially useful in the clinical field and the primary risk estimating factor was cough during swallowing. Oral stasis, facial symmetry, salivary drooling, cough after swallowing were other significant factors, and based on these results, the dysphagia assessment tool for aspiration was revised and complemented.
ISSN:2005-3673
2093-758X