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요양병원 노인의 연하장애 유무에 따른 인지기능과 신체기능 비교 분석

Comparative Analysis of Cognitive and Physical Function according to Dysphagia of Aged Patients in Geriatric Hospitals

노인간호학회지 2019년 21권 3호 p.190 ~ 199
김진수 ( Kim Jin-Su ) - 다온요양병원 간호과

김정수 ( Kim Jeong-Soo ) - 부경대학교 간호학과

Abstract


Purpose: The purpose of this study was to examine cognitive and physical functions based on dysphagia in aged patients in geriatric hospitals.

Methods: The participants were 210 elders aged≥65 years conveniently selected from patients who were in three geriatric hospitals in B city. Data were collected between January 28, and March 28, 2019. Data collection was done using the following scales: Gugging Swallowing Screen (GUSS), Korean Mini Mental State Examination (K-MMSE), Korean Activity of Daily Living (K-ADL). Descriptive statistics, x2 test, Fisher’s exact test and independent t-test were used for data analysis.

Results: The prevalence of dysphagia was 66.7%. There were statistically significant differences in the dysphagia according to age, nervous system disease, respiratory system disease, medication related to dysphagia and Body Mass Index. There were statistically significant differences in cognitive function (t=10.11, p<.001) and physical function (t=-11.00, p<.001) according to dysphagia.

Conclusion: These findings are expected to be utilized in clinical practice and training of patients and nurses to provide a foundation for early screening of dysphagia, with the ultimate goal of reducing and preventing complications.

키워드

연하장애; 인지; 신체활동; 노인
Deglutition disorders; Cognition; Motor activity; Aged
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