시각적 자극과 연하체조가 장기요양시설 뇌졸중 노인의 연하기능에 미치는 효과

한미순; 김화순; 이영휘; 김수현

서지반출

영문초록

This study was done to investigate effects on swallowing function following visual stimulation and swallowing promotion exercises before meals for elders with swallowing difficulties following stroke. Methods: Participants for this nonequivalent control pre-post test design were 72 elders with stroke. Convenience sampling method was used to assign participants to experimental (36) and control (36) groups. The intervention was provided for about 15 minutes at every lunch and dinner time for 4 weeks. Outcome variables were Gugging Swallowing Screen (GUSS) score, body weight, total caloric intake, self-efficacy for swallowing, and coughing episodes during meal times. Results: Fifty-one participants were women (72.9%) and 74.3% were stroke only patients. Higher percent of patients in the experimental group had solid chopped food compared to the control group. In ANCOVA analysis using GUSS score as a covariate, the only significant improvement after the intervention was self-efficacy for swallowing. Conclusion: Visual stimulation and swallowing promotion exercises could lead to improvement in self-efficacy for swallowing even if they did not decrease coughing episodes during meal time.

키워드

Stroke Swallowing promoting exercise Swallowing function Visual stimuli Elderly

참고문헌 (26건)

Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, New Jersey: Prentice Hall.
Barczi, S. R., Sullivan, P., & Robbins, J. (2000). How should dysphagia care of older adults differ? Establishing optimal practice patterns. Semin Speech Lang, 21, 347-361.
Cho, J. O. (2012). Effects of breath-holding training on swallowing functions of stroke patients with dysphagia. Unpublished master's thesis, Daegu University, Gyeongsan.
Han, Y. S. (2007). Calorie book. Seoul: Hyeonamsa.
Horner, J., & Massey, E. W. (1988). Silent aspiration following stroke. Neurology, 38, 317-319.
Kang, B. M. (2012). Effect of orofacial exercise on swallowing function of the stroke patients. Unpublished master's thesis, Daegu University, Gyeongsan. Kang, H. S. (1988). The effect of sensorimotor stimulation for in dysphagic patients who have nonprogr
Kim, C. Y. (2011). The development and the effect of the dysphagia assessment tool and management program for eldery in the long-term care facilities. Unpublished doctoral dissertation, Ewha Womans University, Seoul.
Kim, J. H. (2007). A study on the effects of phonation training and aerophone performance on improvement of dysphagia handicapped people's oral muscles. Unpublished master's thesis, Ewha Womans University, Seoul.
Kim, S. N. (2010). Effect of the electrical stimulation therapy on oral phase dysfunction of dysphagia. Unpublished master's thesis, Pusan University, Busan.
Lazzara, L., Lazarus, C., & Logemann, J. (1986). Effect of thermal stimulation on patients with swallowing disorders: A videofluoroscopic analysis. Dysphagia, 1, 73-33.
Lee, K. W., Kim, S. B., Lee, J. H., Kim, M. A., Kim, B. H., & Lee, G. C. (2009). Clinical validity of gugging swallowing screen for acute stroke patients. The Journal of Korean Academy of Rehabilitation Medicine, 33 (4), 458-462.
Leopold, N. A., & Kagel, M. C. (2001). Dysphagia-ingestion or deglutition?: A proposed paradigm. Dysphagia, 12, 202-206.
Lim, S. H., Lieu, P. K., Phua, S. Y., Seshadri, R., Venketasubramanian, N., & Lee, S. H. (2008). Accuracy of bedside clinical methods compared with fiberoptic endoscopic examination of swallowing (FESS) in determining the risk of aspiration in acute stroke
Maeda, K., Ono, T., Otsuka, R., Ishiwata, Y., Kuroda, T., & Ohyama, K. (2004). Modulation of voluntary swallowing by visual inputs in humans. Dysphagia, 19 (1), 1-6.
Native dictionary. (2008). Bori Korean language dictionary. Paju:Bori.
Min, K. C., Kim, H. O., Lee, A. R., Hwang, G. H., Kim, J. H., Lee, J. S., et al. (2011). Fundamental Nutrition (4th). Paju: Kwangmoongak.
Park, H. J., & Kang, H. S. (2002). The effects of sensory stimulation for ingestion in dysphagic patients with stroke. The Korean Journal of Rehabilitation Nursing, 5 (1), 38-48.
Park, M. K., Chae, S. Y., Hwang, K. C., & Kwon, H. C. (2010). The effect of olfactory stimulation on the swallowing function recovery of stroke patient. The Journal of Korean Academy of Occupational Therapy, 18 (1), 43-53.
Park, Y. H. (2011). Nursing care of patients with dyspahgia. Journal of the Korean Dysphagia Society, 1, 50-53.
Seo, W. H., Oh, J. H., Nam, Y. H., & Sung, I. Y. (1994). Clinical study of aspiration pneumonia in stroke patients. The Journal of Korean Academy of Rehabilitation Medicine, 18 (1), 52-58.
Song, W. W. (2009). Comparison between gugging swallowing screen and other dysphagia screening tests using videofluoroscopic swallowing test . Unpublished master's thesis, Yonsei University, Seoul.
Team of Seirei Mikatahara General Hospital. (2007). Pocket manual of dysphagia (B. M. Oh & G. J. Lee, Trans.). Seoul: Pacific.
Trapl, M., Enderle, P., Nowotny, M., Teuschl, Y., Matz, K., Dachenhausen, A., et al. (2007). Dysphagia bedside screening for acute stroke patients: The Gugging Swallowing Screen. Stroke, 38 (11), 2948-2952.
Woo, J. H., Jeong, W. M., Kim, Y. G., & Koo, J. W. (2009). The relevant factors and effect of swallowing function on oropharyngeal stimulation program in stroke patients with swallowing disorder. The Journal of Korean Academy of Occupational Therapy, 17 (4
Won, Y. S. (2012). The effects of oropharyngeal exercise combined with tongue pressure training protocol on swallowing function in stroke patients with dysphagia. Institute of Special Education & Rehabilitation Science, 51 (2), 57-71.
Zoltan, B. (2010). Vision, perception, and cognition: A manual for the evaluation and treatment of the adult with acquired brain injury (Y. A. Yang, M. J. Kim, G. S. Kim, J. G. Kim, J. Y. Kim, H. J. Kim, et al, Trans). Seoul: Yeongmun.

구매하기 (4,000)

장바구니

영문초록

목차

키워드

참고문헌 (26건)