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K-DRIPS (Korean-Drooling Infants and Preschoolers Scale)로 확인한 뇌성마비 아동의 침흘림 특성

Status of Drooling in Children With Cerebral Palsy Using the Korean Version of the Drooling Infants and Preschoolers Scale (K-DRIPS)

김보경|손영수|민경철
대한신경계작업치료학회 (Korean Society for Neurological Occupational Therapy)|2024.11|재활치료과학 (Therapeutic Science for Rehabilitation)|제13권 제4호|pp. 77-90

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키워드

뇌성마비Cerebral palsyDysphagia연하재활침흘림침흘림 평가K-DRIPSDroolingDrooling assessment

초록

목적 : 본 연구는 한국어 번역과 표준화 과정을 거친 한국판 영유아 학령전기 침흘림 평가(Korean- Drooling Infants and Preschoolers Scale: K-DRIPS)를 활용하여 침흘림 증상을 보이는 뇌성마비 아동의 침흘림 상태, 정도, 빈도를 확인하기 위해 진행되었다. 연구방법 : 본 연구의 대상 아동은 서울시 2개 재활병원에 내원하는 침흘림 증상이 있는 2~6세의 뇌성마비 아동 74명이었다. K-DRIPS를 활용하여 뇌성마비 아동의 침흘림 상태, 정도, 빈도, 특성 등을 확인하였다. 성별, 연령, 조산 여부, 대동작 운동 능력에 따른 변수별 차이를 확인하였다. 통계 분석은 SPSS Version 29.0 프로그램을 사용하였다. 결과 : 뇌성마비 아동은 엎드린 자세 ,미세 활동 중 돌아다닐 때 , 침흘림 조절이 어려웠다 상황별로는 활동 중, 섭식 중 침을 많이 흘리는 것으로 확인되었다. 성별에서는 활동 빈도(p = .019) 및 정도(p = .045), 연령에 따라서는 수면 빈도(p = .026)와 정도(p = .003), 대동작 기능 수준에서는 활동 빈도(p = .005) 및 정도(p = .027), 섭식 빈도(p < .001) 및 정도(p = .012), 뇌성마비 형태에서는 활동 빈도(p = .030), 섭식 빈도(p = .019) 상황에서 변수 별로 유의미한 차이가 있었다. 조산 여부에 따라서는 유의미한 차이가 나타나지 않았다(p > .05). 결론 : 본 연구를 통해 뇌성마비 아동들이 다양한 상황과 항목에서 침흘림 조절의 어려움이 있는 것을 알 수 있었다. 다양한 상황과 항목에 따라서 침흘림 조절 능력이 다른 만큼 대상에 따른 적절한 중재를 제공하기 위한 정확하고 체계적인 침흘림 평가가 선행되어야 할 것이다.

Abstract

Objective : The purpose of this study was to determine the drooling status and its severity and frequency in children with cerebral palsy and drooling symptoms. The Korean version of the Drooling Infants and Preschoolers Scale (K-DRIPS) was used for assessment. Methods : This study included 74 children with cerebral palsy aged 2~6 years who exhibited drooling symptoms; they were patients at two rehabilitation hospitals in Seoul. Drooling status and its severity and frequency, as well as the characteristics of children with cerebral palsy, were examined using the K-DRIPS. Differences in variables according to sex, age, premature birth, and gross motor skills were confirmed. Results : Children with cerebral palsy had difficulty controlling drooling in situations of prone position, fine motor activities, and moving around. Drooling was particularly frequent during activities and feeding. Significant differences were identified in drooling frequency (p = .019) and severity (p = .045) based on gender, as well as in sleep-related drooling frequency (p = .026) and severity (p = .003) based on age. In gross motor function levels, significant differences were found in drooling frequency (p = .005) and severity (p = .027) during activities, as well as in frequency (p < .001) and severity (p = .012) during feeding situation. Additionally, drooling frequency during activities (p = .030) and feeding (p = .019) varied significantly by cerebral palsy subtype. No significant differences were found based on premature birth status (p > 05). Conclusion : Children with cerebral palsy had difficulty controlling drooling in various situations. Because the ability to control drooling varies depends on the situation, accurate and systematic drooling evaluations should be conducted to provide appropriate interventions.

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