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지역사회 대상 연하장애 검사 동향: 주제범위 문헌고찰

Trend of Dysphagia Screening and Assessment Tools for Community Population: Scoping Review

손영수|민경철
한국노인작업치료학회 (Korean Society for Geriatric Occupational Therapy)|2022.06|한국노인작업치료학회지 (Korea Journal of Geriatric Occupational Therapy)|제4권 제1호|pp. 19-38|DOI 10.23189/yksgot.2022.4.1.002

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참고문헌

키워드

지역사회지역사회 연하 재활연하장애 평가Community based dysphagia therapyDysphagia therapy연하 재활연하장애 검사Community rehabilitationDysphagia assessmentDysphagia evaluation

초록

목적 : 본 연구의 목적은 주제범위 문헌고찰을 사용하여 지역사회 연하장애 선행연구 실태를 확인하고 연하장애 선별 및 평가 도구의 사용 현황을 알아보는 것이다. 연구방법 : PubMed, ProQuest, Embase, RISS의 원문제공 서비스를 이용하여 2011년에서 2021년에 투고된 논문을 대상으로 지역사회, 선별, 평가, 검사, 노인, 치매 등의 주요 검색어를 활용하여 검색하였다. 총 66개 논문에서 49개의 연하재활 평가 도구의 사용 실태를 분석하였다. 결과 : 선행연구의 목적은 평가 도구 개발, 표준화, 연하장애 유병률, 상관관계 조사, 구강운동치료 효과확인 등 다양하였다. 대상은 지역사회 거주 노인이 많았으며 치매 질환이 포함되어 있었다. 검사는Eating Assessment Tool-10(EAT-10) 등 종합적인 선별 및 평가, 자기 보고식 평가지(questionnaire) 사용이 많았고, Volume-Viscosity Swallowing Test(V-VST), Water Swallowing Test(WST) 등 물 삼키기 검사, 기타 구강 운동, 영양, 일상생활, 구강 건강, 약 삼키기, 삶의 질 등 다양한 요소를 평가하였다. 결론 : 연하장애는 일생에 걸쳐 발생할 수 있는 문제로 지역사회에서는 일반 대상자와 노인, 치매 노인, 질환 보유자 등 그 대상이 더 다양하고 연하장애 유무 확인이 어렵기 때문에 적시의 증상 파악과 적절한 관리가 요구된다. 다양한 목적, 대상, 평가 도구를 활용하여 지역사회 연하재활 관련 연구들이 진행되고 있음을 확인하였고 이를 바탕으로 지역사회 환경에서 활용 가능한 평가 도구의 심도 있는 고찰이필요할 것으로 보인다.

Abstract

Objective : This study aimed to scope review previous studies on community-based dysphagia, and identifying the status of dysphagia screening and assessment tools in community settings. Methods : Journal articles related to community-based dysphagia from 2011 to 2021 were searched in PubMed, ProQuest, Embase, and RISS. Search words used were community based dysphagia, screening, assessment, elderly, community dwelling elderly, dementia. Results : A total of 66 journals were analyzed, with 51 screening and assessment tools identified. The purposes of study were dysphagia assessment development and validation, to determine dysphagia prevalence and its relationship with other areas, and the effect of oral motor therapy. Most subjects were community-dwelling older adults, and community-dwelling adults, older adults, and patients with dementia were included. The EAT-10, comprehensive, self-report questionnaire, and water swallowing tests such V-VST were the most common, and oral motor, nutrition, oral health, activities of daily living, medication, and QOL were also. Conclusion : Dysphagia is a lifelong problem and subjects in community settings are more diverse, including the older adults and those with dementia. Community settings differ from medical settings, so choice of appropriate, validated screening and assessment tools, as well as proper dysphagia interventions, are necessary in community settings.

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