고령자의 저작 및 연하기능 평가 문진표 개발 및 적합성 평가
Validation of Questionnaire for Chewing and Swallowing Function of the Elderly
1
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Objective: This study aims to develop a new screening dysphagia questionnaire for elderly people. Method: Initial questionnaire for mastication and swallowing function of elderly people were composed of 20 questions. Total of 30 experts were invited to participate in the Delphi survey, including physiatrists, occupational therapists and dietitians. Modified Delphi method was performed into two rounds. Twenty young adults and twenty elderly volunteers were tested with these items and were compared with other pre-existing tests. Also, validity of selected evaluating items was tested using VFSS. Result: For the first round of surveys, a consensus was reached on 72.5% of the questionnaire. Final agreement was reached on 98% of the questionnaire. The results of the first round survey with the 20 evaluation items and second round showed that the content validity ratio (CVR) and stability were high enough and met the criteria of consistent agreement from a group of specialists. The final round survey following the 1st and 2nd round survey was implemented, which finally reduced to 14 items from initial 20 items. The researcher allocated the items into the 3 categories. The score of the developed item were highly correlated with that of the pre-existing screening questionnaire and time parameters of the VFSS showing a significant difference according to the score. Conclusion: We developed a screening tool for evaluation of chewing nad swallowing function for the elderly people. Though it is necessary to be verified through large scale clinical studies, it may be simply applicable to the elderly people with mastication and swallowing dysfunction or could be evaluated by caregivers.
Abstract
Objective: This study aims to develop a new screening dysphagia questionnaire for elderly people. Method: Initial questionnaire for mastication and swallowing function of elderly people were composed of 20 questions. Total of 30 experts were invited to participate in the Delphi survey, including physiatrists, occupational therapists and dietitians. Modified Delphi method was performed into two rounds. Twenty young adults and twenty elderly volunteers were tested with these items and were compared with other pre-existing tests. Also, validity of selected evaluating items was tested using VFSS. Result: For the first round of surveys, a consensus was reached on 72.5% of the questionnaire. Final agreement was reached on 98% of the questionnaire. The results of the first round survey with the 20 evaluation items and second round showed that the content validity ratio (CVR) and stability were high enough and met the criteria of consistent agreement from a group of specialists. The final round survey following the 1st and 2nd round survey was implemented, which finally reduced to 14 items from initial 20 items. The researcher allocated the items into the 3 categories. The score of the developed item were highly correlated with that of the pre-existing screening questionnaire and time parameters of the VFSS showing a significant difference according to the score. Conclusion: We developed a screening tool for evaluation of chewing nad swallowing function for the elderly people. Though it is necessary to be verified through large scale clinical studies, it may be simply applicable to the elderly people with mastication and swallowing dysfunction or could be evaluated by caregivers.
참고문헌 (31)
- "2015 elderly statistical"[URL]
- Activation support method of foods for elderly industry, "Korea Health Industry Development Institute", Korea Health Industry Development Institute, ~ (2011)
- 정세희, "비디오 투시 연하 검사에 근거한 연하곤란 임상 척도의 타당도 평가", Annals of Rehabilitation Medicine, 29(4), pp.343~350 (2005), 대한재활의학회
- Marshall TA, "Oral health, nutrient intake and dietary quality in the very old", J Am Dent Assoc, 133, pp.1369~1379 (2002)
- 배윤호, "도시 재택노인의 저작능력과 건강상태와의 관련성", Yeungnam University Journal of Medicine, 21(1), pp.51~59 (2004), 영남대학교 의과대학
- 이미애, "노인 우울에 영향을 미치는 요인: 건강요인과 가족요인의 상대적 영향력을 중심으로", 한국지역사회생활과학회지, 22(4), pp.623~635 (2011), 한국지역사회생활과학회
- Lexomboon D, "Chewing ability and tooth loss: association with cognitive impairment in and elderly population study", J Am Geriatr Soc, 60, pp.1951~1956 (2012)
- 박지영, "노인세대의 편의식 이용현황과 요구도 조사", 대한지역사회영양학회지, 17(1), pp.81~90 (2012), 대한지역사회영양학회
- Nakarsu S, "Mechanical properties of softened foodstuffs processed by freeze-thaw infusion of macerating enzyme", Innov Food Sci Emerg, 16, pp.267~276 (2012)
- 김수정, "젤리화된 저작·연하 용이 노인식 개발", 박사, 식품영양학과 식품영양전공, pp.2014
- Nakatsu S, "A trial of human electromyography to evaluate texture of softened food stuffs prepared with freeze-thaw impregnation of macerating enzymes", Innov Food Sci Emerg, 21, pp.188~194 (2014)
- Takei R, "Changes in physical properties of enzyme-treated beef before and after mastication", J Texture Stud, 46, pp.3~11 (2015)
- 박영학, "연하장애의 임상적 평가", 대한연하장애학회지, 1(1), pp.19~24 (2011), 대한연하장애학회
- 김덕용, "도구를 이용한 연하 검사", 대한연하장애학회지, 1(1), pp.25~30 (2011), 대한연하장애학회
- Miura H, "Evaluation of chewing activity in the elderly person", J Oral Rehabil, 25, pp.190~193 (1998)
- Fukada J, "Development of dysphagia risk screening system for elderly persons", 日摂食嚥下リハ会誌, 10, pp.31~42 (2006)
- Miura H, "Evaluation of chewing and swallowing disorders among frail community-dwelling elderly individuals", J Oral Rehabil, 34, pp.422~427 (2007)
- "Universal design food classification table"[URL]
- 조영균, "주관적 식품섭취능력지수를 이용한 저작능력의 평가", 대한구강보건학회지, 31(3), pp.376~386 (2007), 대한예방치과·구강보건학회
- 백은경, "뇌졸중 환자의 연하곤란 사정도구 개발", 임상간호연구, 13(3), pp.19~30 (2007), 병원간호사회
- Lee KC, "Development of new evaluating method of masticatory efficiency by using was cube", PhD, pp.2008
- Kwon CH, "새로운 연하곤란 임상 척도의 개발과 타당도 평가", 대한연하장애학회지, 3(1), pp.20~25 (2013), 대한연하장애학회
- Whang, Sun A, "Dysphagia Risks, Activities of daily living, and depression among community dwelling elders", pp.2010
- Lee JS, "Study method 21: Delphi method" (2001), Kyoyookbook
- Noh SY, "Delphi technique", Planning and policy, 299, pp.53~62 (2006)
- Palmer JB, "Coordination of mastication and swallowing", Dysphagia, 7, pp.187~200 (1992)
- Logemann JA, "Evaluation and treatment of swallowing disorders" (1998), Pro-ed
- Daniels SK, "Clinical predictors of dysphagia and aspiration risk: outcome measures in acute stroke patients", Arch Phys Med Rehabil, 81, pp.1030~1033 (2000)
- Massey R, "The Massey Bedside Swallowing Screen", J Neurosci Nurs, 34, pp.252~260 (2002)
- Kawashima K, "Prevalence of dysphagia among community-dwelling elderly individuals as estimated using a questionnaire for dysphagia screening", Dysphagia, 19, pp.266~271 (2004)
- "2014 on survey of the elderly"[URL]