연하장애 노인환자의 가정간호
Home Care of Elderly with Dysphagia
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Due to the increase in elderly population, there has been an increase in number of patients with dysphagia in the community. Dysphagia results in aspiration pneumonia and complications such as malnutrition, dehydration in the elderly. These complications increase the hospital admission rates and are often the cause of death. For this reason, the goal of healthcare for elderly with dysphagia living in the community is to select elderly with dysphagia by early screening, maintain adequate nutritious status and prevent future complications. The families of dysphagia elders should be educated and supported in order to successfully care for these patients at home. Severe cases of elderly with dysphagia are to receive health professional service in conjunction with the services from hospital based home care medical center. It also requires governance support so that health professionals such as speech language pathologists will care for dysphagia patients in home. (JKDS 2016;6:60-65)
Abstract
Due to the increase in elderly population, there has been an increase in number of patients with dysphagia in the community. Dysphagia results in aspiration pneumonia and complications such as malnutrition, dehydration in the elderly. These complications increase the hospital admission rates and are often the cause of death. For this reason, the goal of healthcare for elderly with dysphagia living in the community is to select elderly with dysphagia by early screening, maintain adequate nutritious status and prevent future complications. The families of dysphagia elders should be educated and supported in order to successfully care for these patients at home. Severe cases of elderly with dysphagia are to receive health professional service in conjunction with the services from hospital based home care medical center. It also requires governance support so that health professionals such as speech language pathologists will care for dysphagia patients in home. (JKDS 2016;6:60-65)
참고문헌 (36)
- "’16. 1분기건강보험 주요 통계 및 진료비 통계 지표" (2016)[URL]
- Chen PH, "Prevalence of perceived dysphagia and quality-of-life impairement in a geriatric population", Dysphagia, 24, pp.1~6 (2009)
- Marrel-Wierink CD, "Subjective dysphagia in older care home residents: A cross-sectional, multi-centre prevalence measurement", International Journal of Nursing Studies, 51, pp.875~881 (2014)
- Park JA, "The prevalence and related factors of dysphagia at a long-term care facility", master, pp.2011
- Singh S, "Dysphagia in stroke patients", Postgraduate Medical Journal, 82(968), pp.383~391 (2006)
- Welte T, "Clinical and economic burden of community-acquired pneumonia among adults in Europe", Thorax, 67, pp.71~79 (2012)
- 박진우, "노화에 따른 연하기능의 변화", 대한연하장애학회지, 3(1), pp.17~19 (2013), 대한연하장애학회
- Korean elderly survey 2014, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~
- 박수진, "지역사회 재가노인의 삼킴장애 위험실태와 관련인자", 한국식품영양과학회지, 44(1), pp.49~56 (2015), 한국식품영양과학회
- Tamura F, "The survey on the feeding functions of the housebound elderly: Relationship between feeding conditions and choking", Japan Journal Dysphagia Rehabilitation, 1, pp.57~68 (1997)
- Kamakura Y, "Swallowing and its correlates in the aged living at home", Sogo Rehabilitation, 26, pp.581~587 (1998)
- Futaki T, "A report on feeding difficulty and swallowing in visiting care users", Japan Journal Occupational Therapy, 36, pp.73~78 (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)
- Fukada J, "Development of dysphagia resk screening system for elderly persons", Japan Journal of Dysphagia Rehabilitation, 10, pp.31~42 (2006)
- 황선아, "재가노인의 연하장애 위험 실태와 영향요인", 한국노년학, 34(1), pp.37~48 (2014), 한국노년학회
- 박영학, "연하장애의 임상적 평가", 대한연하장애학회지, 1(1), pp.19~24 (2011), 대한연하장애학회
- Guigoz Y, "Mini Nutritional Assessment:A practical assessment tool for grading the nutritional state of elderly patients", Facts and Research in Gerontology, 4(Suppl 2), pp.15~59 (1994)
- Fujishima I, "Nurtional management in home care: Including eating disorder and dysphagia assessment", Japan Medical Association Journal, 58(1-2), pp.31~35 (2015)
- 윤화영, "노화에 따른 구강기 연하 장애 환자의 식사 조절", 대한연하장애학회지, 6(1), pp.20~25 (2016), 대한연하장애학회
- 한태륜, "연하 곤란 환자의 열량 및 수분 섭취", Annals of Rehabilitation Medicine, 26(3), pp.3~253 (2002), 대한재활의학회
- Smithard DG, "Dysphagia: prevalence, management and the community nurse", Community practitioner, pp.32~35 (2015)
- 이원경, "자세 및 물의 점도가 알약을 삼키는 기전 및 편하게 느끼는 정도에 미치는 영향", 대한연하장애학회지, 6(1), pp.34~41 (2016), 대한연하장애학회
- Chetney R, "A new home health approach to swallowing disorders", Home healthcare nurse, 22(10), pp.703~707
- Management of dysphagia in acute stroke: An educational manual for the dysphagia screening professional, "Martino R", Heart and Stroke foundation of Ontario, ~ (2006)
- Kikuchi R, "High incidence of silent aspiration in elderly patients with community-acquired pneumonia", American journal of Respiratory Critical Care Medicine, 150, pp.251~253 (1994)
- Terré R, "Oropharyngeal dysphagia after the acute phase of stroke: predictors of aspiration", Neurogastroenterol Motil, 18, pp.200~205 (2006)
- 이지영, "Usefulness of the simplified cough test in evaluating cough reflex sensitivity as a screening test for silent aspiration", 석사, 의학과 재활의학전공, pp.2014
- Wakasugi Y, "Screening test for silent aspiration at the bedside", Dysphagia, 23, pp.364~370 (2008)
- Kayser-Jones J, "Dysphagia among nursing home residents", Geriatric Nursing, 20, pp.77~84 (1999)
- Logemann JA, "Evaluation and treatment of swallowing disorders" (1998), Pro-Ed
- Ding R, "Surface electromyographic and electrogolttographic stidies in normal subjects under two swallow conditions:normal and during the Mendelsohn maneuver", Dysphagia, 17, pp.1~12 (2002)
- Paju S, "Oral bio films, periodontitis and pulmonary infections", Oral Disabil, 13(6), pp.508~512 (2007)
- Sorensen RT, "Dysphagia screening and intensified oral hygiene reduce pneumonia after stroke", 45(3), pp.139~146 (2013)
- 박윤길, "연하장애환자를 위한 연하재활치료", 대한연하장애학회지, 1(1), pp.31~38 (2011), 대한연하장애학회[DOI]
- Brady A, "Managing the patient with dysphagia", Home healthcare nurse, 26(1), pp.41~46 (2008)
- Sharma S, "Assessing dysphagia via telerehabilitatio: Patiet perceptions and satisfaction", International Journal of Speech-Language Pathology, 15, pp.176~183 (2013)