두경부암 환자의 연하장애 치료 효과와 삶의 질
Swallowing Therapy and Quality of Life in Head and Neck Cancer Patients
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Objective: The purpose of this study is to know the change of swallowing function and quality of life when applying swallowing therapy to dysphagia patients with head and neck cancer. Method: Test subjects are dysphagia who received swallowing therapy for diagnosis of head and neck cancer at A hospital. Treatments are conducted by compensational therapy which include postural control and modification diet and rehabilitation therapy for increase oropharyngeal function and sensory function, averagely 2-3 times a week for 16 weeks. And evaluations of swallowing function, diet level, and quality of life conducted before and after swallowing therapy. Result: When aspect of swallowing function is examined before swallowing therapy, bolus formation decrease & oral residue are seen at 86.95% in oral phase. In pharyngeal phase, pharyngeal triggering delay at 82.61% and residue is seen in valleculae and pyriform sinuses at 95.65%. After swallowing therapy, bolus formation score is increased significantly 4.30±2.18 to 3.00±2.22 by functional dysphagia scale. On the other hand, residue in valleculae is decreased significantly 8.17±3.90 to 7.83±3.71 and residue in pyriform sinuses is also decreased 7.65±3.80 to 5.91±3.38. The Change of diet measured by ASHA NOMS is not significantly 2.13±2.80 to 2.91±2.92. In EORTC QLQ C-30, quality of life in normal function and symptom has no significant change. But, scale in EORTC HN-35, the point is decreased significantly 62.50±28.33 to 52.31±30.89 in swallowing, and 58.52±30.12 to 43.33±32.84 in social contact. It means that quality of life in swallowing and social activity is improved significantly. Also at the question about weight loss, the point is decreased 50.00±40.02 to 25.93±38.87. So satisfaction in weight change is improved significantly. Conclusion: There is improvement of swallowing function and quality of life when applying swallowing therapy to dysphagia patients with head and neck cancer. (JKDS 2012;2:53-61)
Abstract
Objective: The purpose of this study is to know the change of swallowing function and quality of life when applying swallowing therapy to dysphagia patients with head and neck cancer. Method: Test subjects are dysphagia who received swallowing therapy for diagnosis of head and neck cancer at A hospital. Treatments are conducted by compensational therapy which include postural control and modification diet and rehabilitation therapy for increase oropharyngeal function and sensory function, averagely 2-3 times a week for 16 weeks. And evaluations of swallowing function, diet level, and quality of life conducted before and after swallowing therapy. Result: When aspect of swallowing function is examined before swallowing therapy, bolus formation decrease & oral residue are seen at 86.95% in oral phase. In pharyngeal phase, pharyngeal triggering delay at 82.61% and residue is seen in valleculae and pyriform sinuses at 95.65%. After swallowing therapy, bolus formation score is increased significantly 4.30±2.18 to 3.00±2.22 by functional dysphagia scale. On the other hand, residue in valleculae is decreased significantly 8.17±3.90 to 7.83±3.71 and residue in pyriform sinuses is also decreased 7.65±3.80 to 5.91±3.38. The Change of diet measured by ASHA NOMS is not significantly 2.13±2.80 to 2.91±2.92. In EORTC QLQ C-30, quality of life in normal function and symptom has no significant change. But, scale in EORTC HN-35, the point is decreased significantly 62.50±28.33 to 52.31±30.89 in swallowing, and 58.52±30.12 to 43.33±32.84 in social contact. It means that quality of life in swallowing and social activity is improved significantly. Also at the question about weight loss, the point is decreased 50.00±40.02 to 25.93±38.87. So satisfaction in weight change is improved significantly. Conclusion: There is improvement of swallowing function and quality of life when applying swallowing therapy to dysphagia patients with head and neck cancer. (JKDS 2012;2:53-61)
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