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논문KCI 등재

뇌졸중 환자의 연하곤란 사정도구 개발

Dysphagia Assessment Tool for Post-Stroke Patients

김효진|이은석|이정혜|이승희|손현숙|유지수|문경희|백은경
병원간호사회 (Hospital Nurses Association)|2007.12|임상간호연구 (Journal of Korean Clinical Nursing Research)|제13권 제3호|pp. 19-30

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참고문헌

키워드

신뢰도타당도ReliabilityValidity뇌졸중StrokeAssessment toolDysphagia연하곤란사정도구
주제분류간호학

초록

Abstract

Purpose: This study was done using the parameters of oro-pharyngeal function and swallowing difficulties to develop an assessment tool for clinical appraisal. Method: Preliminary parameters were selected from common parameters, related to dysphagia and aspiration in stroke patients, originating from 11 articles in the literature. First 39 parameters were classified by the following characteristics, 16 were related to disease, 13 to oro-pharyngeal function assessment and 10 to swallowing difficulties. Validity of the parameters was determined by a 75% or more agreement by expert consultants. Reliability of the parameters was determined by using the assessment tool with 45 patients who had a stroke. Results: All 39 parameters were determined as adequate for the assessment tool by the opinions of the experts. Tongue movement and soft palate function showed 96.9% agreement among the experts. Cronbach's α for oro-pharyngeal functions and swallowing difficulties were 0.76 and 0.78, respectively. Intraclass correlation coefficients (ICC) for oro-pharyngeal functions and swallowing signs were 0.73 and 0.76, respectively. Conclusion: In conclusion, this clinical assessment tool which was validated by experts and tested for reliability may be a useful bedside assessment tool for early detection of dysphagia and for prevention of complications of dysphagia in clinical nursing.

참고문헌 (27)

  1. 강현숙, "연하장애 환자의 구강인두 기능회복을 위한 감각운동자극의 효과", pp.211~219 (1988)
  2. 김현동, "연하장애 환자의 재활", 23(5), pp.189~194 (2002)
  3. 박희자, "뇌졸중 환자의 구강인두 기능회복을 위한 감각자극의 효과" (2000)
  4. 서문자, "통합적　재활간호" (2000), 신광출판사
  5. 유우경, "연하 장애를 가진 뇌졸중 환자의 비위관 삽입이 연하 기능에 미치는 영향", Annals of Rehabilitation Medicine, 25(5), pp.758~765 (2001), 대한재활의학회
  6. Andersson, P, "Inter-rater reliability of an oral assessment guide for elderly patients residing in a rehabilitation ward", 22(5), pp.181~186 (2002)
  7. Dangerfield, L, "Screening for and managing dysphagia after stroke", 95(19), pp.44~45 (1999)
  8. Daniels, S. K, "Clinical predictors of dysphagia and aspiration risk: Outcome measures in acute stroke patients", 81(8), pp.1030~1033 (2002)
  9. DePippo, "Validation of the 3-oz water swallow test for aspiration following stroke", pp.1259~1261 (1992)
  10. DePippo, "Validation of its use in patients with stroke", pp.1284~1286 (1994)
  11. Finestone, H. M, "Malnutrition in stroke patients on the Rehabilitation service and at follow-up: prevalence and predictors", 76, pp.310~316 (1995)
  12. Gordon, "Dysphagia in acute stroke", pp.411~414 (1987)
  13. Hardy, E, "Swallowing disorders treatment manual (2nd ed.)" (1999)
  14. Horner, "Aspiration in bilateral stroke patients", pp.1686~1688 (1990)
  15. Lee, L, "Nurse-led dysphagia screening in acute stroke patients", 21(6), pp.35~42 (2006)
  16. Lin, L. C, "Efficacy of swallowing training for residents following stroke", 44(5), pp.469~478 (2003)
  17. Linden, "The probability of correctly predicting subglottic penetration from clinical observation", pp.170~179 (1993)
  18. Mann, G, "Initial clinical and demographic predictors of swallowing impairment following acute stroke", 16(3), pp.208~215 (2001)
  19. Massey, R, "The Massey Bedside Swallowing Screen", 34(5), pp.257~260 (2002)
  20. Nishiwaki, K, "Identification of a simple screening tool for dysphagia in patients with stroke using factor analysis of multiple dysphagia variables", 37, pp.247~251 (2005)
  21. Odderson, I. R, "Swallow management in patients on an acute stroke pathway: Quality is cost effective", 76(12), pp.1130~1133 (1995)
  22. Palmer, "A protocol for the videoflurographic swallowing study", pp.209~214 (1993)
  23. Perry, L, "Screening swallowing function of patients with acute stroke. Part one: Identification, implementation and initial evaluation of a screening tool for use by nurses", 10(4), pp.463~473 (2001)
  24. Ramsey, D. J, "Early assessments of dysphagia and aspiration risk in acute stroke patients", 34(5), pp.1252~1257 (2003)
  25. Silverman, "An evaluation and treatment program for the adult", pp.382~392 (1979)
  26. Westergren, A, "Eating difficulties in relation to gender, length of stay, and discharge to institutional care, among patients in stroke rehabilitation", 24(10), pp.523~533 (2002)
  27. Wood, P, "Dysphagia: a screening tool for stroke patients", 29(5), pp.325~329 (1997)

관련 논문AI추천

뇌졸중 환자의 연하장애에 대한 재활치료최경효대한뇌졸중학회 · 대한뇌졸중영문학회지2008 · 제10권 제2호뇌졸중 환자에서 연하 유발 검사와 물 연하 검사의 임상적 유용성김재형, 김지훈, 이삼규, 이소영, 주성렬, 천승욱, 최인성대한재활의학회 · Annals of Rehabilitation Medicine2006 · 제30권 제2호뇌졸중 환자의 연하 장애에 대한 기능적 전기자극의 효과강지영, 김정화, 엄보영, 윤석봉, 윤용순, 임진택, 임호용, 정복희대한재활의학회 · Annals of Rehabilitation Medicine2006 · 제30권 제5호뇌졸중으로 인한 만성 연하장애 환자에서 기능적 전기 자극 치료박연중, 양희승, 차동연대한재활의학회 · Annals of Rehabilitation Medicine2007 · 제31권 제6호연하 장애를 가진 뇌졸중 환자의 비위관 삽입이 연하 기능에 미치는 영향소은하, 유우경, 윤석봉, 정승석대한재활의학회 · Annals of Rehabilitation Medicine2001 · 제25권 제5호비디오 투시 연하 검사에 근거한 연하곤란 임상 척도의 타당도 평가이건재, 정세희, 한태륜, 홍준범대한재활의학회 · Annals of Rehabilitation Medicine2005 · 제29권 제4호

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