Byeon Haewon
Department of Speech Language Pathology, Nambu University, Republic of Korea.
J Phys Ther Sci. 2016 Sep;28(9):2507-2509. doi: 10.1589/jpts.28.2507. Epub 2016 Sep 29.
[Purpose] The elderly are susceptible to dysphagia, and complications can be minimized if high-risk groups are screened in early stages and properly rehabilitated. This study provides basic material for the early detection and prevention of dysphagia by investigating the risks of dysphagia and related factors in community-dwelling elders. [Subjects and Methods] Participants included 325 community-dwelling elderly people aged 65 or older. The modified dysphagia risk assessment for the community-dwelling elderly was used to assess dysphagia risk. [Results] Approximately 52.6% (n=171) of participants belonged to the high-risk group for dysphagia. After adjusting for confounding variables, people aged 75+, who used dentures, and who needed partial help in daily living had a significantly higher risk of dysphagia. [Conclusion] It is necessary to develop guidelines for dysphagia for early detection and rehabilitation.
[目的]老年人易患吞咽困难,若在早期对高危人群进行筛查并给予适当康复治疗,并发症可降至最低。本研究通过调查社区居住老年人吞咽困难的风险及相关因素,为吞咽困难的早期发现和预防提供基础资料。[对象与方法]研究对象包括325名65岁及以上的社区居住老年人。采用改良的社区居住老年人吞咽困难风险评估方法评估吞咽困难风险。[结果]约52.6%(n = 171)的参与者属于吞咽困难高危组。在对混杂变量进行调整后,75岁及以上、使用假牙以及日常生活需要部分帮助的人群吞咽困难风险显著更高。[结论]有必要制定吞咽困难指南以进行早期发现和康复治疗。