Serel Arslan Selen, Demir Numan, Karaduman A Ayşe
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Altındağ, 06100, Ankara, Turkey.
Dysphagia. 2017 Aug;32(4):570-574. doi: 10.1007/s00455-017-9801-7. Epub 2017 Apr 25.
We aimed to investigate anxiety level of caregivers of neurological patients with dysphagia, and the relationship of patient-related factors to anxiety level of dysphagia caregivers. A total of 103 adult neurological patients with dysphagia (study group), 30 without dysphagia (control group), and their primary caregivers were included. Types of feeding, condition of dependency in eating and drinking, dysphagia duration, and history of previous dysphagia treatment were recorded for study group. In study group, the Turkish version of the Eating Assessment Tool-10 (T-EAT-10) was used to determine dysphagia symptom severity. Penetration and aspiration severity was determined with the penetration-aspiration scale (PAS). The Spielberger State-Trait Anxiety Inventory (STAI) that has two subscales including state anxiety (S-STAI) and trait anxiety (T-STAI) was used to determine anxiety level of caregivers. There was no difference between groups in terms of age, gender, weight, and height. The mean S-STAI was 42.56 ± 10.10 for the study group and 29.20 ± 6.64 for the control group (p < 0.001). The mean T-STAI was 44.81 ± 8.98 for the study group and 29.37 ± 6.46 for the control group (p < 0.001). Significant correlation was detected between only T-STAI and history of previous dysphagia treatment (p = 0.01, r = 0.25). No correlation was found between STAI (in terms of both S-STAI and T-STAI) and T-EAT-10, PAS, types of feeding, condition of dependency in eating and drinking, dysphagia duration (p > 0.05). Caregivers of neurological patients with dysphagia have greater anxiety level than caregivers of neurological patients without dysphagia.
我们旨在调查神经性吞咽困难患者照顾者的焦虑水平，以及患者相关因素与吞咽困难照顾者焦虑水平之间的关系。共纳入103例成年神经性吞咽困难患者（研究组）、30例无吞咽困难患者（对照组）及其主要照顾者。记录研究组的进食类型、饮食依赖状况、吞咽困难持续时间以及既往吞咽困难治疗史。在研究组中，使用土耳其语版的进食评估工具-10（T-EAT-10）来确定吞咽困难症状的严重程度。采用渗透-误吸量表（PAS）确定渗透和误吸的严重程度。使用包含状态焦虑（S-STAI）和特质焦虑（T-STAI）两个子量表的斯皮尔伯格状态-特质焦虑量表（STAI）来确定照顾者的焦虑水平。两组在年龄、性别、体重和身高方面无差异。研究组的平均S-STAI为42.56±10.10，对照组为29.20±6.64（p<0.001）。研究组的平均T-STAI为44.81±8.98，对照组为29.37±6.46（p<0.001）。仅在T-STAI与既往吞咽困难治疗史之间检测到显著相关性（p=0.01，r=0.25）。未发现STAI（包括S-STAI和T-STAI）与T-EAT-10、PAS、进食类型、饮食依赖状况、吞咽困难持续时间之间存在相关性（p>0.05）。神经性吞咽困难患者的照顾者比无吞咽困难的神经性患者的照顾者焦虑水平更高。
