Hong Deok Gi, Yoo Doo Han
Department of Occupational Therapy, Wonkwang University, Republic of Korea.
Department of Occupational Therapy, Konyang University: 158 Gwanjeodong-ro, Seo-gu, Daejeon 302-832, Republic of Korea.
J Phys Ther Sci. 2017 Sep;29(9):1552-1554. doi: 10.1589/jpts.29.1552. Epub 2017 Sep 15.
[Purpose] This study was conducted to compare the swallowing function and quality of life (QOL) in stroke patients with dysphagia by oral intake level. [Subjects and Methods] Seventy-nine stroke patients with dysphagia were enrolled. All subjects were evaluated by using the Swallowing Function Test (SFT) and the Swallowing Quality of Life (SWAL-QOL) questionnaire. The subjects were divided into two group based on the SFT score: oral intake (OI) and non-oral intake (NOI) groups. The SFT and SWAL-QOL scores were then compared between the groups. [Results] There were significant differences in items in the SFT, except for the respiratory item, between the OI group and the NOI group. There were significant differences in all items on the SWAL-QOL, except for the sleep item, between the OI group and the NOI group. [Conclusion] Oral intake was positively associated the swallowing function and QOL in stroke patients with dysphagia. Safe intervention using oral intake treatments during dysphagia rehabilitation may have a positive effect on the patients' swallowing function and QOL.
[目的]本研究旨在按经口进食水平比较吞咽困难的脑卒中患者的吞咽功能和生活质量（QOL）。[对象与方法]纳入79例吞咽困难的脑卒中患者。所有受试者均采用吞咽功能测试（SFT）和吞咽生活质量（SWAL-QOL）问卷进行评估。根据SFT评分将受试者分为两组：经口进食（OI）组和非经口进食（NOI）组。然后比较两组之间的SFT和SWAL-QOL评分。[结果]除呼吸项外，OI组和NOI组在SFT的各项上存在显著差异。除睡眠项外，OI组和NOI组在SWAL-QOL的所有项目上存在显著差异。[结论]经口进食与吞咽困难的脑卒中患者的吞咽功能和生活质量呈正相关。在吞咽困难康复期间使用经口进食治疗进行安全干预可能对患者的吞咽功能和生活质量产生积极影响。
