Evaluation of Quality of Life in Patients Presenting with Dysphagia Pre and Post Swallowing Therapy.

To assess the quality of life and severity of dysphagia in patients utilizing the Gugging Swallowing Screen (GUSS) and the Swallowing Quality of Life (SWAL-QOL) questionnaire. This longitudinal study evaluated individuals before swallowing therapy and after one week, two weeks, and one month after the procedure. Data collection included validated assessment instruments, with statistical analysis utilizing chi-square tests for categorical variables and repeated measures ANOVA for SWAL-QOL scores over time intervals. The study population primarily consisted of patients aged 61-80, with a marginal male predominance. Cerebrovascular accident was the most common diagnosis, followed by bronchopneumonia and traumatic brain injury. Preliminary GUSS scores revealed moderate to severe dysphagia in the majority of subjects. Following the intervention, GUSS ratings showed a gradual transition to less severe categories, whereas SWAL-QOL scores revealed statistically significant enhancement, signifying improved quality of life. Notable connections were observed between initial GUSS scores and diagnosis, hypertension, and alcohol intake. The study underscores the significant influence of dysphagia on quality of life and illustrates the efficacy of swallowing therapy in enhancing food selection, sleep, and fatigue. Psychological support from family, healthcare professionals, and colleagues is essential, especially around mealtimes. Social assistance mitigates patients' anxiety and alleviates loneliness. Early identification and intervention in high-risk groups are critical for optimal outcomes. An integrated treatment strategy that includes both medical and emotional assistance improves the well-being of dysphagia patients.