Crossler Ida, Jensen Clara Shrestha, Eriksson Karin, Tuomi Lisa
Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Region Västra Götaland, Department of Neurology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Sci Rep. 2025 Sep 17;15(1):32585. doi: 10.1038/s41598-025-19729-6.
The aim of the present study was to investigate the prevalence of dysphagia in three nursing homes and to investigate whether swallowing function changes over a year. Seventy-three individuals participated (median age 89 years) and were tested with the Gugging Swallowing Screen (GUSS). The participants estimated self-perceived swallowing ability with a self-report questionnaire. Thirty-eight participants (52%) exhibited dysphagia according to the GUSS. Thirty-six participants (49%) showed symptoms of dysphagia according to the self-report questionnaire. The study also investigated how well the results from the GUSS agreed with self-rated swallowing function and found 60% agreement. No association was found between age and swallowing function. Twenty participants were examined twice, one year apart with no statistically significant change between these occasions. Results show that approximately half of the participants have persistent swallowing difficulties after one year. Swallowing difficulties are common in older adults living in nursing homes, even though few have an ongoing intervention to improve swallowing safety and efficiency.
本研究的目的是调查三家养老院吞咽困难的患病率，并调查吞咽功能在一年时间内是否会发生变化。73名个体参与了研究（年龄中位数为89岁），并接受了古格吞咽筛查（GUSS）测试。参与者通过一份自我报告问卷对自我感知的吞咽能力进行了评估。根据GUSS，38名参与者（52%）存在吞咽困难。根据自我报告问卷，36名参与者（49%）有吞咽困难症状。该研究还调查了GUSS的结果与自我评定的吞咽功能的吻合程度，结果发现吻合度为60%。未发现年龄与吞咽功能之间存在关联。20名参与者接受了两次检查，间隔一年，两次检查结果之间无统计学上的显著变化。结果表明，大约一半的参与者在一年后仍存在持续性吞咽困难。吞咽困难在居住于养老院的老年人中很常见，尽管很少有人接受持续干预以提高吞咽安全性和效率。
