Open Access, Peer-reviewed
eISSN 2288-338X
    Korean J Adult Nurs. 2014 Aug;26(4):393-402. Korean.
    Published online Aug 31, 2014.
    https://doi.org/10.7475/kjan.2014.26.4.393
    © 2014 Korean Society of Adult Nursing
    Original Article

    The Risk of Dysphagia and Dysphagia-specific Quality of Life among Community Dwelling Older Adults in Senior Center

    Min-Su Kim,1 and Yeon-Hwan Park2
      • 1Seoul National University, Bundang Hospital, Seoul, Korea.
      • 2College of Nursing · The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
    • Corresponding author: Park, Yeon-Hwan. College of Nursing, Seoul National University, 28 Yeongeon-dong, Jongro-gu, Seoul 110-744, Korea. Tel: +82-2-740-8846, Fax: +82-2-745-8017, Email: hanipyh@snu.ac.kr
    Received February 25, 2014; Revised July 02, 2014; Accepted July 06, 2014.

    Abstract

    Purpose

    The aim of this study was to describe the risk of dysphagia among older adults in senior centers and to find the relationships between the risk of dysphagia and dysphagia-specific quality of life.

    Methods

    The participants were 260 community-dwelling older adults, aged 65 years in two senior centers. Data were collected by self-report questionnaires or face to face interviews. The instruments were the modified dysphagia risk assessment scale for elderly and dysphagia-specific quality of life questionnaire. The data were analyzed using t-test, χ2-test, logistic regression, and pearson's correlation.

    Results

    162 older adults (62.3%) were classified as having the risk of dysphagia. Severe dry mouth (OR=15.677, CI=2.986~82.297), neurologic disease (OR=10.125, CI=1.092~93.899), gastritis (OR=5.731, CI=1.482~22.173), denture discomfort (OR=2.969, CI=1.016~8.677), teeth discomfort (OR=2.61, CI=1.311~5.196) were the significant factors predicting the risk of dysphagia. There is a significant correlation between the risk of dysphagia and dysphagia-specific quality of life.

    Conclusion

    Dysphagia could be a major health problem among community dwelling older adults. It can affect the dysphagia-specific quality of life. Older adults having severe dry mouth, neurologic disease, or gastritis should receive dysphagia risk assessment and proper management on a regular basis. An effective nursing intervention needs to be developed for the older adults with risk factors of dysphagia.

    Keywords
    Aged; Dysphagia; Quality of life

    Tables

    Table 1
    Differences to Dysphagia Risk by Process of Swallowing

    Table 2
    Differences to Dysphagia Risk by Socio-demographic Characteristics of the Subjects

    Table 3
    Differences to Dysphagia Risk by General Health and Oral Health Related Characteristics

    Table 4
    Logistic Regression Analysis of Factors which Influence Dysphagia Risk

    Table 5
    Correlation Dysphagia risk with Dysphagia Specific Quality of Life for the Subjects

    Notes

    This article is a condensed form of the first author's master's thesis from Seoul National University.

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    MeSH Terms
    Adult*
    Aged
    Deglutition Disorders*
    Dentures
    Gastritis
    Humans
    Logistic Models
    Mouth
    Nursing
    Quality of Life*
    Risk Assessment
    Risk Factors
    Senior Centers*
    Surveys and Questionnaires
    Tooth
    Metrics
    Share
    Tables
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