老年吞咽障碍患者的生活质量及其影响因素

doi:10.3969/j.issn.1006-9771.2020.11.003

Abstract

Abstract:

objective To investigate the quality of life in old patients with dysphagia and the related factors.Methods From January to December, 2019, 523 old inpatients were selected and investigated with Swallowing-Quality of Life Questionnaire (SWAL-QOL), Eating Assessment Tool-10 (EAT-10), videofluoroscopic swallowing study (VFSS), Nutritional Risk Screening 2002 (NRS-2002) and FRIED scale.Results There were 160 inpatients diagnosed dysphagia (30.59%). The total score of SWAL-QOL in the inpatients with dysphagia was (45.15±13.31), and the dimension scores from low to high were appetite, social function, swallowing symptoms, mental health, sleep, eating fear, eating time, fatigue, swallowing burden and communication. For the total score of SWAL-QOL, EAT-10 score ≥ 19 was the risk factor, while good health condition and accepting swallowing treatment were the protective factors.Conclusion The quality of life is poor for the old inpatients with dysphagia, and early screening and intervention for dysphagia are needed.

Key words: dysphagia, aged, quality of life, related factors

CLC Number:

R592

LAI Xiao-xing,BO Lin,ZHU Hong-wei,HUO Xiao-peng. Quality of Life in Old Patients with Dysphagia and Its Related Factors[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(11): 1263-1268.

Figures/Tables 3

References 25

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变量		n	SWAL-QOL总分	t/F值	P值
性别	男	113	44.82±13.33	-0.593	0.554
性别	女	47	46.19±13.35
年龄(岁)	60~69	40	45.52±14.98	0.892	0.374
	70~79	44	49.96±11.91
	≥ 80	76	43.15±13.49
文化程度	小学及以下	32	42.08±11.96	1.609	0.203
	初高中	92	45.29±13.39
	大专及以上	36	47.85±14.02
婚姻	配偶健在	118	46.45±13.40	3.888	0.051
	其他	42	41.78±12.58
居住情况	单独居住	6	34.94±9.78	2.434	0.067
	与保姆居住	12	39.25±13.60
	与配偶居住	115	46.51±13.50
	与子女居住	27	44.68±11.91
费用支付	城镇居民保险	70	47.61±13.12	2.454	0.065
	公费医疗	55	45.34±12.78
	农村合作医疗	33	40.15±13.40
	自费	2	42.05±21.70
健康状况	差	65	37.81±10.85	22.991	< 0.001
	一般	90	49.82±11.83
	好	5	58.75±21.32
引起吞咽障碍的疾病	脑血管病	33	45.04±13.32	2.309	0.047
	帕金森病	35	49.38±13.66
	头颈部肿瘤	20	46.73±12.18
	运动神经元病	16	36.46±13.15
	增龄引起老化	43	44.08±12.60
	其他	13	46.72±13.26
接受吞咽治疗	否	108	43.58±13.07	4.746	0.031
	是	52	48.46±13.37
NRS-2002	无营养风险	63	48.82±11.53	7.895	0.006
NRS-2002	有营养风险	97	42.89±13.92
EAT-10	< 19	89	52.14±9.93	81.723	< 0.001
	≥ 19	71	36.55±11.90
FRIED量表评级	衰弱	75	39.45±12.45	16.589	< 0.001
	衰弱前期	58	49.21±11.87
	健康	27	52.67±12.05

维度	条目数	平均分
心理负担	2	2.15±0.75
进食时间	5	5.21±1.68
吞咽症状	14	14.10±4.59
食欲	2	1.89±0.66
语言交流	2	2.58±0.75
进食恐惧	4	4.11±1.40
心理健康	5	5.06±1.75
社会交往	5	4.89±1.68
疲劳	3	3.18±1.11
睡眠	2	2.03±0.69

变量	B	S.E	t	P	95%CI
常量	2234.248	167.090	13.372	< 0.001	1904.180~2564.316
EAT10(≥19)	-605.712	70.553	-8.585	< 0.001	-745.081~-466.343
健康状况	343.610	64.324	5.342	< 0.001	216.544~470.676
接受吞咽治疗	209.340	72.503	2.887	0.004	66.118~352.562

Quality of Life in Old Patients with Dysphagia and Its Related Factors

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