지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학위논문
- 저자정보
- 지도교수
- 김정수
- 발행연도
- 2019
- 저작권
- 부경대학교 논문은 저작권에 의해 보호받습니다.
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Purpose
The purpose of this study was to examine the cognitive and physical functions based on dysphagia in elderly patients geriatric hospitals.
Method
This study included 210 elderly persons aged ≥65 years who were in three geriatric hospitals in the city of B. The data were collected between January 28, 2019 and March 28, 2019. The presence of dysphagia was evaluated using the Gugging Swallowing Screen (GUSS), cognitive function was evaluated using the Korean Mini Mental State Examination (K-MMSE), and physical function was evaluated using the Korean Activity of Daily Living (K-ADL). The data were analyzed by descriptive statistics, χ-test, Fisher’s exact test and independent t-test using SPSS/WIN 23.0 program.
Results
1. The prevalence of dysphagia was 66.7% in elderly patients geriatric hospitals.
2. There were statistically significant differences in the dysphagia according to age (χ=4.58, p=.032), nervous system disease (χ=38.76, p<.001), respiratory system disease (χ=22.0, p<.001), medication related to dysphagia (χ=8.33, p=.004) and BMI (χ=9.10, p=.018).
3. There were statistically significant differences cognitive function (t=10.11, p<.001) and physical function (t=-11.0, p<.001) according to the dysphagia.
Conclusion
Elderly patients with dysphagia at geriatric hospitals exhibited reduced cognitive and physical functions. These findings are expected to be utilized in clinical practice and training of patients and nurses to provide a foundation for early screening of dysphagia, with the ultimate goal of reducing and preventing complications.
The purpose of this study was to examine the cognitive and physical functions based on dysphagia in elderly patients geriatric hospitals.
Method
This study included 210 elderly persons aged ≥65 years who were in three geriatric hospitals in the city of B. The data were collected between January 28, 2019 and March 28, 2019. The presence of dysphagia was evaluated using the Gugging Swallowing Screen (GUSS), cognitive function was evaluated using the Korean Mini Mental State Examination (K-MMSE), and physical function was evaluated using the Korean Activity of Daily Living (K-ADL). The data were analyzed by descriptive statistics, χ-test, Fisher’s exact test and independent t-test using SPSS/WIN 23.0 program.
Results
1. The prevalence of dysphagia was 66.7% in elderly patients geriatric hospitals.
2. There were statistically significant differences in the dysphagia according to age (χ=4.58, p=.032), nervous system disease (χ=38.76, p<.001), respiratory system disease (χ=22.0, p<.001), medication related to dysphagia (χ=8.33, p=.004) and BMI (χ=9.10, p=.018).
3. There were statistically significant differences cognitive function (t=10.11, p<.001) and physical function (t=-11.0, p<.001) according to the dysphagia.
Conclusion
Elderly patients with dysphagia at geriatric hospitals exhibited reduced cognitive and physical functions. These findings are expected to be utilized in clinical practice and training of patients and nurses to provide a foundation for early screening of dysphagia, with the ultimate goal of reducing and preventing complications.
목차
Ⅰ. 서론 11. 연구의 필요성 12. 연구의 목적 33. 용어의 정의 4Ⅱ. 문헌고찰 61. 노인의 연하장애 62. 노인의 연하장애와 인지기능 및 신체기능 9Ⅲ. 연구방법 141. 연구설계 142. 연구대상 143. 연구도구 154. 자료수집 방법 및 기간 215. 윤리적 고려 226. 자료 분석 방법 22Ⅳ. 연구결과 241. 대상자의 일반적 특성과 질병 관련 특성 및 연하장애와의 차이 242. 대상자의 인지기능, 신체기능 및 연하장애 283. 대상자의 연하장애에 따른 인지기능과 신체기능의 차이 30Ⅴ. 논의 32Ⅵ. 결론 및 제언 39참고문헌 41부록 54부록 1. 연구 참여 설명문 및 동의서 54부록 2. 일반적 특성과 질병 관련 특성 설문지 56부록 3. 연하장애 측정도구 57부록 4. 인지기능 측정도구 58부록 5. 신체기능 측정도구 59부록 6. GUSS 도구 사용 동의 61부록 7. K-MMSE 도구 사용 동의 62부록 8. K-ADL 도구 사용 동의 63부록 9. IRB 승인 통지서 64
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