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Dysphagia Screening Measures for Use in Nursing Homes: A Systematic Review

Journal of Korean Academy of Nursing 2015년 45권 1호 p.1 ~ 13
KMID : 0806120150450010001
박연환 ( Park Yeon-Hwan ) - Seoul National University College of Nursing

방활란 ( Bang Hwal-Lan ) - Seoul National University Research Institute of Nursing Science
한혜라 ( Han Hae-Ra ) - USA Johns Hopkins University School of Nursing
장희경 ( Chang Hee-Kyung ) - Seoul Women’s College of Nursing

Abstract

Purpose: The purpose of this study was to evaluate the psychometric quality and feasibility of measurements for screening dysphagia inolder adults to identify the ‘right tool’ for nurses to use in nursing homes.

Methods: A systematic review was done. Electronic databaseswere searched for studies related to dysphagia screening measurements. A checklist was used to evaluate the psychometric quality andapplicability. Tools were evaluated for feasible incorporation into routine care by nurses.

Results: 29 tools from 31 studies were identified.
Dysphagia screening tools with an acceptable validity and reliability had sensitivity between 68% and 100% and specificity between 52%and 100%. The Gugging Swallowing Screen (GUSS) and the Standardized Swallowing Assessment (SSA) were the tools with high psychometricquality, especially with high sensitivity, that nurses could perform feasibly to identify the risk and to grade the severity of dysphagiaand aspiration of nursing home residents.

Conclusion: Results show that GUSS and SSA are reliable and sensitive tools forscreening dysphagia which nurses can use in nursing homes. Further research is needed to examine feasibility of screening with identifiedtools, and also, to establish effective and standardized protocols for these tools so they can be effectively incorporated into routine care.
KeyWords

Deglutition disorders, Nursing, Nursing homes, Screening, Systematic review
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