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백은경 ( Paek Eun-Kyung ) - 세브란스 재활병원
유지수 ( Yoo Ji-Soo ) - 연세대학교 간호학과
문경희 ( Moon Kyung-Hee ) - 세브란스 재활병원
김효진 ( Kim Hyo-Jin ) - 세브란스 재활병원
이은석 ( Lee Eun-Seok ) - 세브란스 재활병원
이정혜 ( Lee Jung-Hae ) - 세브란스 재활병원
이승희 ( Lee Seung-Hee ) - 세브란스 재활병원
손현숙 ( Sohn Hyun-Sook ) - 세브란스 재활병원
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Abstract
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Purpose: This study was done using the parameters of oro-pharyngeal function and swallowing difficulties to develop an assessment tool for clinical appraisal.
Method: Preliminary parameters were selected from common parameters, related to dysphagia and aspiration in stroke patients, originating from 11 articles in the literature. First 39 parameters were classified by the following racteristics, 16 were related to disease, 13 to oro-pharyngeal function assessment and 10 to swallowing difficulties. Validity of the parameters was determined by a 75% or more agreement by expert consultants. Reliability of the parameters was determined by using the assessment tool with 45 patients who had a stroke.
Results: All 39 parameters were determined as adequate for the assessment tool by the opinions of the experts.
Tongue movement and soft palate function showed 96.9% agreement among the experts. Cronbach’s α for oro-pharyngeal functions and swallowing difficulties were 0.76 and 0.78, respectively. Intraclass correlation coefficients (ICC) for oro-pharyngeal functions and swallowing signs were 0.73 and 0.76, respectively.
Conclusions: In conclusion, this clinical assessment tool which was validated by experts and tested for reliability may be a useful bedside assessment tool for early detection of dysphagia and for prevention of complications of ysphagia in clinical nursing.
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KeyWords
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사정도구, 연하곤란, 신뢰도, 뇌졸중, 타당도
Assessment Tool, Dysphagia, Reliability, Stroke, Validity
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원문 및 링크아웃 정보
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등재저널 정보
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