Oropharyngeal dysphagia and quality of life in elderly people in the late phase after stroke

Letícia Sampaio de Oliveira, Cris Magna dos Santos Oliveira, Jonan Emi Valencia Cardenas, Raquel Rodrigues Rosa, Eduardo Carvalho de Andrade, Claudia Tiemi Mituuti, Giédre Berretin-Felix
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Abstract

ABSTRACT Purpose: to verify the correlation between oropharyngeal dysphagia and quality of life in elderly people in the late phase after stroke. Methods: a retrospective cross-sectional study, whose data were obtained by analyzing a database composed of 30 elderly people in the late phase after stroke. All participants underwent clinical and instrumental evaluation of swallowing through the fiberoptic endoscopic evaluation of swallowing. The quality of life related to swallowing was analyzed using the Quality of Life in Swallowing Disorders protocol. Data were submitted to descriptive statistical analysis and Spearman's correlation test (p ≤ 0.05). Results: the clinical evaluation showed that most individuals had mild oropharyngeal dysphagia, while the protocol applied in the instrumental evaluation showed swallowing with functional limitations. There was a positive correlation between burden, eating desire, eating duration, and mental health with the severity of oropharyngeal dysphagia, both by clinical and instrumental evaluation; and between the symptom’s frequency and the severity of dysphagia by clinical evaluation. Conclusion: there was a correlation between the severity of oropharyngeal dysphagia and the quality of life of elderly people in the late phase after stroke.
老年人脑卒中后晚期口咽吞咽困难与生活质量的关系
目的:验证老年人脑卒中后晚期口咽吞咽困难与生活质量的相关性。方法:采用回顾性横断面研究,对30例脑卒中晚期老年人数据库进行数据分析。所有参与者都通过纤维内窥镜评估吞咽进行了临床和仪器评估。使用吞咽障碍生活质量方案分析与吞咽相关的生活质量。资料采用描述性统计分析和Spearman相关检验(p≤0.05)。结果:临床评估显示大多数个体有轻度口咽吞咽困难,而仪器评估中采用的方案显示吞咽功能受限。临床和仪器检测结果显示,患者的负担、进食欲望、进食持续时间和心理健康状况与口咽吞咽困难的严重程度呈正相关;并通过临床评价吞咽困难症状出现频率与严重程度之间的关系。结论:老年人脑卒中后晚期口咽吞咽困难的严重程度与生活质量存在相关性。
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