The purpose of this study was to develop a dysphagia assessment tool and a intervention program for elderly in the long-term care facilities and to evaluate its effect. The dysphagia assessment tool consists of 20 items was developed through literature review, previous studies and discussion with nursing/medical members. The intervention program consisted of 72 items and participants for evaluation were 50 elders who were registered at long-term care facilities in 4 regions of Seoul. Collected data were analyzed using SPSS Statistics 18.0 and Spearman's Correlation, t-test, and x²-test. After the application of the dysphagia assessment tool and intervention program, the weight in experimental group was increased (t=4.913, p=.000) and the total time of swallowing was reduced (t=-4.557, p=.000) than control group. These findings were statistically significant. Considering these results, by applying the dysphagia assessment tool and the intervention program, the lives of the elderly in long-term care facilities are expected to be improved and emergency situations such as aspiration pneumonia and asphyxia will be decreased. 2. 먹는 방법을 몰라서 음식을 주어도 입을 벌리지 않거나 계속 씹는다. 섬망 증상으로 인해 산만하고 섭식을 거부한다.4. 스스로 수직으로 앉지 못한다. 스스로 고개를 가누지 못한다.구강 준비기/구강기 장애 6. 음식 섭취를 위해 스스로 입을 열거나 다물지 못한다. 음식을 씹지 못하여 음식덩이(bolus)를 형성하지 못한다.8. 침을 흘려서 입안에 음식덩이가 쌓인다.9. 혀 움직임이 부족하여 음식덩이를 인두 쪽으로 넘기지 못한다.10. 안면근육 장애가 있다.11. 구강에 음식 잔여물이 있다. 인두기 장애12. 음식을 삼킨 후 가래 낀 젖은 목소리(쉰 목소리/가르랑 거림)가 난다.13. 음식 삼킬 때 사레들림 증상이 있다.14. 비강역류 증상이 있다.15. 음식을 삼킬 때가 되었는데도 삼키지 못하고 음식을 머금고 있다. 음식을 삼킬 때 안면 청색증/호흡곤란이 있다.17. 음식 흡인시 자발적 기침을 하지 못한다. 식도기 장애18. 음식 섭취 후 가슴 답답함을 호소하고 트림이나 딸꾹 질을 자주한다.
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