Quality of life in swallowing of the elderly patients affected by stroke

Abstract

-Background -The elderly population faces many difficulties as a result of the aging process. Conceptualize and evaluate their life quality is a challenge, being hard to characterize the impact on daily activities and on functional capacity. The stroke is one of the most disabling neurological diseases, becoming a public health problem. As an aggravating result, there is dysphagia, a disorder that compromises the progression of the food from the mouth to the stomach, causing clinical complications to the individual. Objective -Characterize the life quality of the elderly swallowing affected by stroke. Methods -Cross-sectional study conducted at the University Hospital, attended by 35 elderly with stroke, being 19 women and 16 men, with age between 60 and 90 years old, that self-reported satisfactory overall clinical picture. It was applied the Quality of Life Swallowing protocol. The data were statistically analyzed, by means of ANOVA tests, Spearman correlation, t test, with significance level of 5%. Results -The mean age was 69.5 years; as for the scores obtained by the 35 participants in the 11 domains of the protocol, it was observed a change in score indicating severe to moderate impact in quality of life related to self-reported swallowing (31.8% to 59.5%); the domain that most interfered was the feeding time (31.8%). Conclusion -Elderly affected by stroke that present dysphagia has low scores in quality of life related to swallowing. HEADINGS -Stroke. Deglutition disorders. Health of the elderly. Quality of life.Declared conflict of interest of all authors: none Disclosure of funding: no funding received

Dysphagia and Quality of Life, Participation, and Inclusion Experiences and Outcomes for Adults and Children With Dysphagia: A Scoping Review

“…Furthermore, greater severity of dysphagia significantly correlated with reductions in quality of life (Arslan et al, 2019;Carneiro et al, 2014;da Costa Franceschini & Mourao, 2015;Hong & Yoo, 2017;Luchesi & Silveira, 2018;Pierce et al, 2016;Song et al, 2020;Turley & Cohen, 2009;Vogel et al, 2014). However, the duration of dysphagia did not always make a difference; in six studies where dysphagia symptoms were stable, there was no correlation between the duration of dysphagia and quality-of-life impacts (Carneiro et al, 2014; J. S. Kim et al, 2005;Leow et al, 2010;Plowman-Prine et al, 2009;Pontes et al, 2017;van Hooren et al, 2016; see Table 1).…”

Differences in the quality of life of patients with oropharyngeal dysphagia according to the place of residence: impact on food selection and type of diet

“…Para obtener la puntuación global del test se promediaron los resultados de cada sección. De esta manera, los resultados se han interpretado dentro de los siguientes rangos: 0-49, impacto severo; 50-70, impacto moderado; y 71-100, impacto discreto o sin impacto en la QoL, según lo describe Pontes (17).…”

Emotional Status and Quality of Life in Adult Patients With Neurogenic Dysphagia

“…Sağlıkla ilgili yaşam kalitesi; sağlık durumunun, hastalığın ve tedavinin, fiziksel, duygusal, zihinsel ve sosyal açıdan kişilerin yaşam kalitesi üzerindeki etkisi olarak tanımlanmaktadır 35 . Nörojenik yutma bozukluğu olan hastalarda da yutma ile ilişkili yaşam kalitesi değişikliklerini tanımlayan çalışmalar bulunmaktadır 25,29,[35][36][37][38][39][40][41][42][43][44][45][46][47][48] . İnme sonrası yutma bozukluğunda kişinin yutma bozukluğu şiddeti yaşam kalitesini etkilemektedir.…”

“…Yapılan çalışmalarda inmede yiyecek seçiminin kısıtlanmasının, MS'de yemek sırasında öksürme, boğazda takılma ile birlikte boğulma korkusunun, PH'da yemek süresinin uzaması ve yeme isteğinin azalmasının ve ALS'de yeme süresinin uzaması, yeme isteğinin azalması, yorgunluk ve uyku bulguları yutma ile ilgili yaşam kalitesinde azalmaya sebep olduğu belirtilmektedir. Aynı zamanda nörojenik yutma bozukluklarının sosyal hayatı kısıtlaması ile de yaşam kalitesinin olumsuz yönde etkilendiği vurgulanmaktadır 25,29,38,43 .…”