umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Incidens av orofaryngeal dysfagi hos nyinsjuknade strokepatienter
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Speech and Language Therapy.
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Speech and Language Therapy.
2014 (Swedish)Independent thesis Advanced level (professional degree), 20 credits / 30 HE creditsStudent thesis
Abstract [sv]

Bakgrund: Dysfagi innebär avvikelser i den normala sväljningsfunktionen och är en vanlig funktionsnedsättning till följd av stroke. Tidigare studier har påvisat att incidensen av dysfagi i det akuta skedet efter stroke är 41-68 %. Kliniskt sett upplevs incidensen ha minskat de senaste tio åren. 

Syfte: Syftet med denna studie var därför att (1) undersöka den nuvarande incidensen av orofaryngeal dysfagi hos nyinsjuknade strokepatienter, (2) undersöka hur många av deltagarna som upplever svårigheter att äta och svälja samt bedöms lida av dysfagi enligt vårdpersonal. 

Metod: Sextiotre patienter inkluderades i studien, av dessa fick 42,9 % diagnosen stroke. Samtliga deltagare genomgick en dysfagibedömning inom tre dygn efter inskrivning på vårdavdelning. Denna bestod av testerna the Standardized Swallowing Assessment – Svensk översättning (SSA-S) och sväljkapacitetstest (SCT). Deltagare som inte klarade kriterierna i dessa bedömdes lida av orofaryngeal dysfagi. 

Resultat: Totalt bedömdes 24 deltagare lida av orofaryngeal dysfagi. I diagnosgruppen stroke var incidensen 48,1 %. Det fanns noteringar om dysfagi i patientjournal hos 20,8 % av deltagarna som enligt testledare bedömdes lida av orofaryngeal dysfagi. Vidare upplevde 29,2 % av samtliga deltagare med orofaryngeal dysfagi samt 30,8 % i diagnosgruppen stroke svårigheter att äta eller svälja. 

Slutsatser: Studien indikerar på att incidensen av orofaryngeal dysfagi hos nyinsjuknade strokepatienter inte har minskat i jämförelse med tidigare studier. Däremot tycks det finnas en låg medvetenhet om befintliga ät- och sväljningssvårigheter hos såväl patienter som vårdpersonal.

Abstract [en]

Background: Dysphagia involves abnormalities in the normal swallowing function, and is a common impairment following stroke. Previous studies have shown that the incidence of dysphagia in the acute phase after stroke is 41-68 %. Clinically interprets that the incidence has declined over the past decade. 

Aim: The purpose of this study was to (1) examine the current incidence of oropharyngeal dysphagia in recent-onset stroke patients, (2) investigate how many of the participants who experience difficulty eating and swallowing, and how many is believed to suffer from dysphagia according to healthcare professionals. 

Method: Sixty-three patients were enrolled in the study, of whom 42,9 % were diagnosed with stroke. All participants underwent a bedside assessment of swallowing function within three days after enrollment in the nursing ward. The assessment consisted of the Standardized Swallowing Assessment - Swedish translation (SSA-S) and swallowing capacity test (SCT). Participants who did not pass the criteria of these two tests suffered from oropharyngeal dysphagia. 

Results: Totally, 24 participants suffered from oropharyngeal dysphagia. The incidence in the stroke group was 48,1 %. There were notes about dysphagia in medical records in 20,8 % of the participants who were judged to suffer from oropharyngeal dysphagia by the test managers. Furthermore 29,2 % of all participants with oropharyngeal dysphagia and 30,8 % in the stroke group experienced difficulty eating or swallowing. 

Conclusions: This study indicates that the incidence of oropharyngeal dysphagia in recent-onset stroke patients has not decreased in comparison with previous studies. In contrast, it appears to be a low awareness of existing eating and swallowing difficulties for both patients and healthcare professionals.

Place, publisher, year, edition, pages
2014. , 11 p.
Keyword [en]
Oropharyngeal dysphagia, stroke, incidence
Keyword [sv]
Orofaryngeal dysfagi, stroke, incidens
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:umu:diva-98050OAI: oai:DiVA.org:umu-98050DiVA: diva2:780483
External cooperation
Strokecenter, VLL
Educational program
Speech-Language Pathology
Supervisors
Examiners
Available from: 2015-01-16 Created: 2015-01-14 Last updated: 2015-01-16Bibliographically approved

Open Access in DiVA

Examensarbete Thomasson och Wäppling(766 kB)225 downloads
File information
File name FULLTEXT01.pdfFile size 766 kBChecksum SHA-512
79dcf1aaec2b92cbcd3d9b63a3ea2548bdfd4a6258d51e36eb3485086a79d8da60223c86be9c528895f891933631418eeaab8e0898242f42409010819c0cfb55
Type fulltextMimetype application/pdf

Search in DiVA

By author/editor
Thomasson, SofiaWäppling, Sanna
By organisation
Speech and Language Therapy
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
Total: 225 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

urn-nbn

Altmetric score

urn-nbn
Total: 262 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf