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KMID : 0806120150450010001
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대한간호학회지
2015 Volume.45 No. 1 p.1 ~ p.13
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Dysphagia Screening Measures for Use in Nursing Homes: A Systematic Review
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Park Yeon-Hwan
Bang Hwal-Lan
Han Hae-Ra
Chang Hee-Kyung
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Abstract
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Purpose: The purpose of this study was to evaluate the psychometric quality and feasibility of measurements for screening dysphagia inolder adults to identify the ‘right tool’ for nurses to use in nursing homes.
Methods: A systematic review was done. Electronic databaseswere searched for studies related to dysphagia screening measurements. A checklist was used to evaluate the psychometric quality andapplicability. Tools were evaluated for feasible incorporation into routine care by nurses.
Results: 29 tools from 31 studies were identified.
Dysphagia screening tools with an acceptable validity and reliability had sensitivity between 68% and 100% and specificity between 52%and 100%. The Gugging Swallowing Screen (GUSS) and the Standardized Swallowing Assessment (SSA) were the tools with high psychometricquality, especially with high sensitivity, that nurses could perform feasibly to identify the risk and to grade the severity of dysphagiaand aspiration of nursing home residents.
Conclusion: Results show that GUSS and SSA are reliable and sensitive tools forscreening dysphagia which nurses can use in nursing homes. Further research is needed to examine feasibility of screening with identifiedtools, and also, to establish effective and standardized protocols for these tools so they can be effectively incorporated into routine care.
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KEYWORD
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Deglutition disorders, Nursing, Nursing homes, Screening, Systematic review
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