KMID : 1024320120020020053
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Journal of the Korean Dysphagia Society 2012 Volume.2 No. 2 p.53 ~ p.61
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Swallowing Therapy and Quality of Life in Head and Neck Cancer Patients
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Song Young-Jin
Park Eun-Jung Yoon In-Jin Choi Kyoung-Hyo
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Abstract
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Objective: The purpose of this study is to know the change of swallowing function and quality of life when applying swallowing therapy to dysphagia patients with head and neck cancer.
Method: Test subjects are dysphagia who received swallowing therapy for diagnosis of head and neck cancer at A hospital. Treatments are conducted by compensational therapy which include postural control and modification diet and rehabilitation therapy for increase oropharyngeal function and sensory function, averagely 2-3 times a week for 16 weeks. And evaluations of swallowing function, diet level, and quality of life conducted before and after swallowing therapy.
Result: When aspect of swallowing function is examined before swallowing therapy, bolus formation decrease & oral residue are seen at 86.95% in oral phase. In pharyngeal phase, pharyngeal triggering delay at 82.61% and residue is seen in valleculae and pyriform sinuses at 95.65%. After swallowing therapy, bolus formation score is increased significantly 4.30¡¾2.18 to 3.00¡¾2.22 by functional dysphagia scale. On the other hand, residue in valleculae is decreased significantly 8.17¡¾3.90 to 7.83¡¾3.71 and residue in pyriform sinuses is also decreased 7.65¡¾3.80 to 5.91¡¾3.38. The Change of diet measured by ASHA NOMS is not significantly 2.13¡¾2.80 to 2.91¡¾2.92. In EORTC QLQ C-30, quality of life in normal function and symptom has no significant change. But, scale in EORTC HN-35, the point is decreased significantly 62.50¡¾28.33 to 52.31¡¾30.89 in swallowing, and 58.52¡¾30.12 to 43.33¡¾32.84 in social contact. It means that quality of life in swallowing and social activity is improved significantly. Also at the question about weight loss, the point is decreased 50.00¡¾40.02 to 25.93¡¾38.87. So satisfaction in weight change is improved significantly.
Conclusion: There is improvement of swallowing function and quality of life when applying swallowing therapy to dysphagia patients with head and neck cancer.
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KEYWORD
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Dysphagia, Head and neck cancer, Quality of life
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