일개 도시 복지관 이용 노인의 삼킴곤란 관련 삶의 질에 미치는 영향요인

Factors Influencing SWAL-QOL (Swallowing-Quality of Life) of Elders

Purpose: According to a survey of older people in 2014, 54.6% of survey participants reported feeling ncomfortable in their daily life because of swallowing disorders. The purpose of this study was to identify factors that influence swallowing quality of life in community dwelling elders. Methods: A cross-sectional descriptive study was conducted with a sample of 150 community dwelling older people. Data were collected using self-administered questionnaires consisting of the MMSE-K(Mini-Mental State Examination-Korean), GDSSF-K (Geriatric Depression Scale Short Form Korea Version), Life Stress, and SWAL-QOL (Swallowing-Quality of Life). For data analysis, descriptive statistics, t-test, one-way ANOVA, Pearson correlation coefficients, and multiple regression were performed using SPSS/WIN 21.0 for Windows. Results: There was a significant correlation between swallowing quality of life and mental state (r=.27, p=.001), depression (r=-.47, p<.001) and life stress (r=-.60, p<.001). The factors influencing swallowing quality of life were having experienced aspiration (β=.29, p<.001), and life stress (β=-.38, p<.001). These variables explained 43.0% of swallowing quality of life. Conclusion: The findings indicate that the experiencing aspiration and life stress are variables that influence swallowing quality of life. Based on these results, nurses should educate older people about chronic disease management and eating habits to prevent aspiration.