Pnömoni Öyküsü Olan Yaşlılarda Yutma Fonksiyonunun Değerlendirilmesi

Abstract

This study was made to evaluate the swallowing function in the elderly with the history of pneumonia. The study, with a mean age of 73.00 ± 7.93 years, 22 working groups with a history of pneumonia in the elderly, with a mean age of 70 ± 6.39 years, were included in the 22 with no history of pneumonia in the elderly control group. Swallowing function of elderly people, water swallow test and swallowing ability and function evaluation (SAFE) were evaluated. In evaluation, clinical swallowing function of individuals, nutrition, comorbidity, quality of life and activities of daily living was given. Of which the history of pneumonia, which was found in 59.1% reduction in swallowing ability, without a history of pneumonia were found in 9.1% decrease in swallowing ability. Swallowing evaluation of individuals with a history of pneumonia, coughing reflex was observed in 18.2%, 50% showed signs of silent aspiration. After you drink the water, abnormal respiratory sounds and challenging findings in individuals with a history of pneumonia, pneumonia more than those without a history (p <0.05) was observed. In individuals with a history of pneumonia, a strong correlation between the swallowing function and activities of daily living (p <0.001) was found. At 1 year and 10-year comorbidity value, no significant difference between both groups (p> 0.05). Individuals with a history of pneumonia, according to nutritional assessment results were seen in 45.5% of malnutrition.Of which the history of pneumonia, oral and pharyngeal phase of swallowing evaluation between nutritional assessment (p <0.05) were significantly associated. Assessment of quality of life, the emotional reaction parameters, with a history of pneumonia in a statistically significant difference (p <0.05), but not in the history of pneumonia person found significant differences (p> 0.05). Swallowing function in terms of which the history of pneumonia and found a non-significant difference between groups (p <0.05). In conclusion; structures that provide the swallowing function in the elderly, as the anatomical and physiological changes with increasing age. Therefore, elderly individuals, will lead to a reduction in absorption and effectiveness are being more prone to aspiration pneumonia. Life-threatening pneumonia the elderly, should be made a detailed assessment of swallowing from early to minimize and multidisciplinary approach swallowing rehabilitation program should be established.