http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
- 中文 을 입력하시려면 zhongwen을 입력하시고 space를누르시면됩니다.
- 北京 을 입력하시려면 beijing을 입력하시고 space를 누르시면 됩니다.
RISS 인기검색어
- 검색키워드
- 저자 : 송윤범 (검색결과 4 건)
- 무료
- 기관 내 무료
- 유료
-
The Status of Dysphagia Diet and Its Prescription in Korea
송윤범,최경효,김동규,김하정,강은희 대한연하장애학회 2013 대한연하장애학회지 Vol.3 No.1
Objective: The patient with dysphagia needs special care, especially on diet. Since there is no guideline for dysphagia diet in Korea, survey on the status of dysphagia diet and its prescription is needed as basic information for dysphagia diet guideline. Method: The survey form was delivered to 80 hospitals and 58 hospitals replied the survey. The questions were composed to determine whether the hospitals have a standardized manual for dysphagia diet; whether the hospitals have staged diet; what material is used to modify the thickness of the food; which criteria are used to distinguish each diet; what is the basis of the dysphagia diet prescription; whether they have a team approach in prescribing diets for dysphagia patients; and whether they have individual information on diet or on nutrition materials provided to the patients. The secondary analysis was done for the dichotomic questions through chi-square test. Result: Among 58 hospitals, 48 hospitals prescribed a dysphagia diet (82.8%). Among these, 45 hospitals had the staged diet (93.8%). Twenty-three had manual for dysphagia diet (47.9%). Thirty-one prescribed a diet on the basis of objective tests (64.6%). Seventeen prescribed a diet according to non-objective opinion such as a doctor’s opinion (35.4%). Twenty-nine had a team approach to dysphagia patients (60.4%). Thirty-five had individual information on diet (72.9%). Among these, 19 had references (54.3%). The number of beds and grade of hospitals were analyzed on secondary analysis. The dysphagia diet menu was less prepared at secondary (31.0%). The information material was not prepared on both secondary (30.0%) and relatively small hospitals (42.9%). Conclusion: Based on this survey, it is necessary to develop standard manual in making dysphagia diet. We should have more attention on the team approach. We need to introduce the valid references to the information which is given to the patients. (JKDS 2013;3:26-31)
-
-
-
Comparison of Swallowing Functions Between Brain Tumor and Stroke Patients
박대환,전민호,이숙정,송윤범 대한재활의학회 2013 Annals of Rehabilitation Medicine Vol.37 No.5
Objective To compare the swallowing functions according to the lesion locations between brain tumor and stroke patients.Methods Forty brain tumor patients and the same number of age-, lesion-, and functional status-matching stroke patients were enrolled in this study. Before beginning the swallowing therapy, swallowing function was evaluated in all subjects by videofluoroscopic swallowing study. Brain lesions were classified as either supratentorial or in-fratentorial. We evaluated the following: the American Speech-Language-Hearing Association (ASHA) National Outcome Measurement System (NOMS) swallowing scale, clinical dysphagia scale, functional dysphagia scale (FDS), penetration-aspiration scale (PAS), oral transit time, pharyngeal transit time, the presence of vallecular pouch residue, pyriform sinus residue, laryngopharyngeal incoordination, premature spillage, a decreased swal-lowing reflex, pneumonia, and the feeding method at discharge.Results The incidence of dysphagia was similar in brain tumor and stroke patients. There were no differences in the results of the various swallowing scales and other parameters between the two groups. When compared brain tumor patients with supratentorial lesions, brain tumor patients with infratentorial lesions showed higher propor-tion of dysphagia (p=0.01), residue (p<0.01), FDS (p<0.01), PAS (p<0.01), and lower ASHA NOMS (p=0.02) at initial evaluation. However, there was no significant difference for the swallowing functions between benign and malig-nant brain tumor patients. Conclusion Swallowing function of brain tumor patients was not different from that of stroke patients according to matching age, location of lesion, and functional status. Similar to the stroke patients, brain tumor patients with infratentorial lesions present poor swallowing functions. However, the type of brain tumor as malignancy does not influence swallowing functions.
연관 검색어 추천
이 검색어로 많이 본 자료
활용도 높은 자료
