Emotional Status and Quality of Life in Adult Patients With Neurogenic Dysphagia

Year 2020, Volume: 46 Issue: 1, 123 - 128, 01.04.2020

Sena Nur Begen , Selen Serel Arslan

https://doi.org/10.32708/uutfd.695540

Cited By: 1

Abstract

Swallowing disorder is a symptom caused by many neurological diseases including trauma or diseases affecting the peripheral and central nervous system, diseases affecting the muscle and/or neuromuscular junction. The International Classification of Functionality, Disability and Health (ICF) classifies diseases in terms of body structures, body functions, activity and participation, personal and environmental factors. Although neurogenic swallowing disorders appear with deficiencies in body structures and functions, it also restricts activity and participation due to the effects of personal and environmental factors. The existing neurological problem may affect the mental state and quality of life of the individuals, and the accompanying swallowing disorders cause an additional burden for both patients and their families and caregivers. Therefore, approach to neurogenic swallowing disorders should address individuals in all aspects within the scope of ICF both in the evaluation and treatment phases. Health professionals who take part in the management of swallowing disorders should be aware that the emotional state and quality of life of the individual and family and/or caregivers may be adversely affected, and the need to address these issues within the rehabilitation program should not be forgotten.

Keywords

Swallowing, Swallowing Disorder, Anxiety, Stress, Quality of life

Nörojenik Yutma Bozukluğu Olan Erişkin Hastalarda Duygu Durum ve Yaşam Kalitesi

Abstract

Yutma bozukluğu; periferal ve santral sinir sistemini etkileyen travma veya hastalıklar, kas ve/veya nöromusküler kavşağı etkileyen hastalıklar olmak üzere birçok nörolojik hastalık sonucu ortaya çıkan bir tablodur. Uluslararası İşlevsellik, Engellilik ve Sağlık Sınıflandırması (ICF) hastalıkları vücut yapıları, vücut fonksiyonları, aktivite ve katılım, kişisel ve çevresel faktörler bağlamında sınıflandırmaktadır. Nörojenik yutma bozukluğu görünürde vücut yapı ve fonksiyonlarındaki yetersizlikler ile ortaya çıksa da kişisel ve çevresel faktörlerin etkisiyle aktivite ve katılımı da kısıtlamaktadır. Halihazırda mevcut olan nörolojik problem kişilerin ruhsal durumu ve yaşam kalitesini etkileyebileceği gibi yutma bozukluğunun eşlik etmesi hem hasta, hem de aile ve bakım veren için ek bir yük oluşturmaktadır. Bu nedenle nörojenik yutma bozukluğuna yaklaşımımız hem değerlendirme, hem de tedavi aşamasında ICF kapsamında bireyi tüm yönleriyle ele almak olmalıdır. Yutma bozukluğu yönetiminde görev alan sağlık profesyonelleri kişi ve aile ve/veya bakım verenlerin duygu durumlarının ve yaşam kalitelerinin olumsuz yönde etkilenebileceğinin farkında olmalı ve rehabilitasyon programı içerisinde bu konuların ele alınması gerekliliği unutulmamalıdır.

Keywords

yutma, yutma bozukluğu, anksiyete, stres, yaşam kalitesi

References

• WHO. International classification of functioning, disability and health [online], http://www.who.int/classifications/icf/en (2014)
• Matsuo K, Palmer JB. Anatomy and physiology of feeding and swallowing: normal and abnormal. Phys Med Rehabil Clin N Am. 2008;19(4):691-707, vii.
• Dodrill P, Gosa MM. Pediatric Dysphagia: Physiology, Assessment, and Management. Ann Nutr Metab. 2015;66 Suppl 5:24-31.
• Borowitz KC, Borowitz SM. Feeding Problems in Infants and Children: Assessment and Etiology. Pediatr Clin North Am. 2018;65(1):59-72.
• Lefton-Greif MA. Pediatric dysphagia. Phys Med Rehabil Clin N Am. 2008;19(4):837-51, ix.
• Baijens LW, Clave P, Cras P, Ekberg O, Forster A, Kolb GF, et al. European Society for Swallowing Disorders - European Union Geriatric Medicine Society white paper: oropharyngeal dysphagia as a geriatric syndrome. Clin Interv Aging. 2016;11:1403-28.
• Favaro-Moreira NC, Krausch-Hofmann S, Matthys C, Vereecken C, Vanhauwaert E, Declercq A, et al. Risk Factors for Malnutrition in Older Adults: A Systematic Review of the Literature Based on Longitudinal Data. Adv Nutr. 2016;7(3):507-22.
• Manikantan K, Khode S, Sayed SI, Roe J, Nutting CM, Rhys-Evans P, et al. Dysphagia in head and neck cancer. Cancer Treat Rev. 2009;35(8):724-32.
• King SN, Dunlap NE, Tennant PA, Pitts T. Pathophysiology of Radiation-Induced Dysphagia in Head and Neck Cancer. Dysphagia. 2016;31(3):339-51.
• Hutcheson KA, Nurgalieva Z, Zhao H, Gunn GB, Giordano SH, Bhayani MK, et al. Two-year prevalence of dysphagia and related outcomes in head and neck cancer survivors: An updated SEER-Medicare analysis. Head Neck. 2019;41(2):479-87.
• Garcia-Peris P, Paron L, Velasco C, de la Cuerda C, Camblor M, Breton I, et al. Long-term prevalence of oropharyngeal dysphagia in head and neck cancer patients: Impact on quality of life. Clin Nutr. 2007;26(6):710-7.
• Dong Y, Zhang CJ, Shi J, Deng J, Lan CN. Clinical application of ICF key codes to evaluate patients with dysphagia following stroke. Medicine (Baltimore). 2016;95(38):e4479.
• Clave P, Shaker R. Dysphagia: current reality and scope of the problem. Nat Rev Gastroenterol Hepatol. 2015;12(5):259-70.
• Sasegbon A, Hamdy S. The anatomy and physiology of normal and abnormal swallowing in oropharyngeal dysphagia. Neurogastroenterol Motil. 2017;29(11).
• Khan A, Carmona R, Traube M. Dysphagia in the elderly. Clin Geriatr Med. 2014;30(1):43-53.
• Geyh S, Cieza A, Schouten J, Dickson H, Frommelt P, Omar Z, et al. ICF Core Sets for stroke. J Rehabil Med. 2004(44 Suppl):135-41.
• Wakabayashi, H., Matsushima, M., Ichikawa, H., Murayama, S., Yoshida, S., Kaneko, M., & Mutai, R. (2018). Occlusal support, dysphagia, malnutrition, and activities of daily living in aged individuals needing long-term care: a path analysis. The journal of nutrition, health & aging, 22(1), 53-58.
• Jones E, Speyer R, Kertscher B, Denman D, Swan K, Cordier R. Health-Related Quality of Life and Oropharyngeal Dysphagia: A Systematic Review. Dysphagia. 2018;33(2):141-72.
• Shune SE, Linville D. Understanding the dining experience of individuals with dysphagia living in care facilities: A grounded theory analysis. Int J Nurs Stud. 2019;92:144-53.
• Vesey, S. (2013). Dysphagia and quality of life. British journal of community nursing, 18(Sup5), S14-S19.
• Airoldi M, Garzaro M, Raimondo L, Pecorari G, Giordano C, Varetto A, et al. Functional and psychological evaluation after flap reconstruction plus radiotherapy in oral cancer. Head Neck. 2011;33(4):458-68.
• Swan K, Speyer R, Heijnen BJ, Wagg B, Cordier R. Living with oropharyngeal dysphagia: effects of bolus modification on health-related quality of life--a systematic review. Qual Life Res. 2015;24(10):2447-56.
• Ekberg O, Hamdy S, Woisard V, Wuttge-Hannig A, Ortega P. Social and psychological burden of dysphagia: its impact on diagnosis and treatment. Dysphagia. 2002;17(2):139-46.
• Farri, A., Accornero, A., & Burdese, C. (2007). Social importance of dysphagia: its impact on diagnosis and therapy. ACTA otorhinolaryngologica itálica, 27(2), 83.
• Bressan V, Bagnasco A, Aleo G, Catania G, Zanini MP, Timmins F, et al. The life experience of nutrition impact symptoms during treatment for head and neck cancer patients: a systematic review and meta-synthesis. Support Care Cancer. 2017;25(5):1699-712.
• Alali D, Ballard K, Bogaardt H. The frequency of dysphagia and its impact on adults with multiple sclerosis based on patient-reported questionnaires. Mult Scler Relat Disord. 2018;25:227-31.
• Vissink A, Jansma J, Spijkervet FK, Burlage FR, Coppes RP. Oral sequelae of head and neck radiotherapy. Crit Rev Oral Biol Med. 2003;14(3):199-212.
• Okuyama M, Takaishi O, Nakahara K, Iwakura N, Hasegawa T, Oyama M, et al. Associations among gastroesophageal reflux disease, psychological stress, and sleep disturbances in Japanese adults. Scand J Gastroenterol. 2017;52(1):44-9.
• Nund RL, Scarinci NA, Cartmill B, Ward EC, Kuipers P, Porceddu SV. Third-party disability in carers of people with dysphagia following non-surgical management for head and neck cancer. Disabil Rehabil. 2016;38(5):462-71.
• Chadwick, D. D., Jolliffe, J., & Goldbart, J. (2003). Adherence to eating and drinking guidelines for adults with intellectual disabilities and dysphagia. American Journal on Mental Retardation, 108(3), 202-211.
• Namasivayam-MacDonald AM, Shune SE. The Burden of Dysphagia on Family Caregivers of the Elderly: A Systematic Review. Geriatrics (Basel). 2018;3(2).
• Nund RL, Ward EC, Scarinci NA, Cartmill B, Kuipers P, Porceddu SV. Carers' experiences of dysphagia in people treated for head and neck cancer: a qualitative study. Dysphagia. 2014;29(4):450-8.
• Serel Arslan S, Demir N, Karaduman AA. The Anxiety Level of Caregivers of Neurological Patients with Dysphagia. Dysphagia. 2017;32(4):570-4.
• Carlsson S, Ryden A, Rudberg I, Bove M, Bergquist H, Finizia C. Validation of the Swedish M. D. Anderson Dysphagia Inventory (MDADI) in patients with head and neck cancer and neurologic swallowing disturbances. Dysphagia. 2012;27(3):361-9.
• Hoxbroe Michaelsen S, Gronhoj C, Hoxbroe Michaelsen J, Friborg J, von Buchwald C. Quality of life in survivors of oropharyngeal cancer: A systematic review and meta-analysis of 1366 patients. Eur J Cancer. 2017;78:91-102.
• Tabor L, Gaziano J, Watts S, Robison R, Plowman EK. Defining Swallowing-Related Quality of Life Profiles in Individuals with Amyotrophic Lateral Sclerosis. Dysphagia. 2016;31(3):376-82.
• McHorney CA, Robbins J, Lomax K, Rosenbek JC, Chignell K, Kramer AE, et al. The SWAL-QOL and SWAL-CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity. Dysphagia. 2002;17(2):97-114.
• Vanderwegen J, Van Nuffelen G, De Bodt M. The validation and psychometric properties of the Dutch version of the Swallowing Quality-of-Life Questionnaire (DSWAL-QOL). Dysphagia. 2013;28(1):11-23.
• Kellerman R, Kintanar T. Gastroesophageal Reflux Disease. Prim Care. 2017;44(4):561-73.
• Wiklund I. Review of the quality of life and burden of illness in gastroesophageal reflux disease. Dig Dis. 2004;22(2):108-14.