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Förekomst av orofaryngeal dysfagi hos KOL-patienter med akut exacerbation
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Neuroscience, Logopedi.
2019 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 20 credits / 30 HE creditsStudent thesis
Abstract [en]

Chronic obstructive pulmonary disease (COPD) is a lung disease that causes respiratory distress and makes it difficult to breathe. People with COPD may experience difficulty in swallowing (dysphagia) and these may get worse during exacerbations (deterioration periods). Speech and language pathologists are the profession who investigates and treats dysphagia but at present there are few speech and language pathologists included in the COPD team. The aim for this study was to investigate the prevalence of oropharyngeal dysphagia in COPD patients with exacerbation and to study the relationship between dysphagia and respiratory function. To investigate dysphagia and lung function, subjective ratings and formal assessments were used. A total of 30 COPD patients with acute exacerbation were tested (M = 75 years, 55-94 range). The results showed that 73% had subjective swallowing difficulties and 80% showed objective swallowing difficulties. Of all participants 90% had dyspnoea (breathlessness). There was a statistically significant correlation between lung function and dysphagia. There was a significant difference between men and women regarding swallowing capacity (ml/s). The high prevalence of dysphagia indicates that there is a need for speech and language pathologists in the treatment of COPD patients. 

Abstract [sv]

Kroniskt obstruktiv lungsjukdom (KOL) är en lungsjukdom som orsakar förträngningar i luftvägarna och gör att det blir svårt att andas. Personer med KOL kan uppleva sväljsvårigheter (dysfagi) och dessa kan bli värre under exacerbationer (försämringsskov). Logopeder är den yrkesgrupp som utreder och behandlar dysfagi men i nuläget finns få logopeder inkluderade i KOL-team. Syftet med denna studie var att undersöka förekomsten av orofaryngeal dysfagi hos KOL-patienter med exacerbation samt att undersöka om det fanns något samband mellan dysfagi och andningsrelaterade svårigheter. För att undersöka dysfagi och lungfunktion användes subjektiva skattningar och objektiva screeningtester. Totalt testades 30 KOL-patienter med akut exacerbation som var mellan 55–94 år (M = 75 år). Resultaten visade att 73 % hade subjektiva sväljsvårighet och 80 % uppvisade objektiva sväljsvårigheter. Av alla deltagare hade 90 % dyspné (andnöd). Korrelationsanalyser visade ett statistiskt signifikant samband mellan lungfunktion och dysfagi. Det fanns även en signifikant skillnad mellan män och kvinnor avseende sväljkapacitet (ml/s).  Den höga förekomsten av dysfagi indikerar att det finns behov av logopeder för den aktuella patientgruppen. 

Place, publisher, year, edition, pages
2019.
Series
Magisterarbete i logopedi ; 164
Keywords [en]
COPD, exacerbation, dysphagia, prevalence, speech and language pathologist
Keywords [sv]
KOL, exacerbation, dysfagi, prevalens, logoped
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-376458OAI: oai:DiVA.org:uu-376458DiVA, id: diva2:1285774
Subject / course
Speech and Language Pathology
Educational program
Degree of Master of Science in Speech and Language Pathology
Supervisors
Examiners
Available from: 2019-02-05 Created: 2019-02-05 Last updated: 2019-02-05Bibliographically approved

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CiteExportLink to record
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