ORIGINAL RESEARCH
Quality of Life in Geriatric Individuals with and without Swallowing Complaints
Yutma Şikâyeti Olan ve Olmayan Geriatrik Bireylerde Yaşam Kalitesi
Received Date : 08 Nov 2024
Accepted Date : 04 Dec 2024
Available Online : 12 Dec 2024
Emel ARSLAN SARIMEHMETOĞLUa, Ömer KÜÇÜKDEMİRCİb, Seher GÖNEN ŞENTÜRKc
aAnkara Medipol University Faculty of Health Sciences, Department of Speech and Language Therapy, Ankara, Türkiye
bOndokuz Mayıs University Faculty of Medicine, Division of Gastroenterology, Samsun, Türkiye
cÇankırı Karatekin University Faculty of Health Sciences, Department of Internal Medicine Nursing, Çankırı, Türkiye
Doi: 10.24179/kbbbbc.2024-106705 - Makale Dili: EN
Journal of Ear Nose Throat and Head Neck Surgery. 2025;33(2):55-62
Copyright © 2020 by Turkey Association of Society of Ear Nose Throat and Head Neck Surgery. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Objective: The aim of this study was to evaluate quality
of life (QOL) in elderly individuals with or without swallowing difficulties.
Material and Methods: A total of 195 participants with (main
group, n=112) and without (reference group, n=83) complaints of swallowing
difficulties were included in the study. The Eating Assessment
Tool (T-EAT-10) and The Quality of Life Scale in Older People
(CASP-19) were administered to the participants. There are two subdimensions
in CASP-19: Perception of Autonomy and Satisfaction
(Factor 1) and Perception of Obstacles (Factor 2). Results: The average
age of participants in the main group is 70.78±5.286, while in the
reference group, it is 72.25±7.583. The main and reference groups had
similar demographic and clinical characteristics (p>0.05). The mean TEAT-
10 score for the main group was 6.80±6.130, while it was
0.51±0.787 in the reference group (t=10.753, p≤0.001). A statistically
significant difference was found between the CASP-19 main group
(20.51±8.282) and reference group (23.55±8.090) (t=2.564, p=0.011).
A correlation analysis revealed a weak, negative statistical correlation
between T-EAT-10 and the CASP-19 subscale, Factor 1 (r=-0.211,
p=0.025), Factor 2 (r=-0.222, p=0.019), and the CASP-19Total (r=-
0.237, p=0.012). Conclusion: In this study, it was determined that geriatric
individuals with complaints of swallowing difficulty have a lower
quality of life compared to those without such complaints. The overall
quality of life decreased as the severity of dysphagia increased. It is
recommended that dysphagia screening be increased in geriatric individuals
and longitudinal follow-up studies be conducted in larger populations.
Keywords: Deglutition disorders; quality of life; geriatrics
ÖZET
Amaç: Yutma güçlüğü şikâyeti olan veya olmayan geriatrik bireylerin
yaşam kalitesini değerlendirmektir. Gereç ve Yöntemler:
Yutma güçlüğü şikâyeti olan (ana grup, n=112) ve olmayan (referans
grup, n=83) toplam 195 katılımcı çalışmaya dâhil edilmiştir. Katılımcılara
Yeme Değerlendirme Aracı [The Eating Assessment Tool (TEAT-
10)] ve Yaşlı Bireylerde Yaşam Kalitesi Ölçeği [The Quality of
Life Scale in Older People (CASP-19)] uygulanmıştır. CASP-19’da
Özerklik ve Doyum Algısı (Faktör 1) ve Engel Algısı (Faktör 2) olmak
üzere 2 alt boyut vardır. Bulgular: Ana gruptaki katılımcıların ortalama
yaşı 70,78±5,286 iken referans grubunda bu değer
72,25±7,583’tür. Ana ve referans grupları demografik ve klinik özelliklerde
benzerlik göstermiştir (p>0,05). Ana grubun ortalama T-EAT-
10 puanı 6,80±6,130 iken referans grubunda bu puan 0,51±0,787 olarak
bulunmuştur (t=10,753, p≤0,001). CASP-19 ana grup (20,51±8,282)
ve referans grubu (23,55±8,090) arasında istatistiksel olarak anlamlı
bir fark vardır (t=2,564, p=0,011). Korelasyon analizi sonucunda, TEAT-
10 ile CASP-19 alt boyutları Faktör 1 (r=-0,211, p=0,025), Faktör
2 (r=-0,222, p=0,019) ve CASP-19 toplam (r=-0,237, p=0,012)
arasında zayıf ve negatif yönlü istatistiksel olarak anlamlı bir ilişki vardır.
Sonuç: Bu çalışmada, yutma güçlüğü şikâyeti olan geriatrik bireylerin,
yutma şikâyeti olmayanlara göre daha düşük yaşam kalitesine
sahip olduğu belirlenmiştir. Disfaji şiddeti arttıkça yaşam kalitesinin
düştüğü tespit edilmiştir. Geriatrik bireylerde disfaji taramalarının artırılması
ve daha geniş popülasyonlarda uzunlamasına takip çalışmalarının
yapılması önerilmektedir.
Anahtar Kelimeler: Yutma bozuklukları; yaşam kalitesi; geriatri
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