摂食・嚥下の自立に影響する因子の検討

A study of factors influenced by independence of swallowing

要旨：研究の目的は，摂食の予後を予測し，効率的な治療計画を立てるために，摂食・嚥下の自立に関与する因子を特定することである．方法は初期評価時の9因子と，訓練終了時の摂食能力を比較した．結果，終了時の摂食・嚥下の自立は，咽頭期の問題，誤嚥，意識，痴呆，坐位保持能力と有意に関連することを示した．この結果は，これらの5因子が摂食・嚥下の予後予測や治療計画立案に重要であることを示唆する．

　The purpose of this study was to determine the prognosis for swallowing and to create an efficient swallowing treatment plan by identifying the factors involved in independence of swallowing. The method consisted of comparison of nine factors from the evaluation at the beginning of occupational therapy with the swallowing ability at the time of discharge from the hospital. The results indicated that the independence of swallowing at the time of discharge was significantly related to problems of the pharyngeal phase, aspiration, consciousness, dementia, and sitting balance at the beginning of therapy. The results suggest that these five factors are important in determining the swallowing prognosis and in creating an efficient treatment plan for swallowing.