Adult dysphagia assessment in the UK and Ireland: Are SLTs assessing the same factors?
Adult dysphagia assessment in the UK and Ireland: Are SLTs assessing the same factors?
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DOI：
10.1007/s00455-006-9070-3
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发表时间：
2007-07-01
期刊：
影响因子：
2.6
通讯作者：
Drinnan, Michael J.
中科院分区：
文献类型：
--
作者：
Bateman, Claire;Leslie, Paula;Drinnan, Michael J.
这是第一项研究英国/爱尔兰言语和语言治疗师的吞咽困难评估实践的研究。目的是（1）检查临床医生的实践模式，（2）确定实践的一致性水平，以及（3）将英国/爱尔兰临床医生的实践与之前报道的美国临床医生的实践进行比较。一项为美国早期研究开发的调查问卷在试点研究后进行了修改。由此产生的电子邮件调查由 296 名治疗吞咽困难成年人的言语和语言治疗师完成。受访者被要求评价他们使用临床吞咽困难检查的 31 项内容的频率。一致性是通过计算同意使用频率的受访者的百分比来确定的。据报告，四个部分的使用频率较低：补偿技术试验、获取患者用药史、言语清晰度/清晰度评估以及心理能力筛查/评估。临床医生之间的变异性很高，6/31 的成分 (19%) 观察到不一致，只有 10/31 (32%) 的成分高度一致。结果与美国早期研究的数据进行了比较。在实践中观察到五个部分的显着差异：颈部听诊、补偿技术试验、呕吐反射、感觉功能评估以及心理能力筛查/评估。英国/爱尔兰临床医生之间的不一致程度高于美国对照研究。讨论了这些发现的临床意义。
This is the first study to examine dysphagia assessment practices of UK/Ireland speech and language therapists. The aims were to (1) examine practice patterns across clinicians, (2) determine levels of consistency in practice, and (3) compare practices of clinicians in the UK/Ireland with those previously reported of clinicians in the United States. A questionnaire, developed for earlier U.S. research, was adapted following a pilot study. The resulting email survey was completed by 296 speech and language therapists working with dysphagic adults. Respondents were asked to rate how frequently they use 31 components of a clinical dysphagia examination. Consistency was determined by calculating the percentage of respondents who agreed on frequency of use. Low frequency of use was reported for four components: trials with compensatory techniques, obtain patient's drug history, assessment of speech articulation/intelligibility, and screening/assessment of mental abilities. Variability among clinicians was high, with inconsistency observed for 6/31 cornponents (19%) and high consistency for only 10/31 (32%). Results were compared with data from the earlier U.S. study. Notable differences in practice were observed for five components: cervical auscultation, trials with compensatory techniques, gag reflex, assessment of sensory function, and screening/assessment of mental abilities. Inconsistency among UK/ Ireland clinicians was higher than in the comparator U.S. study. The clinical implications of these findings are discussed.