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¡¡¡¡ABSTRACT
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¡¡¡¡Objective: Through a questionnaire survey of the elderly in the six communities in Changchun, to understand the status quo of dysphagia, and to explore the influencing factors from the aspects of characteristics of social demography and swallowing knowledge. In order to understand the swallowing-related situation of this group of people, early detection of dysphagia in the elderly and popularize knowledge of dysphagia, and improve the quality oflife and life expectancy of the elderly.
¡¡¡¡
¡¡¡¡Methods: A questionnaire survey was conducted among elderly people living in 4 communities in Changchun from March to October 2018. The questionnaire included a self-designed basic information questionnaire, 10-Item Eating Assessment Tool, self-designed inspection of swallowing knowledgeand self-assessment questionnaire for swallowing function. The Epidata 3.0 was used for data entry and SPSS 17.0 statisticalsoftware was used for data processing and analysis. Statistical methods used include descriptive analysis, t-test,chi-square test or rank sum test analysis. P< 0.05 was statistically significant.
¡¡¡¡
¡¡¡¡Results:
¡¡¡¡
¡¡¡¡1.Amongthe 802 respondents, 374 (46.6%) had no swallowing abnormalities and 428 (53.4%) had abnormal swallowing function.
¡¡¡¡
¡¡¡¡2. Gender, age, education level, marital status, living with their children, the industry, past medical history of the survey swallowing dysfunction detected statistically significant differences in the rate (P <0.05). Among them, the detection rate of swallowing dysfunction among women, those over 80 years old, widowed, and past medical history were higher than those of other groups.
¡¡¡¡
¡¡¡¡3. There were significant differences in the detection rate of swallowing abnormalities among the subjects with different smoking, secondhand smoke, drinking, physical exercise and self-reported lifestyle (P<0.05). Among them, smokers , those who regularly smoked second-hand smokers, regularly drink alcohol, never exercised, and self-reported poorlifestyles had higher rates of swallowing dysfunction than other groups.
¡¡¡¡
¡¡¡¡4. Knowledge about different clinical manifestations of dysphagia, dysphagia complications, mistakes to avoid cough or aspiration, and awareness of differences in swallowing dysfunction among respondents with improved knowledge of swallowing function has statistically significant (P<0.05). Among them, the detection rate of swallowing dysfunction was higher in the subjects who did not know the clinical manifestations of dysphagia, the complications of dysphagia, the types of mistakes to avoid cough or aspiration,and the behaviors related to the improvement of swallowing function.
¡¡¡¡
¡¡¡¡Conclusion:
¡¡¡¡
¡¡¡¡1. 53.4% elderly had abnormal swallowing function.
¡¡¡¡
¡¡¡¡2. Gender, age , bad habits, etc. may be associated factors of swallowing status.
¡¡¡¡
¡¡¡¡3. In order to improve the quality of life and prolong life of the elderly, it is particularly important to understandstatus quo of dysphagia in the elderly and to spread knowledge about dysphagia.
¡¡¡¡
¡¡¡¡Keywords:    Cross-sectional Investigation, Dysphagia, Elderly, Knowledge Awareness¡£
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