Detalhes bibliográficos
| Ano de defesa: |
2020 |
| Autor(a) principal: |
Antunes, Alice Prado de Azevedo
 |
| Orientador(a): |
Leslie Piccolotto, Ferreira |
| Banca de defesa: |
Não Informado pela instituição |
| Tipo de documento: |
Dissertação
|
| Tipo de acesso: |
Acesso aberto |
| Idioma: |
por |
| Instituição de defesa: |
Pontifícia Universidade Católica de São Paulo
|
| Programa de Pós-Graduação: |
Programa de Estudos Pós-Graduados em Fonoaudiologia
|
| Departamento: |
Faculdade de Ciências Humanas e da Saúde
|
| País: |
Brasil
|
| Palavras-chave em Português: |
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| Palavras-chave em Inglês: |
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| Área do conhecimento CNPq: |
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| Link de acesso: |
https://tede2.pucsp.br/handle/handle/23076
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Resumo: |
Introduction: Brazil is estimated to reach, by 2025, the position of sixth country in the world in number of elderly people. One of the alterations common to the elderly is swallowing-related (dysphagia), which may impair their quality of life, increase the risk of malnutrition, dehydration and pneumonias, and even lead to death. Thus, the early identification of patients with dysphagia can be a strategy to avoid clinical worsening and increased length of hospital stay. Objective: to validate the RaDI – an oropharyngeal dysphagia in elderly screening tool, for the hospital environment. Method: this is a quantitative, cross-sectional research with prospective collection, conducted in three phases, namely: Phase I – Pilot – application of the RaDI questionnaire with suggestions for changes; Phase II – application of the RaDI based on the changes proposed in Phase I, followed by speech-language-hearing swallowing assessment for content validation; and, Phase III – increase of the sample with application of the tool and assessment of dysphagia for construct validity. Content and construct statistical analyses were performed for the tool’s validation for hospital environment. Results: the inclusion of the “I don’t know” option, proposed in Phase I, did not significantly influence the analyses; however, it is suggested that it be maintained, since marking this option may clinically represent a false negative, which should be assessed by the speech-language-hearing therapist for the confirmatory test. The question “Do you feel tired after eating?” was the one with less commonality (0.245). It was observed, in the exploratory factorial analysis of the companion’s answers, that the questions presented high scores in all factors, which proves its possible applicability for another person, who accompanies the elderly, to answer the questionnaire. It was not necessary to change the score of the questionnaire, which is to be filled out by either the patient or their companion, whereas the adjustments proposed for it to be applicable in the hospital environment were accepted. Conclusion: the RaDI is validated for use in the hospital environment, with the possibility of it being filled out by either the patient or their companion |
