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Yutma Bozukluklarında Tele-Sağlık Uygulamaları

Yıl 2021, Cilt: 47 Sayı: 1, 159 - 164, 01.04.2021
https://doi.org/10.32708/uutfd.881478

Öz

Yutma bozukluğu birçok hasta grubunu etkileyebilen ve yarattığı komplikasyonlar nedeniyle erken dönemde sağlık hizmetlerine erişim gerektiren bir durumdur. Uzaklık, ekonomik kısıtlılıklar, hastalara ait hareket engeli, pandemi gibi bulaş riski yüksek durumlar yutma değerlendirmesi ve tedavisine erişimde engellere sebep olabilmektedir. Bu nedenle günümüzde, yutma bozukluklarında tele-sağlık uygulamalarının önemi artmıştır. Tele-sağlık uygulamaları hastalara bilgi ve iletişim teknolojileri kullanarak uzak mesafeden sağlık hizmeti sağlanmasını ifade etmektedir. Bu uygulamalar yutma bozukluklarının değerlendirme ve tedavisinde hastalar ve klinisyenler açısından kolaylık sağlayabildiği gibi sağlık harcamalarında ciddi ölçüde azalmaya sebep olmaktadır. Tele-değerlendirme, klinik ve aletsel yutma değerlendirme basamaklarının çevrimiçi ortama adapte edilmesi yolu ile yapılabilmektedir. Farklı hasta gruplarında yapılan tele-değerlendirme çalışmalarında hasta memnuniyet düzeyleri ve yüz yüze değerlendirmeyle uyumun yüksek olduğu görülmektedir. Tele-rehabilitasyon alanında yapılan çalışmalar az sayıda olsa da klinisyenlere yol göstermesi açısından ümit vericidir. Sonuç olarak, yutma bozukluklarında tele-sağlık uygulamaları gelişmekte olan bir alan olup bu alanda yapılan çalışmaların standardizasyona, yaygınlaştırılmaya ve kanıt düzeylerinin artırılmasına ihtiyaç vardır.

Kaynakça

  • 1. Brennan DM, Mawson S, Brownsell S. Telerehabilitation: enabling the remote delivery of healthcare, rehabilitation, and self management. Stud Health Technol Inform. 2009;145:231-48.
  • 2. Ekeland AG, Bowes A, Flottorp S. Effectiveness of telemedici-ne: a systematic review of reviews. Int J Med Inform. 2010;79(11):736-71.
  • 3. Dansky KH, Palmer L, Shea D, Bowles KH Cost analysis of telehomecare. Telemed J E Health. 2001;7(3):225-32.
  • 4. Mashima PA, Brown JE. Remote management of voice and swallowing disorders. Otolaryngol Clin North Am. 2011;44(6):1305-16.
  • 5. Laver KE, Schoene D, Crotty M, George S et al. Telerehabilita-tion services for stroke., Cochrane Database Syst Rev. 2013(12):CD010255.
  • 6. Bours GJ, Speyer R, Lemmens J, Limburg M, de Wit R J. Bedside screening tests vs. videofluoroscopy or fibreoptic en-doscopic evaluation of swallowing to detect dysphagia in pati-ents with neurological disorders: systematic review. Adv Nurs. 2009; 65(3):477-93.
  • 7. Brodsky MB, Gilbert RJ. The long-term effects of COVID-19 on dysphagia evaluation and treatment. Arch Phys Med Rehabil. 2020;101(9):1662-4.
  • 8. Etges CL, Scheeren B, Gomes E, Barbosa Lde R. Screening tools for dysphagia: a systematic review. Codas. 2014;26(5):343-9.
  • 9. Rommel, N., Hamdy, S. Oropharyngeal dysphagia: manifesta-tions and diagnosis. Nat Rev Gastroenterol Hepa-tol 2016;13:49-59.
  • 10. Perlman, A., Witthawaskul, W. Real-time remote telefluoros-copic assessment of patients with dyspha-gia. Dysphagia 2002;17:162-7.
  • 11. Sharma S, Ward E, Burns C, Theodoros D, Russell T. Asses-sing swallowing disorders online: a pilot telerehabilitation study. Telemed J E Health. 2011;17(9):1-8.
  • 12. Şansal E, Atalık G, Gölaç H, Yılmaz M. COVID-19 pandemi sürecinde yutma bozukluklarının yönetimi: Gazi Üniversitesi Tıp Fakültesi KBB klinik tecrübesi. KBB ve BBC Dergisi. 2020;28(Suppl):68-75.
  • 13. Speyer R, Denman D, Wilkes-Gillan S et al. Effects of telehe-alth by allied health professionals and nurses in rural and remo-te areas: A systematic review and meta-analysis. J Rehabil Med. 2018;28;50(3):225-35.
  • 14. Kairy D, Lehoux P, Vincent C, Visintin M. A systematic re-view of clinical outcomes, clinical process, healthcare utiliza-tion and costs associated with telerehabilitation. Disabil Rehabil. 2009;31(6):427-47.
  • 15. Tousignant M, Boissy P, Corriveau H, Moffet H. In home telerehabilitation for older adults after discharge from an acute hospital or rehabilitation unit: A proof-of-concept study and costs estimation. Disabil Rehabil: Assist Technol 2006;1(4):209-216.
  • 16. Kortke H, Stromeyer H, Zittermann A et al. Postoperative therapy concept: A telemedicine guide for the study of ambula-tory rehabilitation of patients after cardiac surgery. Telemed J E Health. 2006;12(4):475-83.
  • 17. Rommel N, Hamdy S. Oropharyngeal dysphagia: manifestati-ons and diagnosis. Nat Rev Gastroenterol Hepatol. 2016;13(1):49-59.
  • 18. Ward E, Crombie J, Trickey M, et al. Assessment of communi-cation and swallowing post laryngectomy: A telerehabilitation trial. J Telemed Telecare. 2009;15:232-7.
  • 19. Clavé P, Arreola V, Romea M, Medina L, Palomera E, Serra-Prat M. Accuracy of the volume-viscosity swallow test for cli-nical screening of oropharyngeal dysphagia and aspiration. Clin Nutr. 2008;27(6):806-15.
  • 20. Ward EC, Sharma S, Burns C, et al. Validity of conducting clinical dysphagia assessments for patients with normal to mild cognitive impairment via telerehabilitation. Dysphagia. 2012;27:460-72.
  • 21. Kantarcigil C, Sheppard JJ, Gordon AM, et al. A telehealth approach to conducting clinical swallowing evaluations in children with cerebral palsy. Res Dev Disabil. 2016;55:207-17.
  • 22. Kantarcigil C, Malandraki GA. First step in telehealth assess-ment: a randomized controlled trial to ınvestigate the effective- ness of an electronic case history form for dysphagia. Dyspha-gia. 2017;32(4):548-58.
  • 23. Malandraki GA, Markaki V, Georgopoulos VC et al. An inter-national pilot study of asynchronous teleconsultation for orop-haryngeal dysphagia. J Telemed Telecare. 2013;19(2):75-9.
  • 24. Ward EC, Burns CL, Theodoros DG, Russell TG. Evaluation of a clinical service model for dysphagia assessment via telereha-bilitation. Int J Telemed Appl. 2013:91:852-6.
  • 25. Ward EC, Burns CL, Theodoros DG, Russell TG. Impact of dysphagia severity on clinical decision making via telerehabili-tation. Telemed J E Health. 2014;20(4):296-303.
  • 26. Serel Arslan S, Demir N, Karaduman AA (2017) Dysphagia rehabilitation. In: Arsava E. (eds) Nutrition in neurologic disor-ders. Springer, Cham. 2017.
  • 27. Theodoros D, Aldridge D, Hill AJ, Russell T. Technology-enabled management of communication and swallowing disor-ders in Parkinson's disease: a systematic scoping review. Int J Lang Commun Disord. 2019;54(2):170-88.
  • 28. Nordio S, Innocenti T, Agostini M, Meneghello F, Battel I. The efficacy of telerehabilitation in dysphagic patients: a systematic review. Acta Otorhinolaryngol Ital. 2018;38(2):79-85.
  • 29. Carnaby-Mann G, Crary MA, Schmalfuss I, Amdur R. "Pharyngocise": randomized controlled trial of preventative exercises to maintain muscle structure and swallowing function during head-and-neck chemoradiotherapy. Int J Radiat Oncol Biol Phys. 2012;83(1):210-9.
  • 30. Wall LR, Ward EC, Cartmill B, Hill AJ, Porceddu SV. Exami-ning user perceptions of SwallowIT: a pilot study of a new te-lepractice application for delivering intensive swallowing the-rapy to head and neck cancer patients. J Telemed Telecare. 2015. doi:10.1177/1357633X15617887.
  • 31. Wall LR, Ward EC, Cartmill B et al. Adherence to a prophylac-tic swallowing therapy program during (chemo) radiotherapy: Impact of service-delivery model and patient factors. Dyspha-gia. 2017;32(2):279-92.
  • 32. Clawson B, Selden M, Lacks M, Deaton AV, Hall B, Bach R. Complex pediatric feeding disorders: using teleconferencing technology to improve access to a treatment program. Pediatr Nurs. 2008;34(3):213-6.
  • 33. Ward EC, Burns CL. Dysphagia management via telerehabilita-tion: A review of the current evidence Journal of GHR 2014;3(5):1088-94.

Tele-Health Practices in Dysphagia

Yıl 2021, Cilt: 47 Sayı: 1, 159 - 164, 01.04.2021
https://doi.org/10.32708/uutfd.881478

Öz

Dysphagia is a condition that can affect several patient groups, and requires access to health in the early period due to its complications. Distance, economical constraints, patients mobility obstacles, high risk of transmission such as pandemic may cause obstacles in accessing dysphagia assesment and treatment. Therefore, recently the importance of tele-health practices in dysphagia has increased. Tele-health practices refers to providing healthcare services to patients remotely by using information and communication technologies. These practices can provide convenience for patients and clinicians in the evaluation and treatment of dysphagia, as well as causing a significant reduction in health expenditures. Tele-assessment is performed by adapting clinical and instrumental swallowing assessment steps to online environment. In teleassessment studies conduction in different patient groups, patients’ satisfaction levels and agreement with face to face assessments were found to be high. Although there are few studies in tele-rehabilitation, it is promising to guide clinicians. In conclusion, tele-health practices in dysphagia is a developing field, and there is a need for standardization, dissemination and increasing the level of evidence in the field.

Kaynakça

  • 1. Brennan DM, Mawson S, Brownsell S. Telerehabilitation: enabling the remote delivery of healthcare, rehabilitation, and self management. Stud Health Technol Inform. 2009;145:231-48.
  • 2. Ekeland AG, Bowes A, Flottorp S. Effectiveness of telemedici-ne: a systematic review of reviews. Int J Med Inform. 2010;79(11):736-71.
  • 3. Dansky KH, Palmer L, Shea D, Bowles KH Cost analysis of telehomecare. Telemed J E Health. 2001;7(3):225-32.
  • 4. Mashima PA, Brown JE. Remote management of voice and swallowing disorders. Otolaryngol Clin North Am. 2011;44(6):1305-16.
  • 5. Laver KE, Schoene D, Crotty M, George S et al. Telerehabilita-tion services for stroke., Cochrane Database Syst Rev. 2013(12):CD010255.
  • 6. Bours GJ, Speyer R, Lemmens J, Limburg M, de Wit R J. Bedside screening tests vs. videofluoroscopy or fibreoptic en-doscopic evaluation of swallowing to detect dysphagia in pati-ents with neurological disorders: systematic review. Adv Nurs. 2009; 65(3):477-93.
  • 7. Brodsky MB, Gilbert RJ. The long-term effects of COVID-19 on dysphagia evaluation and treatment. Arch Phys Med Rehabil. 2020;101(9):1662-4.
  • 8. Etges CL, Scheeren B, Gomes E, Barbosa Lde R. Screening tools for dysphagia: a systematic review. Codas. 2014;26(5):343-9.
  • 9. Rommel, N., Hamdy, S. Oropharyngeal dysphagia: manifesta-tions and diagnosis. Nat Rev Gastroenterol Hepa-tol 2016;13:49-59.
  • 10. Perlman, A., Witthawaskul, W. Real-time remote telefluoros-copic assessment of patients with dyspha-gia. Dysphagia 2002;17:162-7.
  • 11. Sharma S, Ward E, Burns C, Theodoros D, Russell T. Asses-sing swallowing disorders online: a pilot telerehabilitation study. Telemed J E Health. 2011;17(9):1-8.
  • 12. Şansal E, Atalık G, Gölaç H, Yılmaz M. COVID-19 pandemi sürecinde yutma bozukluklarının yönetimi: Gazi Üniversitesi Tıp Fakültesi KBB klinik tecrübesi. KBB ve BBC Dergisi. 2020;28(Suppl):68-75.
  • 13. Speyer R, Denman D, Wilkes-Gillan S et al. Effects of telehe-alth by allied health professionals and nurses in rural and remo-te areas: A systematic review and meta-analysis. J Rehabil Med. 2018;28;50(3):225-35.
  • 14. Kairy D, Lehoux P, Vincent C, Visintin M. A systematic re-view of clinical outcomes, clinical process, healthcare utiliza-tion and costs associated with telerehabilitation. Disabil Rehabil. 2009;31(6):427-47.
  • 15. Tousignant M, Boissy P, Corriveau H, Moffet H. In home telerehabilitation for older adults after discharge from an acute hospital or rehabilitation unit: A proof-of-concept study and costs estimation. Disabil Rehabil: Assist Technol 2006;1(4):209-216.
  • 16. Kortke H, Stromeyer H, Zittermann A et al. Postoperative therapy concept: A telemedicine guide for the study of ambula-tory rehabilitation of patients after cardiac surgery. Telemed J E Health. 2006;12(4):475-83.
  • 17. Rommel N, Hamdy S. Oropharyngeal dysphagia: manifestati-ons and diagnosis. Nat Rev Gastroenterol Hepatol. 2016;13(1):49-59.
  • 18. Ward E, Crombie J, Trickey M, et al. Assessment of communi-cation and swallowing post laryngectomy: A telerehabilitation trial. J Telemed Telecare. 2009;15:232-7.
  • 19. Clavé P, Arreola V, Romea M, Medina L, Palomera E, Serra-Prat M. Accuracy of the volume-viscosity swallow test for cli-nical screening of oropharyngeal dysphagia and aspiration. Clin Nutr. 2008;27(6):806-15.
  • 20. Ward EC, Sharma S, Burns C, et al. Validity of conducting clinical dysphagia assessments for patients with normal to mild cognitive impairment via telerehabilitation. Dysphagia. 2012;27:460-72.
  • 21. Kantarcigil C, Sheppard JJ, Gordon AM, et al. A telehealth approach to conducting clinical swallowing evaluations in children with cerebral palsy. Res Dev Disabil. 2016;55:207-17.
  • 22. Kantarcigil C, Malandraki GA. First step in telehealth assess-ment: a randomized controlled trial to ınvestigate the effective- ness of an electronic case history form for dysphagia. Dyspha-gia. 2017;32(4):548-58.
  • 23. Malandraki GA, Markaki V, Georgopoulos VC et al. An inter-national pilot study of asynchronous teleconsultation for orop-haryngeal dysphagia. J Telemed Telecare. 2013;19(2):75-9.
  • 24. Ward EC, Burns CL, Theodoros DG, Russell TG. Evaluation of a clinical service model for dysphagia assessment via telereha-bilitation. Int J Telemed Appl. 2013:91:852-6.
  • 25. Ward EC, Burns CL, Theodoros DG, Russell TG. Impact of dysphagia severity on clinical decision making via telerehabili-tation. Telemed J E Health. 2014;20(4):296-303.
  • 26. Serel Arslan S, Demir N, Karaduman AA (2017) Dysphagia rehabilitation. In: Arsava E. (eds) Nutrition in neurologic disor-ders. Springer, Cham. 2017.
  • 27. Theodoros D, Aldridge D, Hill AJ, Russell T. Technology-enabled management of communication and swallowing disor-ders in Parkinson's disease: a systematic scoping review. Int J Lang Commun Disord. 2019;54(2):170-88.
  • 28. Nordio S, Innocenti T, Agostini M, Meneghello F, Battel I. The efficacy of telerehabilitation in dysphagic patients: a systematic review. Acta Otorhinolaryngol Ital. 2018;38(2):79-85.
  • 29. Carnaby-Mann G, Crary MA, Schmalfuss I, Amdur R. "Pharyngocise": randomized controlled trial of preventative exercises to maintain muscle structure and swallowing function during head-and-neck chemoradiotherapy. Int J Radiat Oncol Biol Phys. 2012;83(1):210-9.
  • 30. Wall LR, Ward EC, Cartmill B, Hill AJ, Porceddu SV. Exami-ning user perceptions of SwallowIT: a pilot study of a new te-lepractice application for delivering intensive swallowing the-rapy to head and neck cancer patients. J Telemed Telecare. 2015. doi:10.1177/1357633X15617887.
  • 31. Wall LR, Ward EC, Cartmill B et al. Adherence to a prophylac-tic swallowing therapy program during (chemo) radiotherapy: Impact of service-delivery model and patient factors. Dyspha-gia. 2017;32(2):279-92.
  • 32. Clawson B, Selden M, Lacks M, Deaton AV, Hall B, Bach R. Complex pediatric feeding disorders: using teleconferencing technology to improve access to a treatment program. Pediatr Nurs. 2008;34(3):213-6.
  • 33. Ward EC, Burns CL. Dysphagia management via telerehabilita-tion: A review of the current evidence Journal of GHR 2014;3(5):1088-94.
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Rehabilitasyon, Sağlık Kurumları Yönetimi
Bölüm Derleme Makaleler
Yazarlar

A. Yiğit Yılmaz 0000-0001-6502-9072

Selen Serel Arslan 0000-0002-2463-7503

Yayımlanma Tarihi 1 Nisan 2021
Kabul Tarihi 19 Nisan 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 47 Sayı: 1

Kaynak Göster

APA Yılmaz, A. Y., & Serel Arslan, S. (2021). Yutma Bozukluklarında Tele-Sağlık Uygulamaları. Uludağ Üniversitesi Tıp Fakültesi Dergisi, 47(1), 159-164. https://doi.org/10.32708/uutfd.881478
AMA Yılmaz AY, Serel Arslan S. Yutma Bozukluklarında Tele-Sağlık Uygulamaları. Uludağ Tıp Derg. Nisan 2021;47(1):159-164. doi:10.32708/uutfd.881478
Chicago Yılmaz, A. Yiğit, ve Selen Serel Arslan. “Yutma Bozukluklarında Tele-Sağlık Uygulamaları”. Uludağ Üniversitesi Tıp Fakültesi Dergisi 47, sy. 1 (Nisan 2021): 159-64. https://doi.org/10.32708/uutfd.881478.
EndNote Yılmaz AY, Serel Arslan S (01 Nisan 2021) Yutma Bozukluklarında Tele-Sağlık Uygulamaları. Uludağ Üniversitesi Tıp Fakültesi Dergisi 47 1 159–164.
IEEE A. Y. Yılmaz ve S. Serel Arslan, “Yutma Bozukluklarında Tele-Sağlık Uygulamaları”, Uludağ Tıp Derg, c. 47, sy. 1, ss. 159–164, 2021, doi: 10.32708/uutfd.881478.
ISNAD Yılmaz, A. Yiğit - Serel Arslan, Selen. “Yutma Bozukluklarında Tele-Sağlık Uygulamaları”. Uludağ Üniversitesi Tıp Fakültesi Dergisi 47/1 (Nisan 2021), 159-164. https://doi.org/10.32708/uutfd.881478.
JAMA Yılmaz AY, Serel Arslan S. Yutma Bozukluklarında Tele-Sağlık Uygulamaları. Uludağ Tıp Derg. 2021;47:159–164.
MLA Yılmaz, A. Yiğit ve Selen Serel Arslan. “Yutma Bozukluklarında Tele-Sağlık Uygulamaları”. Uludağ Üniversitesi Tıp Fakültesi Dergisi, c. 47, sy. 1, 2021, ss. 159-64, doi:10.32708/uutfd.881478.
Vancouver Yılmaz AY, Serel Arslan S. Yutma Bozukluklarında Tele-Sağlık Uygulamaları. Uludağ Tıp Derg. 2021;47(1):159-64.

ISSN: 1300-414X, e-ISSN: 2645-9027

Uludağ Üniversitesi Tıp Fakültesi Dergisi "Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License" ile lisanslanmaktadır.


Creative Commons License
Journal of Uludag University Medical Faculty is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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