A CROSS-SECTIONAL STUDY ON SWALLOWING DIFFICULTY AND PILL DYSPHAGIA AMONG OLDER PEOPLE RESIDING IN NURSING HOMES IN KUALA LUMPUR AND SELANGOR, MALAYSIA

Swallowing difficulty is common among older people (OP). This study aims to determine the prevalence and factors of swallowing difficulty among OP in nursing homes; investigate the prevalence of pill dysphagia; and examine the association between swallowing difficulty and pill dysphagia. This study...

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Published in:Malaysian Journal of Public Health Medicine
Main Author: Azlan S.; Maniam P.; Meilina R.; Jamal J.A.; Wahab M.S.A.
Format: Article
Language:English
Published: Malaysian Public Health Physicians Association 2024
Online Access:https://www.scopus.com/inward/record.uri?eid=2-s2.0-85204703002&partnerID=40&md5=0eb377825123325697bf07289742f0e3
id 2-s2.0-85204703002
spelling 2-s2.0-85204703002
Azlan S.; Maniam P.; Meilina R.; Jamal J.A.; Wahab M.S.A.
A CROSS-SECTIONAL STUDY ON SWALLOWING DIFFICULTY AND PILL DYSPHAGIA AMONG OLDER PEOPLE RESIDING IN NURSING HOMES IN KUALA LUMPUR AND SELANGOR, MALAYSIA
2024
Malaysian Journal of Public Health Medicine
24
2

https://www.scopus.com/inward/record.uri?eid=2-s2.0-85204703002&partnerID=40&md5=0eb377825123325697bf07289742f0e3
Swallowing difficulty is common among older people (OP). This study aims to determine the prevalence and factors of swallowing difficulty among OP in nursing homes; investigate the prevalence of pill dysphagia; and examine the association between swallowing difficulty and pill dysphagia. This study was a cross-sectional observational study conducted from June 20th to August 8th, 2022, in nursing homes in Kuala Lumpur and Selangor, Malaysia. Swallowing difficulty was identified using the Standardised Swallowing Assessment (SSA). The PILL-5 questionnaire was used to determine pill dysphagia. A total of 96 participants were recruited for the study. Of these, 50% were identified with swallowing difficulty. The use of medications with anticholinergic (AC) properties and an anticholinergic burden (ACB) score of ≥ 3 were significantly associated with swallowing difficulty. Only 4.2% (4/96) of the participants were identified with pill dysphagia. Notably, 11.5% (11/96) of all participants reported pills sticking in their throat, while a small minority (4.2%, 4/96) had a fear of swallowing pills. Additionally, 7.3% (7/96) mentioned the need to crush or coat their medication or use other forms of assistance to take their pills. The present study showed that swallowing difficulty is common among OP residing in nursing homes, as well as being associated with the use of AC drugs and higher ACB scores. Some participants reported occasional problems with swallowing pills. The study highlights the need for targeted interventions, increased awareness among healthcare providers, and the integration of patient-centered approaches to optimise care of OP with swallowing difficulty and pill dysphagia. © (2024), (Malaysian Public Health Physicians Association). All Rights Reserved.
Malaysian Public Health Physicians Association
16750306
English
Article

author Azlan S.; Maniam P.; Meilina R.; Jamal J.A.; Wahab M.S.A.
spellingShingle Azlan S.; Maniam P.; Meilina R.; Jamal J.A.; Wahab M.S.A.
A CROSS-SECTIONAL STUDY ON SWALLOWING DIFFICULTY AND PILL DYSPHAGIA AMONG OLDER PEOPLE RESIDING IN NURSING HOMES IN KUALA LUMPUR AND SELANGOR, MALAYSIA
author_facet Azlan S.; Maniam P.; Meilina R.; Jamal J.A.; Wahab M.S.A.
author_sort Azlan S.; Maniam P.; Meilina R.; Jamal J.A.; Wahab M.S.A.
title A CROSS-SECTIONAL STUDY ON SWALLOWING DIFFICULTY AND PILL DYSPHAGIA AMONG OLDER PEOPLE RESIDING IN NURSING HOMES IN KUALA LUMPUR AND SELANGOR, MALAYSIA
title_short A CROSS-SECTIONAL STUDY ON SWALLOWING DIFFICULTY AND PILL DYSPHAGIA AMONG OLDER PEOPLE RESIDING IN NURSING HOMES IN KUALA LUMPUR AND SELANGOR, MALAYSIA
title_full A CROSS-SECTIONAL STUDY ON SWALLOWING DIFFICULTY AND PILL DYSPHAGIA AMONG OLDER PEOPLE RESIDING IN NURSING HOMES IN KUALA LUMPUR AND SELANGOR, MALAYSIA
title_fullStr A CROSS-SECTIONAL STUDY ON SWALLOWING DIFFICULTY AND PILL DYSPHAGIA AMONG OLDER PEOPLE RESIDING IN NURSING HOMES IN KUALA LUMPUR AND SELANGOR, MALAYSIA
title_full_unstemmed A CROSS-SECTIONAL STUDY ON SWALLOWING DIFFICULTY AND PILL DYSPHAGIA AMONG OLDER PEOPLE RESIDING IN NURSING HOMES IN KUALA LUMPUR AND SELANGOR, MALAYSIA
title_sort A CROSS-SECTIONAL STUDY ON SWALLOWING DIFFICULTY AND PILL DYSPHAGIA AMONG OLDER PEOPLE RESIDING IN NURSING HOMES IN KUALA LUMPUR AND SELANGOR, MALAYSIA
publishDate 2024
container_title Malaysian Journal of Public Health Medicine
container_volume 24
container_issue 2
doi_str_mv
url https://www.scopus.com/inward/record.uri?eid=2-s2.0-85204703002&partnerID=40&md5=0eb377825123325697bf07289742f0e3
description Swallowing difficulty is common among older people (OP). This study aims to determine the prevalence and factors of swallowing difficulty among OP in nursing homes; investigate the prevalence of pill dysphagia; and examine the association between swallowing difficulty and pill dysphagia. This study was a cross-sectional observational study conducted from June 20th to August 8th, 2022, in nursing homes in Kuala Lumpur and Selangor, Malaysia. Swallowing difficulty was identified using the Standardised Swallowing Assessment (SSA). The PILL-5 questionnaire was used to determine pill dysphagia. A total of 96 participants were recruited for the study. Of these, 50% were identified with swallowing difficulty. The use of medications with anticholinergic (AC) properties and an anticholinergic burden (ACB) score of ≥ 3 were significantly associated with swallowing difficulty. Only 4.2% (4/96) of the participants were identified with pill dysphagia. Notably, 11.5% (11/96) of all participants reported pills sticking in their throat, while a small minority (4.2%, 4/96) had a fear of swallowing pills. Additionally, 7.3% (7/96) mentioned the need to crush or coat their medication or use other forms of assistance to take their pills. The present study showed that swallowing difficulty is common among OP residing in nursing homes, as well as being associated with the use of AC drugs and higher ACB scores. Some participants reported occasional problems with swallowing pills. The study highlights the need for targeted interventions, increased awareness among healthcare providers, and the integration of patient-centered approaches to optimise care of OP with swallowing difficulty and pill dysphagia. © (2024), (Malaysian Public Health Physicians Association). All Rights Reserved.
publisher Malaysian Public Health Physicians Association
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