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2021 ¿¬ÇÏÀå¾Ö Æ÷ÄϸŴº¾ó 4ÆÇ ÆÛ½ÃÇȺϽº/¼¼ÀÌ·¹ÀÌ ¿¬ÇÏ ÆÀ
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¹ßÇàÀÏ : 2021-07-25
ISBN | 9791163752790(1163752797) |
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Âʼö | 378ÂÊ |
Å©±â | ±Ô°Ýèâ ÆÇÇü¾Ë¸² |
1. ¿¬ÇÏÀå¾Ö¿¡ ´ëÇÑ ±âÃÊ Áö½Ä ···················· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 1
2. ¿¬ÇÏÀå¾ÖÀÇ º´Å»ý¸®¿Í ¿øÀÎÁúȯ ··········· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 19
3. ½ºÅ©¸®´×, Æò°¡, °Ë»ç
······ (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î, ½Ã°Ô¸¶Ã÷ ´ÙÄ«½Ã, Ä«³ªÀÚ¿Í È÷µ¥¾Æ³¢, Äí´Ï¿¡´Ù °ÕÁö·Î) 41
4. ÀçÈ°ÀÇÇÐÀû Á¢±Ù°ú Ä¡·á ·························· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 79
5. À§Çè(RISK) °ü¸® ····················· (Äí´Ï¿¡´Ù °ÕÁö·Î, ´Ï½Ã¹«¶ó ¸®Âê) 95
6. ÈƷùý ··········································································· 115
¼·½Ä¿¬ÇÏÈÆ·ÃÀÇ ½ÇÁ¦ ··························································
(È£ÁÒ ÄìÄÚ, ¸ð¸®¿ÍÅ° ¸ðÅäÅ°, ¿ÀÄ«¸ðÅä ÄÉÀ̽Ã, ½Ã°Ô¸¶Ã÷ ´ÙÄ«½Ã, Äí´Ï¿¡´Ù °ÕÁö·Î) 115
È£Èí¹°¸®Ä¡·á ························· (Ÿ¿Í¶ó À¯ÀÌÄ¡, ¿À¿À¸¶°¡¸® ¸¶»çÅ°) 184
¿îµ¿Ä¡·á ································· (¸ð¸®½ÃŸ Ä«ÁîÀ¯Å°, ÇϳªÀÌ »çÅä½Ã) 198
ÀÛ¾÷Ä¡·á ···················································· (¿À»çÄ«º£ ¸Þ±¸¹Ì) 202
7. º´µ¿¿¡¼ ÀÌ·ç¾îÁö´Â ¼·½Ä¿¬ÇÏÀå¾ÖÀÇ °£È£
····················································· (´Ù³ª±î ³ª¿À¹Ì, ½Ã¶óÀÌ ¿ä²¿) 211
8. Ä¡°úÀÇ ¿ªÇÒ(³ë¸ðÅä ¾ÆÅ°ÄÚ, ¿À³ë Åä¸ðÈ÷»ç, ÇϽÃÁî¸Þ ¸ð¸ð¿ä, ÇÏŸ³ë ¸¶Ä¡ÄÚ) 225
9. °æ°ü¿µ¾ç ··································· (ÈÄÁö¸ð¸® ¸¶¸®ÄÚ, ´Ù³ªÄ« ³ª¿À¹Ì) 253
10. ¿¬ÇÏÁ¶Á¤½Ä ·¹½ÃÇÇ ·················· (À̽óë Åä¸ðÄÚ, Äھ߳ª±â À¯ÀÌÄ¡) 271
11. ½Å°æ±ÙÀ°Áúȯ, ¿Ü»ó¼º³ú¼Õ»ó, Á¤½ÅÁúȯ°ú ¼·½Ä¿¬ÇÏÀå¾Ö
························· (¾ß±¸Ä¡ È÷·Î½Ã, īŸ±â¸® ³ë¸®¸¶»ç, ³ªÄ«¹«¶ó Åä¸ðÀ¯Å°) 281
12. ÁßÁõ½É½ÅÀå¾Ö¾Æµ¿ÀÇ ¿¬ÇÏÀå¾ÖÄ¡·á ·············· (¿äÄÚÁö ÄËÁö) 297
13. ¿¬ÇÏÀå¾Ö¿¡ ´ëÇÑ ±¸° ¹× ÀεÎÀÇ ¼ö¼úÀû Ä¡·á
······································································· (Ä«³ªÀÚ¿Í È÷µ¥¾Æ³¢) 307
14. ¼·½Ä¿¬ÇÏÀå¾Ö¿Í ÀÓ»óÀ±¸® ························ (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 337
<±Ç¸»£Âü°íÀÚ·á>
? °ü·Ã ÇÐȸ ¹× ¿¬±¸È¸ ···················································· 348
? ¼·½Ä¿¬ÇÏÀå¾Ö Æò°¡Ç¥ ····················································· 350
? ºñµð¿ÀÅõ½Ã¿¬ÇÏ°Ë»ç(VFS) Æò°¡¿ë ¼½Ä ······················· 351
? ¼·½Ä¿¬ÇÏ ´É·Â µî±Þ ······················································ 353
? ¼·½Ä¿¬ÇÏÀå¾ÖȯÀÚÀÇ ¼·½Ä»óȲ ¼öÁØ
(Food Intake Level Scale : FILS) ······························· 354
? ¼·½Ä¿¬ÇÏÀå¾Ö µî±Þ ÆǴܱâÁØ ········································ 355
? Áú½Ä, ÈíÀÎ À§Çè °ü¸® ¸Å´º¾ó ······································· 356
? ¼·½Ä¿¬ÇÏÀå¾Ö Áõ»ó°ú °£È£°èȹ ···································· 357
? ¿µ¾ç Æ©ºê »ðÀÔ À§Ä¡ È®ÀÎ ¸Å´º¾ó ······························· 359
? ÈĵÎĨÀÔ£ÈíÀΠôµµ(penetration-aspiration scale) ······· 359
? ¿¬ÇÏÀå¾ÖÀÇ Áõ»óº° ´ëó¹ý ············································ 360
? ¼¼ÀÌ·¹À̹ÌīŸÇ϶󺴿ø¿¡¼ Ä¡·áÇÑ ¿¬ÇÏÀå¾Ö
Áõ·Ê 2,552¸íÀÇ Ä¡·á ¼ºÀû ············································· 366
<ã¾Æº¸±â> ········································································ 367
Ä÷³ 1-1 ¿¬ÇÏ¿Í Á¦ºñ ··············································· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 16
Ä÷³ 1-2 ¼¼ÀÌ·¹À̹ÌīŸÇ϶󺴿øÀÇ ¿¬ÇÏÀå¾Ö Àü¹® Ŭ¸®´Ð (¾ß±â À¯¸®) 17
Ä÷³ 6-1 ÃÊâ±â ¼·½Ä¿¬ÇÏ ÆÀÀÇ Ã¢´Ü°ú ¾ð¾îÀçÈ°»çÀÇ ¿ªÇÒ
······································································ (ÄÚÁö¸¶ Ä¡¿¡ÄÚ) 118
Note 1-1 ¿©·¯ °¡Áö ¿ë¾î°¡ »ç¿ëµÇ°í ÀÖÀ¸¹Ç·Î ÁÖÀÇÇÑ´Ù
··································································· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 02
Note 1-2 ¿¬ÇÏÀÇ ±â(Ñ¢, stage)¿Í »ó(ßÓ, phase) ······ (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 04
Note 1-3 °¨°¢ ÀԷ°ú ¿îµ¿ Ãâ·Â ···························· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 05
Note 1-4 ³ú°£ ¸Á»óü ·············································· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 07
Note 1-5 ¹°À» ¸¶½Ã´Ù°¡ »ç·¹°¡ Àß µå´Â ÀÌÀ¯ ······ (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 11
Note 1-6 Àΰ£ÀÇ Á÷¸³°ú »ïÅ´ ·································· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 15
Note 1-7 ¿¬ÇÏ¿¡ °üÇÑ 2018³â ÀϺ»ÀÇ Áø·á¼ö°¡ °³Á¤ · (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 18
Note 1-8 ÃæºÐÇÑ Á¤º¸¿¡ ÀÇÇÑ µ¿ÀÇ(informed consent) · (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 18
Note 2-1 °¡¼º±¸¸¶ºñ¿¡¼ ¿¬±¸°³ÀÇ ¿òÁ÷ÀÓ ············ (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 22
Note 2-2 ¿¬ÇÏ°ü·Ã ±ÙÀ°ÀÇ Æ¯¼ö¼º¿¡ °üÇÏ¿© ·········· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 34
Note 2-3 ÀεΠÀ̻󰨰¢ ··········································· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 36
Note 3-1 »ç·¹ µé¸²°ú ±âħ ····································· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 45
Note 3-2 ±¸¿ª(gag)¹Ý»ç¿¡ °üÇÏ¿© ··························· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 47
Note 3-3 VFS°Ë»ç¿ë ÀÇÀÚ ······································· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 60
Note 3-4 VFS¿ë Áï¼® Á©¸® ····································· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 65
Note 3-5 ¹Ù·ýº¼ ························································ (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 65
Note 3-6 ±âħÀ» À¯¹ßÇÏ´Â ³×ºí¶óÀÌÀú ···· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î, ´Ù³ªÄ« ³ª¿À¹Ì) 65
Note 3-7 ¹ßȸí·áµµ(5´Ü°è Æò°¡) ··························· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 73
Note 4-1 ÀåÇØ(î¡úª)¿Í Àå¾Ö(î¡äô) ·························· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 79
Note 4-2 ±Ù·Â°È ···················································· (ÈÄÁö½Ã¸¶ ÀÌÄ¡·Î) 86
11
»óÇ° °í½Ã Á¤º¸
¹è¼ÛÀº ´çÀÏ ¿ÀÈÄ 5½ÃÀÌÀü(Åä¿äÀÏÀº ¿ÀÈÄ1½Ã)¿¡ ÁÖ¹®¹× °áÀ縦 ÇÏ½Ã¸é ´çÀϹè¼ÛµË´Ï´Ù.
¹è¼ÛÀº ÁÖ¹® ÈÄ °áÀç¿Ï·áÀÏÀ» ±âÁØÀ¸·Î 1~2ÀÏ ¾È¿¡ ¹è¼Û¿Ï·á¸¦ ¿øÄ¢À¸·Î ÇÏ°í ÀÖ½À´Ï´Ù.
´Ù¸¸ ºÎµæÀÌÇÑ °æ¿ì(ÇØ´ç»óÇ°ÀÇ Ç°Àý ¹× ÀýÆÇ) °í°´´Ô²² Àüȸ¦ µå·Á¼ 󸮸¦ ÇÕ´Ï´Ù.
2. ¹è¼Û·á
¹è¼Û·á´Â 3¸¸¿ø ÀÌ»óÀÌ °æ¿ì À̱×ÀëÇ÷¯½º¿¡¼ ºÎ´ãÇÏ°í, ¹Ì¸¸ÀÏ °æ¿ì °í°´ÀÌ 2,500¿øÀ» ºÎ´ãÇÕ´Ï´Ù.
´Ù¸¸ ±¸¸Å±Ý¾×ÀÌ 3¸¸¿ø ÀÌ»óÀε¥ Àû¸³±Ý µîÀ» »ç¿ëÇÏ¿© ½ÇÁ¦ °áÀç±Ý¾×ÀÌ 3¸¸¿ø ¹Ì¸¸ÀÌ µÇ´õ¶óµµ À̱×ÀëÇ÷¯½º¿¡¼ ¹è¼Û·á¸¦ ºÎ´ãÇÏ°í, Á¦ÁÖ¸¦ Á¦¿ÜÇÑ µµ¼Áö¿ªÀÇ °æ¿ì´Â 5,000¿øÀÌ Ãß°¡µÈ´ä´Ï´Ù. Çؿܹè¼ÛÀº Àü¾× °í°´ºÎ´ãÀÌ µÈ´ä´Ï´Ù.
¹ÞÀ¸½Å ³¯ ºÎÅÍ ÀÏÁÖÀÏ À̳» ¹ÝÇ°/±³È¯ÀÌ °¡´ÉÇϽʴϴÙ. ½Ã°£ÀÌ Áö³ª¸é 󸮰¡ ºÒ°¡ÇÔÀ» ¾Ë·Á µå¸³´Ï´Ù. ´Ù¸¸ ÁÖ¹®ÇϽŠ»óÇ°°ú ´Ù¸¥ »óÇ°ÀÌ ¹è¼ÛµÇ°Å³ª Æĺ», ³«ÀåÀÌ ÀÖ´Â µµ¼ÀÇ °æ¿ì ÀÌ¿ë¾à°ü¿¡ ÁØÇÏ¿© À̱×ÀëÇ÷¯½ºÀÇ ºñ¿ëÀ¸·Î ±³È¯, ¹ÝÇ° ¹× ȯºÒ µîÀ» Çص帳´Ï´Ù.
4. ȯºÒ
¹ÞÀ¸½Å ³¯ºÎÅÍ 2ÀÏ À̳»·Î Àüȳª 1:1 °Ô½Ã±Û·Î Àû¾îÁÖ¼Å¾ß °¡´ÉÇϽʴϴÙ.
5. ÁÖÀÇ
°í°´´Ô º¯½ÉÀ¸·Î ÀÎÇÑ ±³È¯/¹ÝÇ°/ȯºÒ °í°´´Ô²²¼ Åùèºñ(¿Õº¹Åùèºñ)¸¦ ºÎ´ãÀÌ µÇ´Ï ÀÌÁ¡ À¯ÀÇÇØ ÁֽʽÿÀ. ¶ÇÇÑ °ÀÇÅ×ÀÙ/¾ãÀº¹®Á¦Áý/ºñ´ÒÆ÷ÀåµÈÁ¦Ç°µîÀº Çѹø ±¸¸ÅÇÏ½Ã¸é ±³È¯/¹ÝÇ°/ȯºÒÀÌ ÀüÇô ¾ÈµË´Ï´Ù. ½ÅÁßÈ÷ »ý°¢Çϼż ±¸¸Å ºÎŹµå¸³´Ï´Ù. ´Ù¸¸ ºÒ·®Å×ÀÙÀÇ °æ¿ì ±× ºÒ·®ÀÌ µÈ °³º°Å×ÀÙÀ» À̱×ÀëÇ÷¯½ºÀÇ ºñ¿ëÀ¸·Î A/S¸¦ Çص帳´Ï´Ù.
6. ÁÖ¹®Ãë¼Ò, ±³È¯, ¹ÝÇ° ¹× ȯºÒÀº ´çÀÏ 5½Ã ÀÌÀü¿¡ ÇØÁÖ¼Å¾ß °¡´ÉÇÕ´Ï´Ù.
±× ÀÌÈÄ´Â ¹è¼Û µî¿¡ µû¸¥ Á¦ºñ¿ëÀ» ºÎ´ãÇÏ¼Å¾ß ÇÕ´Ï´Ù.