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Summary of Best Evidence for Evaluation, Diagnosis, and Treatment
of Swallowing Disorders in Parkinson’s Patients

X. Wang, X. Zhang, and J. Li 1
1
1
Nursing Department, Zhuhai Campus of Zunyi Medical University, China
1

Background: Parkinson’s disease (PD) is the second largest neurodegenerative disease in the world.
Dysphagia is a common non motor symptom in PD patients, with 30% to 80% of PD patients experiencing
difficulty swallowing. Studies have shown that PD patients with swallowing disorders have a higher
incidence of emotional symptoms such as fear and depression, which seriously affects their quality of life
and health, bringing huge economic burden and mental pressure to patients.

Objective: To better guide health care providers to evaluate, diagnose, and treat PD dysphagia
according to evidence-based medicine supported treatment plans.

Methods: Using the PIPOST model to establish the specific questions of this study. P(population): PD
patients with swallowing disorders; I(intervention): swallowing function screening and evaluation; P
(professional): hospital or community medical personnel; O (outcome): includes the timing of
swallowing screening, screening tools, practitioners, and post screening evaluation; S(setting): in
hospitals and communities. T (type of evidence): includes clinical decision-making, best practices,
clinical practice guidelines, evidence summary, systematic evaluation, meta-analysis, and expert
consensus.

Results: Swallowing disorder screening should be performed on PD patients during their first visit, as
well as when they experience aspiration symptoms and are silent. The screening personnel are usually
nurses, and positive patients with swallowing difficulties are screened with SLP; MDT-PD, V-VST, SDQ,
and SCAS-PD can be used for screening; Use VFSS and FEES for subsequent treatment

Conclusion: Due to regional, cultural, and economic differences, it is recommended to fully consider
the specific situation and willingness of patients, the existing environment of the department, and
other factors when applying the above evidence in clinical practice. The evidence should be localized
and personalized nursing plans should be formulated. Clinical healthcare professionals can choose
the best evidence based on patient needs and wishes, and conduct early screening and evaluation
of swallowing disorders in PD patients to improve their quality of life.

Keywords: Parkinson’s disease, swallowing disorder screening, summary of evidence,
evidence-based nursing

Poster Presentation Abstracts
_____________________________________________________________________________________________________
Correspondence: Jia Li, Nursing Department, Zhuhai Campus of Zunyi Medical University, China
E-mail: lj_070508@163.com

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