National survey of the prevalence of swallowing difficulty and tube feeding use as well as implementation of swallowing evaluation in long-term care settings in Japan
National survey of the prevalence of swallowing difficulty and tube feeding use as well as implementation of swallowing evaluation in long-term care settings in Japan
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DOI：
10.1111/ggi.12137
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发表时间：
2014-07-01
影响因子：
3.3
通讯作者：
Kuzuya, Masafumi
中科院分区：
文献类型：
--
作者：
Sugiyama, Michiko;Takada, Kento;Kuzuya, Masafumi
目的本研究旨在了解日本老年长期住院患者的管饲使用情况和吞咽困难的发生率，并阐明在日本四种不同类型机构中吞咽评估的实施情况。方法对4334家医院进行问卷调查。结果共收到1137家机构（26.2%）的反馈，其中1517家疗养院440家（29.0%），941家长期护理机构275家（29.2%），1134家疗养医疗机构205家（18.1%），742家康复医院217家（29.2%）。在每个设施中，每100张病床中使用管饲的人数分别为：养老院11.6人、长期护理设施7.4人、疗养院医疗设施36.3人、康复设施7.9人。每100张病床中有吞咽困难的人数在疗养院为23.7人，在长期护理设施为15.6人，在疗养院医疗设施为19.2人，在康复医院为15.4人。评估吞咽困难的机构占疗养院的31.8%，占长期护理机构的63.0%，占疗养院医疗机构的77.9%，占康复医院的91.7%。结论大量老年住院患者长期使用饲管，吞咽困难，但未对其吞咽功能进行充分评估。Geriatr Gerontol Int 2014；14: 577 - 581。
AimThe present study was carried out to clarify tube feeding utilization and the prevalence of swallowing difficulty among residents in geriatric long-term settings, and to elucidate the implementation of swallowing assessment at four different types of facilities in Japan.MethodsWe mailed a questionnaire to a total of 4334 facilities.ResultsWe received responses from 1137 (26.2%) facilities, including 440 (29.0%) from 1517 nursing homes, 275 (29.2%) from 941 long-term care facilities, 205 (18.1%) from 1134 sanatorium medical facilities and 217 (29.2%) from 742 rehabilitation hospitals. The number of tube-fed residents per 100 beds in each facility was 11.6 at the nursing homes, 7.4 at the long-term care facilities, 36.3 at the sanatorium medical facilities and 7.9 at the rehabilitation facilities. The number of residents per 100 beds with swallowing difficulty was 23.7 in the nursing homes, 15.6 in the long-term care facilities, 19.2 in the sanatorium medical facilities and 15.4 in the rehabilitation hospitals. The percentages of facilities that assessed swallowing difficulty were 31.8% of the nursing homes, 63.0% of the long-term care facilities, 77.9% of the sanatorium medical facilities and 91.7% of the rehabilitation hospitals.ConclusionA large number of residents using a feeding tube and with difficult swallowing were observed in geriatric long-term settings without adequate evaluation of swallowing function. Geriatr Gerontol Int 2014; 14: 577-581.