Construction and validation of the mealtime and dysphagia questionnaire: An instrument designed to assess nursing staff reasons for noncompliance with SLP dysphagia and feeding recommendations
Construction and validation of the mealtime and dysphagia questionnaire: An instrument designed to assess nursing staff reasons for noncompliance with SLP dysphagia and feeding recommendations
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DOI：
10.1007/s00455-001-0085-5
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发表时间：
2001-09-01
期刊：
影响因子：
2.6
通讯作者：
Colodny, N
中科院分区：
文献类型：
--
作者：
Colodny, N
护理人员缺乏对SLP建议的依从性可能是导致老年人吞咽和喂养问题的重要原因，并因此增加了吸入性肺炎和其他后遗症的可能性。有必要研究不遵守SLP吞咽和喂养建议的患病率以及护理人员不遵守依赖喂食者的原因。本研究以疗养院180名护理人员为样本，构建并验证了一个21项的工具，旨在评估工作人员不遵守SLP建议的原因。这个名为进餐时间和吞咽困难问卷（MDQ）的工具被证明具有足够的信度和并发效度。此外。进行的分析表明，rn的依从性低于cna。注册护士表示，他们的知识较少，并且认为给病人喂食比注册护士更麻烦。注册护士不遵守的主要原因是缺乏知识，注册护士不遵守的主要原因是不同意SLP的建议。讨论了对SLP和护理实践的启示。
The lack of compliance of nursing staff with SLP recommendations may be an important contribution to the swallowing and feeding problems of the elderly and the consequent elevated probability of aspiration pneumonia and other sequelae. There is a need to study the prevalence of noncompliance with SLP recommendations for swallowing and feeding and the reason for nursing staff noncompliance for dependent feeders. This researcher constructed and validated a 21-item instrument designed to assess the reasons for staff noncompliance with SLP recommendations using a sample of 180 nursing staffers in a nursing home. The instrument, entitled the Mealtime and Dysphagia Questionnaire (MDQ), was demonstrated to have adequate reliability and concurrent validity. In addition. analyses were conducted that suggested that RNs were less compliant than CNAs. RNs indicated that they had less knowledge and regarded feeding of patients as more of a nuisance than CNAs. The major reason for RNs' noncompliance was lack of knowledge and CNAs' noncompliance was disagreement with the SLP's recommendations. The implications for SLP and nursing practice were discussed.