Evaluation of Nursing Care Intervention for Eating and Swallowing in At-home Patients with Cerebrovascular Disease and Family Caregivers

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1. We have aimed to develop a nursing care intervention that can be generalized at home and a device to quantify the effect of the intervention in order to support the reconstruction of the life of patients with cerebrovascular disease and their family caregivers.2. The present study consists of the following two steps.(1) Development of a device to visually measure eating and swallowing at home(2) Evaluation of the effect of nursing care intervention3. For (1), it has become evident that further basic study is required to develop a measurement device to replace VF due to the individuality and diversity of eating and swallowing functional disorders. We developed a method to measure swallowing function and respiratory trajectory at the same time as an eating and swallowing function evaluation method to replace (1), and performed a pilot study on it. The results were published in the following two reports : "Examination of Risk of Aspiration Pneumonia in View of RSST and Coughing Ability … More of the Elderly" and "Relationship of Swallowing Ability with Posture and Activities of Daily Living in the Elderly at Home."For (2), a protocol was prepared for the nursing care intervention for eating and swallowing in patients with cerebrovascular disorder. Data were collected at both rehabilitation hospitals and visiting care stations. Not only eating and swallowing ability, but also high risk state and advanced cerebral function disorder were evaluated at rehabilitation hospitals. A pilot case study was performed in five patients to prepare the protocol. The protocol was actually used in five at-home patients to collect data, thereby modifying the protocol.Finally, a nursing care support program focusing on posture maintenance (2001 to 2002 Report) and eating and swallowing (2003 to 2004 Report) was prepared. The utility of the program was examined in two pairs of a patient with cerebrovascular disease under at-home care and his/her family caregiver. The program will be continuously evaluated. Less