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

居家脑血管病患者及家庭照顾者进食吞咽护理干预评价

• 批准号: 15592325
• 负责人: KAWAHARA Kayoko
• 金额: $ 2.18万
• 依托单位: Tokyo Metropolitan University (2005)Tokyo Metropolitan University of Health Sciences (2003-2004)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2003
• 资助国家: 日本
• 起止时间: 2003 至 2005
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-15592325/
• 关键词: stroke; eating and swallowing; evaluation; nursing intervention

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

1. 我们的目标是开发一种可以在家中推广的护理干预措施，以及一种量化干预效果的设备，以支持脑血管疾病患者及其家庭护理人员的生活重建。本研究包括以下两个步骤。(1)居家进食吞咽目测装置的研制(2)护理干预效果评价对于(1)，由于进食和吞咽功能障碍的个体性和多样性，开发替代VF的测量装置显然需要进一步的基础研究。我们开发了一种同时测量吞咽功能和呼吸轨迹的方法，作为进食和吞咽功能评估方法来替代(1)，并对其进行了初步研究。研究结果发表在以下两份报告中：“从RSST和咳嗽能力的角度检查吸入性肺炎的风险……老年人更多”和“吞咽能力与家中老年人姿势和日常生活活动的关系”。(2)制定脑血管疾病患者进食吞咽护理干预方案。数据收集于康复医院和巡回护理站。康复医院不仅评估进食和吞咽能力，还评估高危状态和晚期脑功能障碍。在五名患者中进行了试点案例研究，以准备该方案。该方案实际上在五个家庭患者中使用，以收集数据，从而修改了方案。最后，编制了以体态维持（2001 ~ 2002年报告）和进食与吞咽（2003 ~ 2004年报告）为重点的护理支持方案。该计划的效用在两对接受家庭护理的脑血管疾病患者和他/她的家庭护理者中进行了检查。该计划将持续评估。少