The collaborative research of care support aimed at improving oral intake ability on elderly people covered by the public-care insurance system.

在公共医疗保险制度下，对于老年吞咽障碍者改善口腔摄取功能的干预还不够。老人院老人的口腔进食功能障碍会影响其居家生活。本研究旨在探讨老人院住客的吞咽功能、进食状况及认知功能。此外，我们还调查了家庭对居民吞咽困难的认识。结果，患有痴呆症、注意力缺陷和冷漠的老年疗养院居民的吞咽功能下降。它们自己经口进食非常困难，因此，有必要由看护者帮助它们进食。然而，有严重吞咽困难的老人院住民的家属对住民的吞咽功能缺乏兴趣，且其家属与护理人员对住民吞咽功能的认知存在差异。研究结果显示，居家老人的认知障碍及家属对吞咽困难的认知程度，均对居家老人的自我喂食能力有显著影响。

In the public-care insurance system, it is not enough that interventions for elderly dysphagia people to improve the function of oral intake. The oral intake dysfunction of the elderly nursing home residents interfere their home returns. In present study, we examined swallowing function, eating status, and cognitive function of the elderly nursing home residents. In addition, we investigated the family's recognition about residents' swallowing difficulty. As a result, on the elderly nursing home residents who have dementia, attention deficit, and apathy, the swallowing function has decreased. Their oral intake by themselves were very difficult, therefore, it was necessary to help them by caregiver for feeding. However, the families of elderly nursing home residents with severe dysphagia have lack interested in residents' swallowing functions, and recognition about the swallowing functions on residents was different between their families and care staffs at nursing home. In conclusion, nursing home residents' cognitive disorders and family's recognition about dysphagia both affected significantly on self feeding ability of the residents.