Comparison Regarding Support System for Dysphagic Elderly Inpatients in Each Ward by Functional Type in Hospitals and Factors Related to Training Needs Yumi Chiba 1 , Ritsuko Yamada 2 , Kumiko Ichimura 3 1Department of Nursing, Graduate School of Medicine, Yokohama City University 2School of Nursing and Social Services, Health Sciences University of Hokkaido 3Department of Nursing, Ibaraki Prefectural University of Health Sciences Keyword: 病院 , 療養病床 , 摂食嚥下障害 , 高齢者 , 支援体制 , hospital , convalescent wards , dysphagia , the elderly , support system pp.29-40
Published Date 2017/7/31
  • Abstract
  • Reference

[Purpose] The purposes of this research were to grasp the arrangement of professionals, the structure and management of each ward in hospitals by its functional type, and to verify their relationship with training needs.

[Methods] Anonymous self-registered self-return questionnaires were sent to nursing administrators at 8,270 hospitals. The investigation period was from February to March 2014. Responses were analyzed according to the functional type of the ward, using χ2-test on occupational categories capable of specialized approach regarding dysphagia, certified nurses for dysphagic care, the system and measures to cope with dysphagic patients, and the relationship between these with the request for training focused on prevention of aspiration by patients with dysphagia. This study was conducted with the approval of the ethical review board at Yokohama City University.

[Results] The total number of responses was 510, and of them, 473 (92.7%) were analyzed. Regarding the functional type of wards and the system/care for dysphagic patients, there were significant differences in the items, “experts in hospital capable of evaluation,” “experts in hospital capable of dysphagic care,” “actively accepting patients with gastrostomy/feeding tubes,” “NST (nutrition support team),” “existence of support team for dysphagia,” and “evaluation by VF.” (p<0.05)

 Additionally, whether or not there was a need for training was examined according to the functional type of the wards. It was found that there were significant differences in the items, “there are no certified nurses in hospital” and “not actively accepting patients with gastrostomy/feeding tubes” as a whole; and “there are no doctors or social workers who can handle dysphagic care in hospital” in general wards and “there are no experts outside the hospital to consult with” in the medical care wards.

[Conclusion] The support system for dysphagia in hospitals has not yet reached a satisfactory level, and there is a strong need for training. Thus, it is important to enhance the provision of education.

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