論文

査読有り 国際誌
2020年8月25日

Questionnaire survey on nurses and speech therapists regarding dysphagia rehabilitation in Japan.

Auris, nasus, larynx
  • Kengo Kato
  • ,
  • Ryoukichi Ikeda
  • ,
  • Jun Suzuki
  • ,
  • Ai Hirano-Kawamoto
  • ,
  • Yayoi Kamakura
  • ,
  • Masako Fujiu-Kurachi
  • ,
  • Masamitsu Hyodo
  • ,
  • Shin-Ichi Izumi
  • ,
  • Shigeto Koyama
  • ,
  • Keiichi Sasaki
  • ,
  • Junko Nakajima
  • ,
  • Takahiro Karaho
  • ,
  • Yurika Kimura
  • ,
  • Yoshihiko Kumai
  • ,
  • Yasushi Fujimoto
  • ,
  • Takaharu Nito
  • ,
  • Yoshitaka Oku
  • ,
  • Hajime Kurosawa
  • ,
  • Shinichi Kuriyama
  • ,
  • Yukio Katori

記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1016/j.anl.2020.08.004

OBJECTIVE: Current interventions of dysphagia are not generalizable, and treatments are commonly used in combination. We conducted a questionnaire survey on nurses and speech therapists regarding dysphagia rehabilitation to understand the current situation in Japan. METHODS: The questionnaire was sent to 616 certified nurses in dysphasia nursing and 254 certified speech-language-hearing therapists for dysphagia. Based on "Summaries of training methods in 2014" by JSDR, 24 local indirect exercises, 11 general indirect exercises, and 13 direct exercises were selected. The Likert scale "How do you feel about each method" was used as follows: A; Frequency, B; Ease, C; Adherence, D; Effectiveness (1-5))?". RESULTS: Two hundred fifty (40%) nurses and 145 (57%) speech-language-hearing therapists (ST) responded to the questionnaire. The direct exercise was associated with a significantly high score in every question. In indirect exercises, "Cervical range of motion exercise," "Orofacial myofunctional exercise," "Lip closure exercise." "Ice massage of pharynx" and "Huffing" were used relatively frequently. "Balloon dilatation therapy" and "Tube exercise" was associated with a relatively high discrepancy for two questions. Frequency" and the sum of "Ease," "Adherence," and "Effectiveness." was significantly correlated for local indirect exercises (r2 = 0.928, P < 0.01), general indirect exercises (r2 = 0.987, P < 0.01), and direct exercises (r2 = 0.996, P < 0.01) (Fig. 5). CONCLUSION: This study examined the current situation of dysphagia rehabilitation in Japan. Our results aid to increase understanding and selection of rehabilitative treatments for dysphagia patients in Japan.

リンク情報
DOI
https://doi.org/10.1016/j.anl.2020.08.004
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/32859444

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