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Development of "Smile Utilization Reading Model" Focusing on Facial Muscles to Prevent Aspiration in the Elderly

Research Project

Project/Area Number 19K11204
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 58080:Gerontological nursing and community health nursing-related
Research InstitutionJosai International University

Principal Investigator

Inoue Eiko  城西国際大学, 看護学部, 教授 (80194059)

Co-Investigator(Kenkyū-buntansha) 川久保 悦子  城西国際大学, 看護学部, 准教授 (30614698)
齋藤 やよい  城西国際大学, 看護学部, 教授 (40242200)
和野 千枝子  城西国際大学, 看護学部, 教授 (90461839)
Project Period (FY) 2019-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2021: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2020: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2019: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Keywords高齢者 / 嚥下機能 / 誤嚥予防 / 表情筋 / 発話 / 朗読 / FACS / 反復唾液嚥下テスト / 表情筋活動 / FACT / RSST / 摂食嚥下 / 昔語り / 気分 / 介入
Outline of Research at the Start

「発話」と嚥下は、目的と運動様式は異なるが、関与する末梢効果器官の多くが互いに重複していることから、高齢者の誤嚥予防に向けた「発話」促進援助に着目する。「発話」である【昔語り】と【朗読】の利点を活かし、ケア提供者に依存することなく継続的に援助でき、かつ摂食嚥下関連筋である表情筋群の活動に結びつくような感情に変化をもたらす、『笑顔活用朗読モデル(以下、笑活朗読モデル)』を開発することを目的とする。

Outline of Final Research Achievements

The purpose of the study was to develop a "Smile Utilization Reading Model" for the prevention of aspiration in the elderly. A crossover study design was used with 13 elderly residents in the community.
The results showed that both "Telling Old Tales" and " Reading Aloud " were associated with movements of facial muscles, including feeding and swallowing-related muscle groups, and with swallowing function. In addition, "Telling Old Tales" showed higher activity of the three facial expression muscles of the ingestion- and swallowing-related muscle groups than "Reading Aloud," and "Reading Aloud" was associated with activity of many ingestion- and swallowing-related muscle groups and swallowing function. In order to develop a " Smile Utilization Reading Model", it is necessary to examine the specific content of "Reading Alound" that significantly moves each facial muscle and improves the mood, and to verify the effectiveness of this model.

Academic Significance and Societal Importance of the Research Achievements

本研究は、「発話」と嚥下が関与する抹消効果器官の多くが互いに重複していることから、非日常となる訓練ではなく、高齢者の日常にある「発話」に着目して、誤嚥性肺炎を予防するケア方法を探索している。
今回は、『昔語り』と『朗読」の各発話の利点を活かし、ケア提供者に依存することなく継続的に援助ができ、摂食嚥下関連筋である表情筋の活動に結びつく感情に変化をもたらす高齢者の誤嚥予防のための『笑顔活用朗読モデル』の開発を行う。

Report

(5 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • Research Products

    (1 results)

All 2022

All Presentation (1 results)

  • [Presentation] 高齢者における表情筋と嚥下機能の関連ー朗読の効果検証ー2022

    • Author(s)
      井上映子
    • Organizer
      第28回摂食嚥下リハビリテーション学会学術大会
    • Related Report
      2022 Annual Research Report

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Published: 2019-04-18   Modified: 2024-01-30  

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