2021 Fiscal Year Final Research Report

A Study on Exploration of Factors Improving Oral Intake and Psychological Support for Informal Caregivers in Swallowing Rehabilitation

Research Project

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Project/Area Number	17K09221
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Research Field	Hygiene and public health
Research Institution	Shizuoka Graduate University of Public Health (2021) Kyoto University (2018-2020) Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology (2017)
Principal Investigator	Mori Hiroko 静岡社会健康医学大学院大学, 社会健康医学研究科, 准教授 (50719424)
Co-Investigator(Kenkyū-buntansha)	戸原玄東京医科歯科大学, 大学院医歯学総合研究科, 教授 (00396954) 中根綾子東京医科歯科大学, 大学院医歯学総合研究科, 助教 (30431943) 内藤真理子広島大学, 医系科学研究科(歯), 教授 (10378010) 石崎達郎地方独立行政法人東京都健康長寿医療センター(東京都健康長寿医療センター研究所), 東京都健康長寿医療センター研究所, 研究部長 (30246045) 中山健夫京都大学, 医学研究科, 教授 (70217933)
Project Period (FY)	2017-04-01 – 2022-03-31
Keywords	摂食嚥下リハビリテーション / 経口摂取 / 家族介護者 / 心理的援助 / 在宅介護 / 胃ろう / QOL
Outline of Final Research Achievements	This study was conducted as a 12-month follow-up cohort study and a cross-sectional study to evaluate the improvement of oral intake by feeding and swallowing rehabilitation. In addition, We would like to test the hypothesis that "improvement of oral intake provides psychological support to home-dwelling caregivers and improves their quality of life". Visiting feeding rehabilitation showed a trace amount of recovery in oral intake, although tube feedings were difficult to remove in severely dysphagic patients, which was inferred to decrease caregivers' guilt at mealtimes. In addition, the caregivers did not clearly remember the explanation of aspiration pneumonia from the feeding rehabilitation team, but they understood the risk of contracting aspiration pneumonia. However, they did not think much about aspiration pneumonia during daily mealtime care, indicating the complexity of the caregivers' feelings of wanting to feed the patient even if there was a risk.
Free Research Field	疫学
Academic Significance and Societal Importance of the Research Achievements	経口摂取受診による改善状況および在宅の重度嚥下障害患者の経口摂取回復状況による介護者の生活の質への影響に関する学術的な知見は乏しい。本研究は、カロリー摂取量の多寡にかかわらず経口摂取改善による介護者の生活の質への影響を明らかにした。本研究の成果は、誤嚥回避のために過度なまでに経口摂取を忌避することなく、適切な摂食リハの推進と理解の促進が期待される。また、誤嚥性肺炎に関する情報は十分に伝わっているとは言えず、より細やかな情報提供が求められる。