Development of a situation-specific theory of the dysphagia rehabilitation experience in cerebrovascular patients with dysphagia

2023 Fiscal Year Final Research Report

• Project/Area Number: 19K19534
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 58050:Fundamental of nursing-related
• Research Institution: University of Hyogo
• Principal Investigator: Awamura Kenji 兵庫県立大学, 看護学部, 客員研究員(研究員) (80822741)
• Project Period (FY): 2019-04-01 – 2024-03-31
• Keywords: 脳血管障害 / 脳卒中 / 嚥下障害 / リハビリテーション / 移行理論 / 状況特定理論

Outline of Final Research Achievements

This study aimed to develop a situation-specific theory to describe the rehabilitation experiences of cerebrovascular patients living with dysphagia. The main findings of the study: (1) Extraction of elements of nursing practice for stroke patients with dysphagia: Semi-structured interviews were conducted with nursing practitioners working in a recovery hospital to clarify the status of nursing practice for stroke patients with dysphagia. (2) Development of a situation-specific theory for stroke patients with dysphagia: A situation-specific theory was developed by integrating the transition theory, literature review, and qualitative research findings. In the future, the situation-specific theory developed in this study will be refined and developed while also reflecting quantitative findings.

Free Research Field

基礎看護

Academic Significance and Societal Importance of the Research Achievements

脳卒中を発症すると，嚥下障害を効率に引き起こす。長期的な摂食嚥下リハビリテーションでは，身体的および生理学的な健康問題とともに，心理社会的健康を充足させることが重要である。看護実践者がよりよい実践を実現するためには，まずは，嚥下障害を抱える脳卒中生存者が置かれている状況を体系的に捉え，個別に応じた看護実践を導き出すことが重要である。本研究課題の知見は，脳卒中を発症し，嚥下障害を抱えながら生活する脳卒中患者のリハビリ体験や移行状況を説明し，それらを支援するための看護実践を導き出すための枠組みを提供する。また，状況特定理論の構築・発展に寄与するものと考える。