To explore factors related to improvement of swallowing function for Home-Dwelling Patients Living with a Percutaneous Endoscopic Gastrostomy Tube due to acquired brain injuries

2017 Fiscal Year Final Research Report

• Project/Area Number: 26460852
• 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: Tokyo Metropolitan Geriatric Hospital and Institute of Gerontology
• Principal Investigator: MORI HIROKO 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, 研究員 (50719424)
• Co-Investigator(Kenkyū-buntansha): 内藤 真理子 名古屋大学, 医学系研究科, 准教授 (10378010) ; 戸原 玄 東京医科歯科大学, 大学院医歯学総合研究科, 准教授 (00396954) ; 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)
• Project Period (FY): 2014-04-01 – 2018-03-31
• Keywords: 嚥下障害 / 経腸栄養 / 在宅介護者 / 後天的脳外傷 / 摂食嚥下リハビリテーション / 心理的支援 / 経口摂取の回復

Outline of Final Research Achievements

Although home-dwelling patients living with a percutaneous endoscopic gastrostomy (PEG) tube have safe and sustainable nutrition, few studies indicated social isolation and in the quality of life of caregivers who play major roles in the long-term care at home. In this study, we focused on caregivers of stroke or head injured patients at home with PEG tube that had recovered to a slight oral intake by swallowing rehabilitation. The aim in this study was to explore tasks of the diet management and psychological aspects of these caregivers.
We conducted inductive qualitative analysis on 22 interview data. Psychological aspects of these caregivers whose family members with a PEG tube had recovered a oral intake of slight intake were structured four concepts; reconstructing and/or strengthening a sense of family belonging, combining oral intake and other rehabilitations, reducing the burden of providing care, and reacquiring social ties. A questionnaire on these concepts were developed.

Free Research Field

公衆衛生