Development of a food quality improvement index to improve feeding and swallowing support in psychiatric hospitals

2024 Fiscal Year Final Research Report

• Project/Area Number: 20K10781
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58060:Clinical nursing-related
• Research Institution: Niigata University
• Principal Investigator: Seino Yumiko 新潟大学, 医歯学系, 助教 (70737741)
• Co-Investigator(Kenkyū-buntansha): 小山 諭 新潟大学, 医歯学系, 教授 (10323966) ; 井上 誠 新潟大学, 医歯学系, 教授 (00303131) ; 渡邊 賢礼 昭和大学, 歯学部, 准教授 (20611180) ; 石山 寿子 国際医療福祉大学, 成田保健医療学部, 准教授 (60803252)
• Project Period (FY): 2020-04-01 – 2025-03-31
• Keywords: 精神科病院 / 摂食嚥下支援 / 食形態改善 / 嚥下食

Outline of Final Research Achievements

In psychiatric hospitals, where the aging of long-term hospitalized patients and the increase in dementia patients are progressing, improving feeding and swallowing support is an urgent issue. In many cases, dysphagia feeding is continued without any thought in order to avoid aspiration and choking, which leads to a decline in the patient's quality of life (QOL) and malnutrition. The principal researcher has often experienced the current situation of a lack of feeding and swallowing support for inpatients in psychiatric hospitals and difficulties in improving dietary habits, but there is little scientific evidence and clarification is needed.

In this study, we grasped the actual situation through interviews of patients who continue to consume dysphagia food in psychiatric hospitals without feeding and swallowing support specialists and interviews with the nurses in charge, and based on the results, we considered indicators for improving dietary habits.

Free Research Field

精神看護学

Academic Significance and Societal Importance of the Research Achievements

本研究の成果は、食形態改善の阻害要因を解明する根拠となり、精神科病院の限られた治療環境に即した課題解決につながる効果が期待できる。また、今後、食形態を改善するための指標（以下、食形態改善指標）を開発し、その有効性を検証する際の基礎資料となると考える。