Guthrie Susan, Stansfield Jois
Speech and Language Therapy, Lancashire Care Foundation Trust Whalley, UK.
Manchester Metropolitan University, Manchester, UK.
J Appl Res Intellect Disabil. 2017 Jan;30(1):47-60. doi: 10.1111/jar.12218. Epub 2015 Oct 2.
To explore caregiver perceptions of the socio-environmental issues around evening meal ('teatime') which influence choking. Mealtime difficulties for people with intellectual disabilities and/or mental illness may be underdiagnosed. Difficulties affect quality of life with social aspects impacting on service-users and caregivers. Reporting of choking incidents has increased locally following widespread training. Analysis of reports showed most incidents were occurring around evening meal.
A qualitative study of caregivers witnessing a choking incident was undertaken. Semi-structured interviews explored perceptions of the causes. Data were analysed using thematic analysis.
Thematic analysis elicited individual service user characteristics, and social and contextual factors implicated in choking. The findings will facilitate risk assessment for service-users and inform mealtime practice. Staff familiarity is a key factor. Further research involving service-users is indicated to complement these findings. This study widens the focus of recent studies which have considered physical more than socio-environmental aspects of mealtime difficulties.
探讨照料者对影响噎食的晚餐（“茶点时间”）周围社会环境问题的看法。智障人士和/或精神疾病患者用餐困难可能未得到充分诊断。这些困难会影响生活质量，其社会层面会对服务使用者和照料者产生影响。在广泛培训后，当地噎食事件的报告有所增加。对报告的分析表明，大多数事件发生在晚餐前后。
对目睹噎食事件的照料者进行了定性研究。通过半结构化访谈探讨了对原因的看法。使用主题分析法对数据进行了分析。
主题分析得出了与噎食有关的个体服务使用者特征以及社会和背景因素。这些结果将有助于对服务使用者进行风险评估，并为用餐实践提供参考。工作人员的熟悉程度是一个关键因素。建议开展涉及服务使用者的进一步研究以补充这些结果。本研究拓宽了近期研究的重点，这些研究更多地考虑了用餐困难的身体方面而非社会环境方面。
