College of Nursing, Ewha Womans University, Seoul 03760, Korea.
School of Nursing, Duke University, Durham, NC 27710, USA.
Int J Environ Res Public Health. 2021 Sep 26;18(19):10109. doi: 10.3390/ijerph181910109.
This paper reports a scoping review of the literature on eating difficulties among older adults with dementia in long-term care facilities to identify key concepts, methods of measuring outcomes, interventions, and related factors. A scoping review was performed using the bibliographic databases PubMed, CINAHL, PsycINFO, and Cochrane Library. A combination of keywords and subject headings related to eating or feeding difficulties was used. Inclusion criteria were limited to materials published in English. A total of 1070 references were retrieved, of which 39 articles were selected after applying the inclusion and exclusion criteria. Articles that met the criteria were published between 1987 and 2020. "Eating disabilities" have been defined as problems related to choosing food and/or the ability to get food to one's mouth, chew, and swallow. Interventions for eating difficulties described in the literature include spaced retrieval training, Montessori training, and feeding skill training. Intrapersonal, interpersonal, and environmental factors related to eating difficulties were identified. This scoping review will provide direct care workers, nursing educators, and administrators with an overview of eating performance and a broad understanding of eating difficulties for older adults with dementia in long-term care facilities.
本文对长期护理机构中痴呆老年人进食困难的文献进行了范围综述，以确定关键概念、评估结果的方法、干预措施和相关因素。使用 PubMed、CINAHL、PsycINFO 和 Cochrane Library 等文献数据库进行了范围综述。使用了与进食或喂养困难相关的关键词和主题词的组合。纳入标准仅限于以英文发表的材料。共检索到 1070 篇参考文献，在应用纳入和排除标准后，选择了 39 篇文章。符合标准的文章发表于 1987 年至 2020 年之间。“进食障碍”被定义为与选择食物和/或将食物送到口中、咀嚼和吞咽能力有关的问题。文献中描述的进食困难干预措施包括间隔检索训练、蒙台梭利训练和喂养技能训练。确定了与进食困难相关的个体内部、人际和环境因素。这项范围综述将为直接护理人员、护理教育者和管理人员提供对长期护理机构中痴呆老年人进食表现的概述，并广泛了解他们的进食困难情况。
