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居家照护者在患者出院后为吞咽障碍老年人喂食的策略。

Home caregiver strategies for feeding older adults with dysphagia after dehospitalization.

机构信息

Universidade Federal da Bahia, Programa de Pós-Graduação em Enfermagem e Saúde. Salvador, BA, Brazil.

Universidade Federal da Bahia, Hospital Universitário Professor Edgard Santos. Salvador, BA, Brazil.

出版信息

Rev Esc Enferm USP. 2024 May 24;58:e20230318. doi: 10.1590/1980-220X-REEUSP-2023-0318en. eCollection 2024.

DOI:10.1590/1980-220X-REEUSP-2023-0318en
PMID:38808907
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11135044/
Abstract

OBJECTIVE

To understand caregivers' strategies for offering food to older adults with oropharyngeal dysphagia after dehospitalization.

METHOD

Qualitative research carried out with caregivers of older adults with oropharyngeal dysphagia, who were discharged after hospitalization at a university hospital in Bahia. Data collection was carried out between January and February 2023 through a semi-structured interview, whose data were organized based on content analysis and analyzed with the help of IRaMuTeQ software.

RESULTS

Three categories emerged: Caregivers' strategies for safely offering food to older adults with dysphagia; Caregiver strategies for oral hygiene for older adults; Recognition of continuity of speech therapy after dehospitalization.

CONCLUSION

Caregivers' strategies for offering food to older adults with oropharyngeal dysphagia were supported by tacit knowledge and effective care in the hospital-home transition.

摘要

目的

了解老年人出院后照顾者为口咽吞咽障碍老年人提供食物的策略。

方法

对在巴伊亚州一所大学医院出院后的口咽吞咽障碍老年人的照顾者进行定性研究。数据收集于 2023 年 1 月至 2 月期间进行,采用半结构化访谈的方式,其数据根据内容分析法进行组织,并借助 IRaMuTeQ 软件进行分析。

结果

出现了三个类别:照顾者为吞咽障碍老年人安全提供食物的策略;照顾者为老年人进行口腔卫生的策略;对出院后言语治疗连续性的认可。

结论

照顾者为口咽吞咽障碍老年人提供食物的策略得到了隐性知识和医院-家庭过渡期间有效护理的支持。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fca/11135044/0f44970e02b7/1980-220X-reeusp-58-e20230318-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fca/11135044/8125079065b9/1980-220X-reeusp-58-e20230318-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fca/11135044/4104de9bc755/1980-220X-reeusp-58-e20230318-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fca/11135044/b3f124edbd54/1980-220X-reeusp-58-e20230318-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fca/11135044/0f44970e02b7/1980-220X-reeusp-58-e20230318-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fca/11135044/8125079065b9/1980-220X-reeusp-58-e20230318-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fca/11135044/4104de9bc755/1980-220X-reeusp-58-e20230318-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fca/11135044/b3f124edbd54/1980-220X-reeusp-58-e20230318-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fca/11135044/0f44970e02b7/1980-220X-reeusp-58-e20230318-gf04.jpg

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Dement Neuropsychol. 2022 Jul-Sep;16(3):261-269. doi: 10.1590/1980-5764-DN-2021-0073. Epub 2022 May 23.
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The Hydration Status of Adult Patients with Oropharyngeal Dysphagia and the Effect of Thickened Fluid Therapy on Fluid Intake and Hydration: Results of Two Parallel Systematic and Scoping Reviews.
成人口咽吞咽障碍患者的液体摄入状态和增稠液体疗法对液体摄入和液体摄入的影响:两项平行系统评价和范围研究的结果。
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Short-Term Therapeutic Adherence of Hospitalized Older Patients with Oropharyngeal Dysphagia after an Education Intervention: Analysis of Compliance Rates, Risk Factors and Associated Complications.教育干预后住院老年口咽吞咽困难患者的短期治疗依从性:依从率、危险因素及相关并发症分析
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Narrative Review of Low-Intake Dehydration in Older Adults.老年人低摄入脱水的叙述性综述。
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