Jung Dukyoo, De Gagne Jennie C, Lee Hyesoon, Yoo Leeho, Park Jisung, Choi Eunju
College of Nursing, Ewha Womans University, Ewhayeodae-gil, Seodaemun-gu, Seoul 03760, Republic of Korea.
School of Nursing, Duke University, 307 Trent Drive, DUMC 3322, Pearson Building, Durham 27710, USA.
J Nurs Manag. 2023 Mar 3;2023:4427390. doi: 10.1155/2023/4427390. eCollection 2023.
Mealtime difficulty in this population should be examined from an extensive perspective, rather than approaching it as an individual problem. . This was a cross-sectional study involving 342 participant dyads from 57 long-term care facilities; 114 direct care workers; and 342 older adults with dementia. A multilevel regression analysis was conducted using the MPlus 8.0 program.
Among intrapersonal factors, age, cognitive function, activities of daily living, and number of beds in the facility were identified as affecting mealtime difficulty. Environmental factors included meal assistant education experience and whether an environment suitable for eating had been established. . The results show that intrapersonal factors exert a large influence on the mealtime difficulties of older adults with dementia in long-term care facilities and support the need to improve environmental factors, which are modifiable. . This study provided useful information about the influence of leaders on mealtime difficulties in older adults with dementia. Leaders should establish an environment in the facility for reduced mealtime difficulties.
对于这一人群的用餐困难问题，应从更广泛的角度进行审视，而非将其视为个体问题。这是一项横断面研究，涉及来自57家长期护理机构的342对参与者；114名直接护理人员；以及342名患有痴呆症的老年人。使用MPlus 8.0程序进行了多层次回归分析。
在个体因素中，年龄、认知功能、日常生活活动能力以及机构床位数量被确定为影响用餐困难的因素。环境因素包括用餐助理的教育经历以及是否营造了适宜用餐的环境。结果表明，个体因素对长期护理机构中患有痴呆症老年人的用餐困难有很大影响，并支持改善可改变的环境因素的必要性。这项研究提供了关于领导者对患有痴呆症老年人用餐困难影响的有用信息。领导者应在机构中营造一个减少用餐困难的环境。
