Wood Meg, Gorham-Rowan Mary, Hannibal Ruth Renee, Lamb Katherine, Cox Michelle
Department of Communication Sciences and Disorders, Valdosta State University, Valdosta, USA.
Meadows Memorial Health Hospital, Vidalia, USA.
Dysphagia. 2025 Jun 5. doi: 10.1007/s00455-025-10846-y.
Pill swallowing and medication administration can be problematic in patients with difficulty swallowing and can lead to poor medication compliance. The extent to which speech-language pathologists (SLPs) consider pill swallowing during videofluorographic assessments, however, is not known. A survey focusing on SLP practices, knowledge, and opinions about assessment of pill swallowing and subsequent medication administration decisions in patients with dysphagia was distributed to SLPs via American Speech-Language-Hearing Association (ASHA) special interest divisions and an online forum. Results from the survey revealed that while 53% of respondents agreed that pill swallowing should be included during dysphagia assessment, only 28% routinely do so. However, 58% of the SLPs reported making recommendations regarding medication administration based on the results of the videofluorographic exam. Further research should focus on best practices for pill swallowing assessment as well as exploring interventions for pill swallowing difficulty within the dysphagic population so that adverse events can be minimized, and patient outcome maximized.
对于吞咽困难的患者来说，吞服药物可能会有问题，并且可能导致药物依从性差。然而，言语语言病理学家（SLP）在视频荧光造影评估中考虑吞服药物的程度尚不清楚。一项针对SLP在吞咽困难患者中对吞服药物评估的实践、知识以及关于后续用药决策的意见的调查，通过美国言语语言听力协会（ASHA）的特殊兴趣部门和一个在线论坛分发给了SLP。调查结果显示，虽然53%的受访者同意在吞咽困难评估中应包括吞服药物的评估，但只有28%的人经常这样做。然而，58%的SLP报告称会根据视频荧光造影检查的结果对用药提出建议。进一步的研究应侧重于吞服药物评估的最佳实践，以及探索针对吞咽困难人群吞咽困难的干预措施，以便将不良事件降至最低，并使患者的治疗效果最大化。
