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Effect of dysphagia rehabilitation in patients receiving enteral nutrition at home nursing care: A retrospective cohort study

OBJECTIVE: We considered the effect of dysphagia rehabilitation and investigated parameters associated with the resumption of oral intake in the elderly patients receiving home nursing care who were not eating by mouth. METHODS: The participants were 116 patients aged ≥65 years (66 men and 50 women,...

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Autores principales: Furuya, Hiroyasu, Kikutani, Takeshi, Igarashi, Kumi, Sagawa, Keiichiro, Yajima, Yuri, Machida, Reiko, Tohara, Takashi, Takahashi, Noriaki, Tamura, Fumiyo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7496106/
https://www.ncbi.nlm.nih.gov/pubmed/32506544
http://dx.doi.org/10.1111/joor.13030
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author Furuya, Hiroyasu
Kikutani, Takeshi
Igarashi, Kumi
Sagawa, Keiichiro
Yajima, Yuri
Machida, Reiko
Tohara, Takashi
Takahashi, Noriaki
Tamura, Fumiyo
author_facet Furuya, Hiroyasu
Kikutani, Takeshi
Igarashi, Kumi
Sagawa, Keiichiro
Yajima, Yuri
Machida, Reiko
Tohara, Takashi
Takahashi, Noriaki
Tamura, Fumiyo
author_sort Furuya, Hiroyasu
collection PubMed
description OBJECTIVE: We considered the effect of dysphagia rehabilitation and investigated parameters associated with the resumption of oral intake in the elderly patients receiving home nursing care who were not eating by mouth. METHODS: The participants were 116 patients aged ≥65 years (66 men and 50 women, mean age 79.7 ± 8.9 years) who were receiving home nursing care and not eating by mouth because of dysphagia. All patients underwent dysphagia rehabilitation for 6 months with the objective of resuming oral intake. After 6 months of dysphagia rehabilitation, the patients’ eating status was assessed using the Functional Oral Intake Scale (FOIS) and the associations of the post‐intervention FOIS score with age, history of pneumonia, duration of enteral nutrition, body mass index (BMI), alertness, physical function (ability to walk) and swallowing function at the initial examination. RESULTS: Functional Oral Intake Scale scores increased significantly after 6 months rather than those at the initial evaluation (P < .001). Eighty patients (69.0%) resumed oral intake (FOIS score ≥2), thirty patients (25.9%) of whom became capable of daily oral intake (FOIS score ≥3). Swallowing function was associated with the resumption of oral intake. In addition, physical function before dysphagia rehabilitation was an important factor to resume daily oral intake. CONCLUSIONS: The results of the present study suggest that the resumption of oral intake by patients receiving enteral nutrition requires improvement in swallowing function. In addition, anyone who cannot walk may not recover daily oral intake.
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spelling pubmed-74961062020-09-25 Effect of dysphagia rehabilitation in patients receiving enteral nutrition at home nursing care: A retrospective cohort study Furuya, Hiroyasu Kikutani, Takeshi Igarashi, Kumi Sagawa, Keiichiro Yajima, Yuri Machida, Reiko Tohara, Takashi Takahashi, Noriaki Tamura, Fumiyo J Oral Rehabil Original Articles OBJECTIVE: We considered the effect of dysphagia rehabilitation and investigated parameters associated with the resumption of oral intake in the elderly patients receiving home nursing care who were not eating by mouth. METHODS: The participants were 116 patients aged ≥65 years (66 men and 50 women, mean age 79.7 ± 8.9 years) who were receiving home nursing care and not eating by mouth because of dysphagia. All patients underwent dysphagia rehabilitation for 6 months with the objective of resuming oral intake. After 6 months of dysphagia rehabilitation, the patients’ eating status was assessed using the Functional Oral Intake Scale (FOIS) and the associations of the post‐intervention FOIS score with age, history of pneumonia, duration of enteral nutrition, body mass index (BMI), alertness, physical function (ability to walk) and swallowing function at the initial examination. RESULTS: Functional Oral Intake Scale scores increased significantly after 6 months rather than those at the initial evaluation (P < .001). Eighty patients (69.0%) resumed oral intake (FOIS score ≥2), thirty patients (25.9%) of whom became capable of daily oral intake (FOIS score ≥3). Swallowing function was associated with the resumption of oral intake. In addition, physical function before dysphagia rehabilitation was an important factor to resume daily oral intake. CONCLUSIONS: The results of the present study suggest that the resumption of oral intake by patients receiving enteral nutrition requires improvement in swallowing function. In addition, anyone who cannot walk may not recover daily oral intake. John Wiley and Sons Inc. 2020-07-13 2020-08 /pmc/articles/PMC7496106/ /pubmed/32506544 http://dx.doi.org/10.1111/joor.13030 Text en © 2020 The Authors. Journal of Oral Rehabilitation published by John Wiley & Sons Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Furuya, Hiroyasu
Kikutani, Takeshi
Igarashi, Kumi
Sagawa, Keiichiro
Yajima, Yuri
Machida, Reiko
Tohara, Takashi
Takahashi, Noriaki
Tamura, Fumiyo
Effect of dysphagia rehabilitation in patients receiving enteral nutrition at home nursing care: A retrospective cohort study
title Effect of dysphagia rehabilitation in patients receiving enteral nutrition at home nursing care: A retrospective cohort study
title_full Effect of dysphagia rehabilitation in patients receiving enteral nutrition at home nursing care: A retrospective cohort study
title_fullStr Effect of dysphagia rehabilitation in patients receiving enteral nutrition at home nursing care: A retrospective cohort study
title_full_unstemmed Effect of dysphagia rehabilitation in patients receiving enteral nutrition at home nursing care: A retrospective cohort study
title_short Effect of dysphagia rehabilitation in patients receiving enteral nutrition at home nursing care: A retrospective cohort study
title_sort effect of dysphagia rehabilitation in patients receiving enteral nutrition at home nursing care: a retrospective cohort study
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7496106/
https://www.ncbi.nlm.nih.gov/pubmed/32506544
http://dx.doi.org/10.1111/joor.13030
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