Cargando…

Effects of a Multifaceted Intervention Program on the Eating Ability of Nursing Home Residents

Oropharyngeal dysphagia is a common problem for nursing home residents that leads to aspiration pneumonia and malnutrition. Musculature surrounding head and neck and tongue strength are crucial for safe and efficient oropharyngeal swallowing. Oral hygiene facilitates the smooth swallowing. The aim o...

Descripción completa

Detalles Bibliográficos
Autores principales: Chen, Mei-Ling, Chiu, Chia-Hui, Hwu, Yueh-Juen, Kuo, Shu-Chen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8430557/
https://www.ncbi.nlm.nih.gov/pubmed/34501540
http://dx.doi.org/10.3390/ijerph18178951
_version_ 1783750731260493824
author Chen, Mei-Ling
Chiu, Chia-Hui
Hwu, Yueh-Juen
Kuo, Shu-Chen
author_facet Chen, Mei-Ling
Chiu, Chia-Hui
Hwu, Yueh-Juen
Kuo, Shu-Chen
author_sort Chen, Mei-Ling
collection PubMed
description Oropharyngeal dysphagia is a common problem for nursing home residents that leads to aspiration pneumonia and malnutrition. Musculature surrounding head and neck and tongue strength are crucial for safe and efficient oropharyngeal swallowing. Oral hygiene facilitates the smooth swallowing. The aim of this study was thus to investigate the effects of a multifaceted intervention program which combines the interactive oral activities, tongue strength training and oral cleaning procedure on the eating ability of nursing home residents. A sequential, multiple time series, single-group quasi-experimental research design was used, and 41 residents were recruited to participate in this study. The study was divided into three phases, each lasting two months. In phase 1, the participants were conducting their usual activities, except that the outcome variables were measured on five occasions to obtain baseline data. Phase 2 was a two-month washout period, and phase 3 was the intervention period. Thirty-six residents completed phase 1, and 34 residents completed the phase 3 intervention period. The eight-week phase 3 intervention program comprised three sessions per day, conducted seven days a week, with each session lasting 15–20 min. Outcome variables were measured at weeks 0, 2, 4, 6, and 8 in phases 1 and 3 to evaluate the feasibility of the program. Following the intervention program, controlling for baseline differences, the patients’ tongue strength, food consumption, mealtime duration, oral health, and dysphagia severity were significantly improved in phase 3 relative to phase 1. These improvements lasted through to at least 2 months posttest. The study illustrates that this multifaceted intervention program may be an effective approach for improving the eating ability of nursing home residents.
format Online
Article
Text
id pubmed-8430557
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-84305572021-09-11 Effects of a Multifaceted Intervention Program on the Eating Ability of Nursing Home Residents Chen, Mei-Ling Chiu, Chia-Hui Hwu, Yueh-Juen Kuo, Shu-Chen Int J Environ Res Public Health Article Oropharyngeal dysphagia is a common problem for nursing home residents that leads to aspiration pneumonia and malnutrition. Musculature surrounding head and neck and tongue strength are crucial for safe and efficient oropharyngeal swallowing. Oral hygiene facilitates the smooth swallowing. The aim of this study was thus to investigate the effects of a multifaceted intervention program which combines the interactive oral activities, tongue strength training and oral cleaning procedure on the eating ability of nursing home residents. A sequential, multiple time series, single-group quasi-experimental research design was used, and 41 residents were recruited to participate in this study. The study was divided into three phases, each lasting two months. In phase 1, the participants were conducting their usual activities, except that the outcome variables were measured on five occasions to obtain baseline data. Phase 2 was a two-month washout period, and phase 3 was the intervention period. Thirty-six residents completed phase 1, and 34 residents completed the phase 3 intervention period. The eight-week phase 3 intervention program comprised three sessions per day, conducted seven days a week, with each session lasting 15–20 min. Outcome variables were measured at weeks 0, 2, 4, 6, and 8 in phases 1 and 3 to evaluate the feasibility of the program. Following the intervention program, controlling for baseline differences, the patients’ tongue strength, food consumption, mealtime duration, oral health, and dysphagia severity were significantly improved in phase 3 relative to phase 1. These improvements lasted through to at least 2 months posttest. The study illustrates that this multifaceted intervention program may be an effective approach for improving the eating ability of nursing home residents. MDPI 2021-08-25 /pmc/articles/PMC8430557/ /pubmed/34501540 http://dx.doi.org/10.3390/ijerph18178951 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Chen, Mei-Ling
Chiu, Chia-Hui
Hwu, Yueh-Juen
Kuo, Shu-Chen
Effects of a Multifaceted Intervention Program on the Eating Ability of Nursing Home Residents
title Effects of a Multifaceted Intervention Program on the Eating Ability of Nursing Home Residents
title_full Effects of a Multifaceted Intervention Program on the Eating Ability of Nursing Home Residents
title_fullStr Effects of a Multifaceted Intervention Program on the Eating Ability of Nursing Home Residents
title_full_unstemmed Effects of a Multifaceted Intervention Program on the Eating Ability of Nursing Home Residents
title_short Effects of a Multifaceted Intervention Program on the Eating Ability of Nursing Home Residents
title_sort effects of a multifaceted intervention program on the eating ability of nursing home residents
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8430557/
https://www.ncbi.nlm.nih.gov/pubmed/34501540
http://dx.doi.org/10.3390/ijerph18178951
work_keys_str_mv AT chenmeiling effectsofamultifacetedinterventionprogramontheeatingabilityofnursinghomeresidents
AT chiuchiahui effectsofamultifacetedinterventionprogramontheeatingabilityofnursinghomeresidents
AT hwuyuehjuen effectsofamultifacetedinterventionprogramontheeatingabilityofnursinghomeresidents
AT kuoshuchen effectsofamultifacetedinterventionprogramontheeatingabilityofnursinghomeresidents