Factors Associated with Caregivers’Intention to Feeding and Oral Care in the Elderly with Dysphagia

• Main Authors: Yuan-Jung Chang, 張源蓉
• Other Authors: Shun-Te Huang
• Format: Others
• Language: zh-TW
• Published: 2016
• Online Access: http://ndltd.ncl.edu.tw/handle/71838855113812783787

碩士 === 高雄醫學大學 === 口腔衛生學系碩士班 === 104 === Abstract Background: The high-risk factors of aspiration pneumonia in frail dysphagic elderly include aspiration, acid reflux and poor oral hygiene. The feeding and oral care behavior of caregivers has been demonstrated to influence health complaints of long-term care dysphagic elderly. Purpose: This study assessed the Integrated Behavioral Model’s (IBM) utility in explaining caregivers’ feeding and oral care intention among the long-term care elderly with dysphagia. and predicted the significant factors associated with their feeding and oral care behavior in the future. This study aimed to assess the knowledge, care habit and attitude of caregivers about feeding and oral care to the dysphagic long-term care elderly . Methods: A total of 239 participants completed a validated self-report questionnaire based on the (IBM) theory and their knowledge, past care behavior in Kaohsuing, Taiwan. Regression models were used to identify factors with respect to the intention of preventing aspiration pneumonia. Result: Regression analysis of Integrated Behavior Model confirmed that the significantly factors associated with the preventive aspiration pneumonia care behavior of caregivers who had higher scores in past behavior ( b=0.46, p<0.001), injective norm( b=0.46, p<0.001),knowledge ( b=0.22, p=0.004), and care experience ( b=0.24,p=0.035)were found to be more likely to take preventive care in the future one month. Comparing to home care workers, the nursing aides who had higher scores in feeding intention (OR=1.24, p<0.001)and oral care intention (OR=1.29 , p<0.001). When the nursing aides who have confirmed the elderly swallowed no more than 1tsp/bite before next bite (OR=2.0, p=0.024) , represented the nursing aides are more likely taking feeding care in the future one month. When the nursing aides who have helped elderly wipe buccal mucosa and tongue(OR=1.89, p=0.020) in the past one month, represented the nursing aides are more likely taking oral care in the future one month. Conclusion: To change nursing aides concerned the residual effect of past behavior , the nurses are the key persons. The mean score of nursing aides13.2 (+4.62) is significant higher than home care workers 8.30(+7.30) in the he preventive aspiration pneumonia intension. The more significant the nursing aides’ past feeding and oral care behavior was, the more confused they were. The result revealed that caregivers’ knowledge was not enough to resolve the bothersome feeding and oral care work. The study demonstrated that feeding and oral care intention is low, Caregivers predicted the preventive aspiration care could not realize in the future one month. Keywords Dysphagia, feeding, oral care, the Integrated Behavior Model, intention.