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トクベツ　ヨウゴ　ロウジン　ホーム　ニ　オケル　ショク　シエン　ノ　ジッタイ　ト　カンゴショク　ノ　ヤクワリ 特別養護老人ホームにおける食支援の実態と看護職の役割 Actual states of assistance for eating and expected roles of nursing professionals in intensive-care nursing homes for the elderly 田中, 美菜江 37516 タナカ, ミナエ 奥田, 玲子 2912 オクダ, レイコ 100000846 Okuda, Reiko 深田, 美香 382 フカダ, ミカ 10218894 Fukada, Mika 100000229 Tanaka, Minae 37517 タナカ, ミナエ intensive- care nursing homes for the elderly assistance for eating nursing professional intensive- care nursing homes for the elderly assistance for eating nursing professional The purpose of this study was to elucidate the conditions of mealtime assistance in intensive- care nursing homes for the elderly in Tottori prefecture and to examine the roles of nursing professionals. A questionnaire survey was conducted on managers and staff of 14 facilities from which consents were obtained. The analyzed subjects were 89 staff members of 12 facilities that responded. Comprehensive skills of mealtime assistance (5 categories, 21 items) were analyzed using (1) descriptive statistics on the type of work mainly performed and type of work preferably performed by certain professionals and (2) text-mining on the anxiety/burden of mealtime assistance. Caregiving was selected in 20 items for the main work performed. The following professionals were selected as those who should preferably perform certain care: nursing professionals performing care directly/immediately affecting lives, “observation of respiratory status”; rehabilitation professionals performing care for “posture maintenance and device use”; and nutrition professionals performing care related to “selection of food form” and “observation of nutritional status.” Mealtime anxiety/burden involved difficulty of determining swallowing status, aspiration, and choking. There was an expectation on nursing professionals, regarding their roles, to advise from a medical perspective based on their observations and assessment of patients’ respiratory and swallowing statuses. departmental bulletin paper 米子医学会 2020-03-31 VoR application/pdf 米子医学雑誌 4-6 70 57 68 The Journal of the Yonago Medical Association AN00247383 00440558 https://repository.lib.tottori-u.ac.jp/record/4326/files/jyma70(4-6)_57.pdf https://repository.lib.tottori-u.ac.jp/records/4326 jpn 米子医学雑誌, 2019, 70(4-6), 57-68 https://mol.medicalonline.jp/library/journal/abstract?GoodsID=eb3yonai/2019/007004/003&name=0057-0068 https://mol.medicalonline.jp/library/journal/abstract?GoodsID=eb3yonai/2019/007004/003&name=0057-0068 注があるものを除き、この著作物は日本国著作権法により保護されています。 / This work is protected under Japanese Copyright Law unless otherwise noted.