Browse > Article
http://dx.doi.org/10.12799/jkachn.2017.28.4.450

An Intervention Study of Self-feeding for the Elderly in Nursing Homes  

Lee, Kyung Hee (Department of Nursing, Saekyung College)
Publication Information
Research in Community and Public Health Nursing / v.28, no.4, 2017 , pp. 450-462 More about this Journal
Abstract
Purpose: This study aims to investigate the effects of an intervention of self-feeding for elderly residents who were eating with assistance or eating by himself/herself with spilling food. Methods: The Participants were 11 elderly people and 6 formal caregivers from 7 nursing homes in Korea. The intervention was to use the spoon and chopstick sets designed for compensating the weakened eating function. Both quantitative and qualitative data were collected through observation, structured questions, and in-depth interviews. Results: The mealtime was significantly increased by 3.2 minutes (p=.011) after the intervention. Three themes were extracted for the meaning of self-feeding expressed by the elders; fighting alone for self-feeding, pride of participating in the study, and burden for self-feeding and research participation. Caregivers expressed the meaning of the elder's self-feeding such as the regret of missed chances, facilitating rehabilitation, the increase of the eating pleasure and quality of care, and ambivalence. Conclusion: Self-feeding has become an opportunity to recognize life values for the elders in nursing homes; for the caregivers, to reconsider caring of the elderly. Posture and eating utensils were also important to improve self-feeding skills.
Keywords
Feeding behavior; Food assistance; Aged; Caregivers; Nursing homes;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Speroff BA, Davis KH, Dehr KL, Larkins KN. The dining experience in nursing homes. North Carolina Medical Journal. 2005;66(4):292-295.
2 Kim JH, Kang SN, Lee, KH. Meal services at long-term care facilities in Kyung-In Area. The Journal of Korean Academic Society of Home Care Nursing. 2015;22(1):47-58.
3 Pierson C. Ethnomethodologic analysis of accounts of feeding demented residents in long-term care. Journal of Nursing Scholarship. 1999;31(2):127-131. https://doi.org/10.1111/j.1547-5069.1999.tb00447.x   DOI
4 Lee KH. Meaning of a meal among nursing home elderly and staff. Journal of the Korean Gerontological Society. 2016;36(4):1157-1176.
5 Lee MH. Independence of institutionalized elderly women: Ethnomethodological approach. Journal of Qualitative Research. 2002;3(1):27-40. http://www.dbpia.co.kr/Article/NODE01538536
6 Bonnel WB. Managing mealtime in the independent group dining room: An educational program for nurse's aides: An educational program helps nurse's aids understand that eating is a task for many elders. Geriatric Nursing. 1995;16(1):28-32. https://doi.org/10.1016/s0197-4572(05)80076-x   DOI
7 Ronch JL. Changing institutional culture: Can we re-value the nursing home?. Journal of Gerontological Social Work. 2004;43(1):61-82. https://doi.org/10.1300/j083v43n01_06   DOI
8 Daly M. Care as a good for social policy. Journal of Social Policy. 2002;31(2):251-270. https://doi.org/10.1017/s0047279401006572   DOI
9 Hwang HL, Tu CT, Chen S, Wang HH. Caring behaviors perceived by elderly residents of long-term care facilities: Scale development and psychometric assessment. International Journal of Nursing Studies. 2012;49(2):183-190. https://doi.org/10.1016/j.ijnurstu.2011.08.013   DOI
10 Statistics Korea. 2017 Statistics of senior citizens [Internet]. Seoul: Statistic korea. 2017. [cited 2017 September 26]. Available from: Portal/korea/kor_nw/2/6/1/index.board
11 Ministry of Health and Welfare. 2017 Guidelines for healthcare health services I.II. [Internet]. Seoul: Ministry of Health and welfare. 2017. [cited 2017 January]. Available from: www.nohw.go.kr
12 Sandman PO, Norberg A, Adolfsson R, Eriksson S, Nystrom L. Prevalence and characteristics of persons with dependency on feeding at institutions for the elderly. Scandinavian Journal of Caring Sciences. 1990;4(3):121-127. https://doi.org/10.1111/j.1471-6712.1990.tb00058.x   DOI
13 Oh JJ. Assisting demented patients with feeding in nursing homes. Journal of the Korean Gerontological Society. 2006;26(2):315-328.
14 Chang CC, Roberts BL. Cultural perspectives in feeding difficulty in Taiwanese elderlywith dementia. Journal of Nursing Scholarship. 2008;40(3):235-240. https://doi.org/10.1111/j.1547-5069.2008.00231.x   DOI
15 Rogers JC, Snow T. An assessment of the feeding behaviors of the institutionalized elderly. The American Journal of Occupational Therapy. 1982;36(6):375-380. https://doi.org/10.5014/ajot.36.6.375   DOI
16 Center for Medicare and Medicaid Services. 2013. Nursing home data compendium [Internet]. USA: Center for Medicare and Medicaid Services. [cited 2014 Jun 20]. Available from: https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/downloads/nursinghomedatacompendium_508.pdf
17 Baltes MM, Zerbe MB. Reestablishing self-feeding in a nursing home resident. Nursing Research. 1976;25(1):24-26. https://doi.org/10.1097/00006199-197601000-00007
18 Ott F, Readman T, Backman C. Mealtimes of the institutionalized elderly: A literature review. Journal of Occupational Therapy. 1990;57(5):261-267. https://doi.org/10.1177/000841749005700505   DOI
19 Barnes S, Mauk KL. Long term care. In: Lubkin IM, Larsen, editors. Chronic illness: impact and intervention. 8th ed. Burlington: Jones Bartlett Learning; 2013. p. 561-59,
20 Manning AM, Means JG. A self feeding program for geriatric patients in a skilled nursing facility. Journal of the American Dietetic Association. 1975;66(3):275-276.
21 Lim JS, Choi JS, Lee MH. The movement toward resident-centered care in long-term care facilities: A Contingency theory view. The Journal of the Korean Gerontological Society. 2012;32(1):25-49.
22 Cho KJ, Han DH. Study on food habits of the elderly in institution. Journal of the Korean Society of Food Science and Nutrition. 1998;27(4):756-764.
23 Kim Dj, Son SS, Lee NH, Cho HM. Market analysis of assistive products for elders. Korea Institute for Health and Social Affairs. Research Report. Seoul: Ministry of Health and Welfare; 2012 December. Reort No.: 2012-47-19.
24 Dukes S. Phenomenological methodology in the human sciences. Journal of Religion and Health. 1984;23(3):197-203. https://doi.org/10.1007/BF00990785   DOI
25 Bandura A. Social learning theory. New Jersey Prentice-Hall; 1977. 246 p.
26 Braun V, Clarke V. Using thematic analysis in psychology. Qualitative Research in Psychology. 2006;3(2):77-101. https://doi.org/10.1191/1478088706qp063oa   DOI
27 Yen PK. Impact of the eating environment. Journal of Geriatric Nursing. 2003;24(4):255-256. https://doi.org/10.1016/s0197-4572(03)00206-4   DOI
28 Tomas DR, Ashmen W, Morley JE, Evans WJ. Nutritional management in long-term Care: Development of a clinical guideline. The Journal of Gerontology: Series A. 2000;55(12):M725-M734. https://doi.org/10.1093/gerona/55.12.M725   DOI
29 Park KY, Kin MS. The Satisfaction and the need of assistive devices for the elderly. Korea Aging Friendly Industry Association. 2009;1(1):31-38.
30 Seo YM, Choi WH. A predictive model on self care behavior for patients with type 2 diabetes: Based on self-determination theory. Journal of Korean Academy of Nursing. 2011;41(4):491-499. https://doi.org/10.4040/jkan.2011.41.4.491   DOI