Browse > Article
http://dx.doi.org/10.9721/KJFST.2022.54.1.35

Survey of dysphagia meal management for the elderly and the disabled  

Lee, Hyun-Jung (Department of Food&Nutrition, Hanyang University)
Choi, Kui-Jeong (Department of Food&Nutrition, Hanyang University)
Park, Young-Sook (Department of Food&Nutrition, Hanyang University)
Shin, Weon-Sun (Department of Food&Nutrition, Hanyang University)
Publication Information
Korean Journal of Food Science and Technology / v.54, no.1, 2022 , pp. 35-42 More about this Journal
Abstract
A survey was conducted to investigate the conditions of meal management and the use of thickening agents for dysphagia in long-term institutions and welfare centers in Korea. The online questionnaire for the survey comprised six questions on the general characteristics of subjects, 16 on meal management, 10 on dietitians' knowledge, and 30 on dietitians' perceived performance and importance of meal management for dysphagia. The complete data from 268 questionnaires were analyzed, and Importance-Performance Analysis (IPA) was conducted. The results of the survey indicated frequent, "difficulties due to no specific guidance on managing dysphagia meal," "lack of caregiver understanding of the importance of dysphagia meal," "lack of opportunity and time for meal education/counseling," "difficulties with management due to dietitians' lack of experience and awareness of dysphagia," and "limited understanding of cooking staff in preparing dysphagia meal." Importantly, these five parts were categorized in the low-priority region in an IPA of the performance.
Keywords
dysphagia; thickening agents; meal management; Importance-Performance Analysis;
Citations & Related Records
Times Cited By KSCI : 9  (Citation Analysis)
연도 인용수 순위
1 GoatesS, Du K, BraunschweigCA, Arensberg MB. Economic burden of disease-associated malnutrition at the state level. PLoS One. 11: 1-15 (2016)
2 Han GS, Yang EJ. Status of health and nutritional intake of the elderly in long-term care facilities: focus on Gwangju metropolitan city. J Nutr Health Aging. 53: 27-38 (2020)   DOI
3 Hong SY, Seo S. Job performance frequency and the training needs of dietitians in elderly healthcare facilities. J Korean Diet Assoc. 16: 160-177 (2010)
4 Huckabee ML, Pelletier CA. Management of adult neurogenic dysphagia. Singular Publishing Group, CA, USA. pp. 51-73 (1999)
5 Kang HS, Lee YK, Chae IS. Job importance, job performance, and job satisfaction in dietitians at geriatric hospitals or elderly healthcare facilities in Jeju. J Nutr Health Aging. 49: 189-200 (2016)   DOI
6 Kim HJ. A study on catastrophic burden of health expenses of elderly households with chronic diseases. Studies on Life and Culture. 53: 51-74 (2019)
7 Park SJ, Kim JS, Jung EK. Institutional foodservice personnel's perception and use of care foods for elderly individuals' chewing and swallowing ability. J Korean Soc Food Sci Nutr. 47: 186-194 (2018)   DOI
8 White JV, Young E, Lasswell A. Position of theAmerican dietetic association: nutrition an essential component of medical education. J Am Diet Assoc. 94: 555-557 (1994)   DOI
9 Kim YS, Kim KN, Chang NS. Foodservice management in institutions for the disabled in Korea. J Korean Soc Food Cult. 16: 187-193 (2001)
10 Statistics Korea. Statistics about the elderly. Press release. (2020)
11 Yoon JH, Lee HJ. Perceptions on evaluation and treatment of swallowing disorders in speech-language pathologists. Phonetics Speech Sci. 5: 43-51 (2013)   DOI
12 Cha JA, Kim KE, Kim EM, Park MS, Park YK, Baek HJ, Seo JS. Development of job description of clinical dietitians in hospitals by the DACUM method. J Korean Diet Assoc. 19: 265-286 (2013)   DOI
13 Chan HK. Dysphagia management of elderly in nursing home: skills and knowledge of frontline staff. J Korean Diet Assoc. 12: 313-328 (2013)
14 Cho EH, Chang HJ, Kwak TK. Analysis of the job activities and demand of dietitian in the elderly health-care facilities. J Korean Diet Assoc. 12: 313-328 (2006)
15 Crary MA, Groher ME. Introduction to adult swallowing disorders. Butterworth-Heinemann Medical, PA, USA (2003)
16 Go SM, Lim SR. Oral hygiene care for elderly in care facility. J Korean Acad Conserv Dent. 53: 678-687 (2015)
17 Um MH, Lyu ES, Lee SM, Lee SM, Lee E, Cha JA, Park MS, Lee HS, Rha MY, Park YK. Clinical nutrition services of a long-term care hospital in Korea. Korean J Community Nutr. 20: 220-235 (2015)   DOI
18 Whang MJ. A study on care services for vulnerable groups: Focusing on enhancing consumer-orientation of long-term care services for the elderly. Policy research report. 1-298 (2016)
19 Chadwick D, Jolliffe J, Goldbart J, Burton H. Barriers to caregiver compliance with eating and drinking recommendations for adults with intellectual disabilities and dysphagia. J Appl Res Intellect. 19: 153-162 (2006)   DOI
20 Cho SY, Choung RS, Saito YA, Schleck CD, Zinsmeister AR, Locke GR 3rd, Talley NJ. Prevalence and risk factors for dysphagia: a USA community study. J Neurogastroenterol. 27: 212-219 (2015)   DOI
21 Kuhlemeier KV, Palmer JB, Rosenberg D. Effect of liquid bolus consistency and delivery method on aspiration and pharyngeal retention in dysphagia patients. Dysphagia. 16: 119-122 (2001)   DOI
22 Lee KE, Kim DS. Importance and performance of nutrition management for in-patients with fysphagia perceived by dietitians at clinical settings in Seoul and Gyeonggi areas. J East Asian Soc Diet Life. 29: 421-435 (2019)   DOI
23 Yoon M, Moon H, Jeon J, Sohn C. Nutritional management by dietitian at elderly nursing homes in gyeonggi-do. J Korean Diet Assoc. 19: 400-415 (2013)   DOI
24 Park MS, Lyu ES. Importance and performance of dietitian's task at long term care hospital foodservice in Busan.Kyungnamarea. Korean J Community Nutr. 16: 602-612 (2011)   DOI
25 Shim JS, Oh BM, Han TR. Factors associated with compliance with viscosity-modified diet among dysphagic patients. Ann Rehabil Med. 37: 628-632 (2013)   DOI
26 Brody RA, Touger-Decker R, Von Hagen S, Maillet JO. Role of registered dietitians in dysphagia screening. J Am Diet Assoc. 100: 1029-1037 (2000)   DOI
27 Kim HJ, Kim EM, Kee GJ, Lee JJ, Lim JH, Lee JM, Leon HJ, Lee HY. Clinical nutrition service at medical centers in Seoul. J Korean Diet Assoc. 17: 176-189 (2011)   DOI
28 Hamlet S, Choi J, Zormeier M, Shamsa F, Stachler R, Muz J. Normal adult swallowing of liquid and viscous material: scintigraphic data on bolus transit and oropharyngeal residues. Dysphagia. 11:41-47 (1996)   DOI
29 Kim HR, Lee JH. Research trends of thickened diet for dysphagia patients. J Korean Soc Food Sci Nutr. 21: 32-35 (2016)
30 Kim SH, Lee YS, Heo SY. Senior-friendly food market and its vitalization. KREI. 10: 1-319 (2017)
31 Kyle UG, Kossovsky MP, Karsegard VL, Pichard C. Comparison of tools for nutritional assessment and screening at hospital admission: A population study. J Clin Nutr. 25: 409-417 (2006)   DOI
32 Lee BR, Lim HS. Prevalence and medical cost under malnutrition in dysphagia patients of Korea: Based on health insurance review & assessment service (HIRA) Data. J Korean Dysphagia Soc. 10: 97-106 (2020)   DOI
33 Lee HS. Nutritional status of the hospitalized patients with high risk of dysphagia in Korea. J Korean Dysphagia Soc. 1: 75-79 (2011)   DOI
34 Lee SJ, Park EJ. Importance-performance analysis of clinical nutrition management in convalescent hospitals in the Gyeongnam area. J Korean Diet Assoc. 22: 53-69 (2019)   DOI
35 Moses FM. Squamous cell carcinoma of the esophagus. Gastroenterol Clin N Am. 20: 703-716 (1991)   DOI
36 Oh H. Revisiting importance-performance analysis. Tour manag. 22: 617-627 (2001)   DOI
37 Park SJ. Dysphagia risk and associated factors among community-dwelling elders. J Korean Soc Food Sci Nutr. 44:49-56 (2015)   DOI