Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

Development and Effects of a Coping Skill Training Program for Caregivers in Feeding Difficulty of Older Adults with Dementia in Long-Term Care Facilities

요양시설 요양보호사를 위한 치매노인의 식사행동장애 대처기술훈련 프로그램 개발 및 효과

  • Hong, Hyun Hwa (Department of Nursing, College of Health Sciences, Kyungnam University) ;
  • Gu, Mee Ock (College of Nursing.Gerontological Health Research Center in Institute of Health Sciences, Gyeongsang National University)
  • 홍현화 (경남대학교 건강과학대학 간호학과) ;
  • 구미옥 (경상대학교 간호대학.경상대학교 건강과학연구원 노인건강연구센터)
  • Received : 2017.11.27
  • Accepted : 2018.03.14
  • Published : 2018.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: We developed and tested the effects of a coping skill training program for caregivers in feeding difficulty among older adults with dementia in long-term care facilities. Methods: A non-equivalent control group pretest-posttest design was used. The subjects comprised 34 caregivers (experimental group: 17, control group: 17) and 40 older adults with dementia (experimental group: 20, control group: 20). The developed program was delivered in 4-hour sessions over 6 weeks (including 2 weeks of lectures and lab practice on feeding difficulty coping skills, and 4 weeks of field practice). Data were collected before, immediately after, and 4 weeks after the program (January 3 to April 6, 2016). The data were analyzed using t-test and repeated measures ANOVA using SPSS/WIN 20.0. Results: Compared to their counterparts in the control group, caregivers in the experimental group showed a significantly greater improvement in feeding knowledge and feeding behavior, while older adults with dementia showed greater improvements in feeding difficulty and Body Mass Index. Conclusion: The study findings indicate that this coping skill training program for caregivers in feeding difficulty is an effective intervention for older adults with dementia in long-term care facilities.

Keywords

References

  1. Ministry of Health & Welfare. 3rd comprehensive plan for dementia management ('16-'20) [Internet]. Seoul: Author; c2015 [cited 2015 Dec 21]. Available from: http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=329062&page=1.
  2. Choi ID, Lee YM. Study on the efficient integration of longterm care facilities and geriatric hospitals by using NHIC survey data. Journal of the Korean Gerontological Society. 2010;30(3):855-869.
  3. Chang CC, Roberts BL. Feeding difficulty in older adults with dementia. Journal of Clinical Nursing. 2008;17(17):2266-2274. https://doi.org/10.1111/j.1365-2702.2007.02275.x
  4. Watson R, Green SM. Feeding and dementia: A systematic literature review. Journal of Advanced Nursing. 2006;54(1):86-93. https://doi.org/10.1111/j.1365-2648.2006.03793.x
  5. Volicer L, Seltzer B, Rheaume Y, Fabiszewski K, Herz L, Shapiro R, et al. Progression of Alzheimer type dementia in institutionalized patients: A cross-sectional study. Journal of Applied Gerontology. 1987;6(1):83-94. https://doi.org/10.1177/073346488700600107
  6. Jansen S, Ball L, Desbrow B, Morgan K, Moyle W, Hughes R. Nutrition and dementia care: Informing dietetic practice. Nutrition & Dietetics. 2015;72(1):36-46. https://doi.org/10.1111/1747-0080.12144
  7. Amella EJ. Factors influencing the proportion of food consumed by nursing home residents with dementia. Journal of the American Geriatrics Society. 1999;47(7):879-885. https://doi.org/10.1111/j.1532-5415.1999.tb03849.x
  8. Simmons SF, Osterweil D, Schnelle JF. Improving food intake in nursing home residents with feeding assistance: A staffing analysis. Journal of Gerontology: Medical Sciences. 2001;56(12):M790-M794. https://doi.org/10.1093/gerona/56.12.M790
  9. Amella EJ. Feeding and hydration issues for older adults with dementia. Nursing Clinics of North America. 2004;39(3):607-623. https://doi.org/10.1016/j.cnur.2004.02.014
  10. Liu W, Galik E, Boltz M, Nahm ES, Resnick B. Optimizing eating performance for older adults with dementia living in long-term care: A systematic review. Worldviews on Evidence Based Nursing. 2015;12(4):228-235. https://doi.org/10.1111/wvn.12100
  11. Oh JJ. Assisting demented patients with feeding in nursing homes. Journal of the Korean Gerontological Society. 2006;26(2):315-328.
  12. Batchelor-Murphy M, Amella EJ, Zapka J, Mueller M, Beck C. Feasibility of a web-based dementia feeding skills training program for nursing home staff. Geriatric Nursing. 2015;36(3):212-218. https://doi.org/10.1016/j.gerinurse.2015.02.003
  13. Chang CC, Lin LC. Effects of a feeding skills training programme on nursing assistants and dementia patients. Journal of Clinical Nursing. 2005;14(10):1185-1192. https://doi.org/10.1111/j.1365-2702.2005.01240.x
  14. Chang CC, Wykle ML, Madigan EA. The effect of a feeding skills training program for nursing assistants who feed dementia patients in Taiwanese nursing homes. Geriatric Nursing. 2006;27(4):229-237. https://doi.org/10.1016/j.gerinurse.2006.03.007
  15. Chang CC. Effects of a feeding skills training program on knowledge, attitude, perceived behavior control, intention, and behavior of formal caregivers toward feeding dementia patients in Taiwan nursing homes [dissertation]. Cleveland (OH): Case Western Reserve University; 2005. p. 1-230.
  16. Watson R. Measuring feeding difficulty in patients with dementia: Perspectives and problems. Journal of Advanced Nursing. 1993;18(1):25-31. https://doi.org/10.1046/j.1365-2648.1993.18010025.x
  17. Liu W, Cheon J, Thomas SA. Interventions on mealtime difficulties in older adults with dementia: A systematic review. International Journal of Nursing Studies. 2014;51(1):14-27. https://doi.org/10.1016/j.ijnurstu.2012.12.021
  18. Chang CC, Roberts BL. Strategies for feeding patients with dementia. American Journal of Nursing. 2011;111(4):36-44. https://doi.org/10.1097/01.naj.0000396553.01996.5e
  19. Hong HH, Gu MO. Feeding difficulty and its influencing factors of elders with dementia in long-term care facilities. Journal of the Korea Academia-Industrial Cooperation Society. 2015;16(2):1240-1252. https://doi.org/10.5762/kais.2015.16.2.1240
  20. Lee J, Ryu SA. Factors associated with feeding difficulty in long-term care facility older adults with dementia. Journal of Korean Gerontology Nursing. 2017;19(1):1-12. https://doi.org/10.17079/jkgn.2017.19.1.1
  21. Baek SY. Effects of a feeding assistance education on care providers for elderly patients in a geriatric hospital [master's thesis]. Busan: Busan University; 2014. p. 1-98.
  22. Park MS, Choi-Kwon S. The effects of oral care education on caregivers' knowledge, attitude, & behavior toward oral hygiene for elderly residents in a nursing home. Journal of Korean Academy of Nursing. 2011;41(5):684-693. https://doi.org/10.4040/jkan.2011.41.5.684
  23. Coleman P. Improving oral health care for the frail elderly: A review of widespread problems and best practices. Geriatric Nursing. 2002;23(4):189-199. https://doi.org/10.1067/mgn.2002.126964
  24. MacEntee MI, Wyatt CCL, Beattie BL, Paterson B, Levy-Milne R, McCandless L, et al. Provision of mouth-care in long-term care facilities: An educational trial. Community Dentistry and Oral Epidemiology. 2007;35(1):25-34. https://doi.org/10.1111/j.1600-0528.2007.00318.x
  25. Ajzen I, Fishbein M. Understanding attitudes and predicting social behavior. Englewood Cliffs (NJ): Prentice-Hall; 1980. p. 1-278.
  26. Hui J, Wenqin Y, Yan G. Family-paid caregivers in hospital health care in China. Journal of Nursing Management. 2013;21(8):1026-1033. https://doi.org/10.1111/jonm.12017
  27. Suominen MH, Kivisto SM, Pitkala KH. The effects of nutrition education on professionals' practice and on the nutrition of aged residents in dementia wards. European Journal of Clinical Nutrition. 2007;61(10):1226-1232. https://doi.org/10.1038/sj.ejcn.1602639
  28. Inoue S, Zimmet P. The Asia-Pacific perspective: Redefining obesity and its treatment. International Obesity Task Force. Melbourne: Health Communications Australia; 2000 Feb. Report No.: 0-9577082-1-1.
  29. Lorefält B, Wilhelmsson S. A multifaceted intervention model can give a lasting improvement of older peoples' nutritional status. Journal of Nutrition Health & Aging. 2012;16(4):378-382. https://doi.org/10.1007/s12603-011-0362-4

Cited by

  1. Feasibility of a Mobile Meal Assistance Program for Direct Care Workers in Long-Term Care Facilities in South Korea vol.15, pp.None, 2018, https://doi.org/10.2147/cia.s273934
  2. Informal dementia caregivers’ experiences and perceptions about mealtime care: A qualitative evidence synthesis vol.76, pp.12, 2020, https://doi.org/10.1111/jan.14550
  3. Effect of Case-Based Small-Group Learning on Care Workers’ Emergency Coping Abilities vol.18, pp.21, 2021, https://doi.org/10.3390/ijerph182111458
  4. Eating Difficulties among Older Adults with Dementia in South Korean Long-Term Care Facilities: A Scoping Review vol.28, pp.4, 2018, https://doi.org/10.7739/jkafn.2021.28.4.470