気管切開患者の摂食・嚥下機能評価尺度の開発
Development of an Assessment Scale for the Eating and Swallowing Functions of Tracheostomy Patients

Takako Ashiwa, Kiyoko Fukai
2014 Nihon Kango Gijutsu Gakkaishi  
Kiyoko Fukai 本研究の目的は,気管切開患者の摂食・嚥下機能評価尺度開発のための暫定的評価尺度 を作成することである.暫定的評価尺度は既存の文献とクリティカルケア領域の専門・ 認定看護師の経験から表面妥当性をみたした 75 項目を抽出した.そして,項目の特徴か ら,看護師を評価者とする「看護師の観察項目(43 項目) 」と患者が評価者となる「患者 への質問票(32 項目) 」に分類し,2 つの尺度とした.これらの尺度を用いて,ICU 入室 中の気管切開患者 14 名の摂食・嚥下機能を計 18 回評価した. 「看護師の観察項目」の Cronbach α係数は 0.94 で, 「患者への質問票」の Cronbach α係数は 0.72 であった. また, 「看護師の観察項目」と「患者への質問票」のスコアの間には有意な相関を認めた (r=0.78,p < 0.001,n=18) .気管切開患者への標準的な摂食・嚥下機能評価尺度開発の ため,今後,評価対象者を増やすとともに対象の均一化を図り,ツールの有用性を検証 していく必要がある. キーワード:気管切開,摂食・嚥下機能,尺度開発
more » ... ド:気管切開,摂食・嚥下機能,尺度開発 The objective of the present study was to create a provisional assessment scale for developing an assessment scale for the eating and swallowing functions of tracheostomy patients. For the provisional assessment scale, a total of 75 items having face validity were identified based on existing literature and the experiences of certified nurse specialists and certified nurses in the field of critical care. The items were then classified based on their characteristics intoitems of observation by nurses (n=43) , involving assessment by nurses, and items on questions for patients ( n=32 ) , involving assessment by patients, resulting in two scales. Using these scales, the eating and swallowing functions of 14 tracheostomy patients admitted to the intensive care unit(ICU)were assessed a total of 18 times. Cronbach s α was 0.94 foritems of observation by nursesand 0.72 for items on questions for patients . In addition, a significant correlation was observed between the scores foritems of observation by nursesanditems on questions for patients ( r=0.78;n=18, p<0.001 ) . It is necessary to verify the usefulness of the present tool in the future by increasing the number of subjects for assessment and enrolling a more uniform group of subjects in order to develop a standardized assessment scale for eating and swallowing functions of tracheostomy patients.
doi:10.18892/jsnas.12.3_64 fatcat:umixfei7obcflhzdpi6mfrdzai