Author/Editor     Ogrin, Maja; Trček Kavčič, Marjeta; Vidmar, Gaj
Title     Poznavanje motenj požiranja pri srednjih medicinskih sestrah in zdravstvenih tehnikih v programih rehabilitacije in dolgotrajne oskrbe
Translated title     Knowledge about dysphagia among nurses in rehabilitation and long-term care
Type     članek
Vol. and No.     Letnik 17, št. 2
Publication year     2018
Volume     str. 45-50
ISSN     1580-9315 - Rehabilitacija
Language     slv
Abstract     Izhodišča: Diagnostika in obravnava oseb z motnjami požiranja poteka v okviru multidisciplinarnega tima, katerega pomemben član so srednje medicinske sestre oziroma tehniki zdravstvene nege. Njihova vloga se prične pri zgodnjem prepoznavanju motenj požiranja ob sprejemu bolnika v programe rehabilitacije. Njihovo strokovno ravnanje in znanje o specifičnih potrebah osebe z motnjami požiranja pomembno prispeva k celostni oceni in obravnavi motnje znotraj negovalnih in rehabilitacijskih ustanov. V raziskavi smo želeli ugotoviti, kakšno je poznavanje motenj požiranja in specifičnih postopkov hranjenja skozi usta pri srednjih medicinskih sestrah in tehnikih zdravstvene nege, ki se pri svojem delu vsakodnevno srečujejo z osebami z motnjami požiranja. Metode: V raziskavo smo vključili 35 srednjih medicinskih sester in tehnikov zdravstvene nege, 18 zaposlenih na Univerzitetnem inštitutu za rehabilitacijo - Soča, 17 pa v Varstveno delovnem centru v Ljubljani. Za ocenjevanje obsega znanja o motnjah požiranja smo z dovoljenjem avtorice Alexandre Ameen uporabili vprašalnik za ocenjevanje veščin hranjenja (angl. Feeding Skills Questionnaire), ki smo ga prevedli in prilagodili za uporabo v našem okolju. Rezultati: Analiza zbranih podatkov je pokazala vrzeli v poznavanju težav pri hranjenju in požiranju ter poznavanju specifičnih postopkov, ki jih je potrebno izvesti pred hranjenjem osebe s takšnimi težavami in med njim. Slabše poznavanje teh področij so izkazali zaposleni v Varstveno delovnem centru. Zaključek: Raziskava, ki je bila sicer narejena na majhnem vzorcu, je pokazala tako dobra kot šibka področja v poznavanju motnje požiranja in specifičnih postopkov hranjenja. Rezultati nam bodo pomagali pri izbiri ustreznih vsebin za pripravo nadaljnjih izobraževanj za zdravstvene tehnike s področja obravnave motenj požiranja.Background: Diagnostics and treatment of patients with dysphagia occurs within a multi-disciplinary team, in which nurses play an important role. Their action begins with early recognition of swallowing difficulties at the very beginning of the rehabilitation program. Further professional work and knowledge about the specific needs of patients with dysphagia significantly contribute to a comprehensive assessment and treatment of the disorder within nursing and rehabilitation institutions. We wanted to establish the level of knowledge about dysphagia and specific procedures of oral feeding among nurses working with persons with dysphagia. Methods: We invited 35 nurses to participate in the study, 18 from the University Rehabilitation Institute in Ljubljana and 17 from the Care and Working Centre in Ljubljana, working in the area of long-term nursing and care. To assess the level of knowledge about dysphagia, we used the Feeding Skills Questionnaire with permission of its author Alexandra Ameen. The questionnaire was translated and adapted to Slovenian speaking and cultural environment. Results: The results revealed some gaps in the knowledge about the disorder and its symptoms. There was a lack of knowledge of specific procedures that must be carried out prior to and during feeding a person with dysphagia among the employees of the Care and Working Centre. Conclusion: Our small-sample study identified strong and weak areas in the knowledge about swallowing disorders and specific feeding procedures among the nursing staff. The results will help us to prepare adequate content for further courses on dysphagia management for them.
Descriptors     Deglutition Disorders
rehabilitation
Keywords     swallowing disorders
rehabilitation
nursing care
long-term care
feeding
motnje požiranja
rehabilitacija
zdravstvena nega
dolgotrajna oskrba
hranjenje