State of Care Relating to Aspiration Pneumonia Prevention as Experienced by Psychiatric Nurses

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  • 精神科看護師が体験している誤嚥性肺炎予防に関するケアの実態
  • —From Focus Group Interviews at Psychiatric Hospitals—
  • ―単科精神科病院におけるフォーカスグループインタビュー調査から―

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Abstract

<p>The goal of this study is to clarify the state of care in aspiration pneumonia prevention as experienced by psychiatric nurses and to obtain ideas about support in improving quality of life (QOL) in terms of aspiration pneumonia prevention and patients’ dietary habits.</p><p>Focus group interviews were conducted with 55 nursing staff members employed in 16 psychiatric hospitals in A Prefecture and qualitative inductive analysis was performed on the data collected.</p><p>Since “aspiration pneumonia preventive care in a psychiatric ward is problematic,” psychiatric nurses proposed care based on their strong desire to avoid the risk of pulmonary aspiration (i.e. food, etc. “going down the wrong way”) or suffocation happening before their eyes.</p><p>On the other hand, since food is an important element in QOL for mentally-handicapped patients, they tried to provide care that “prioritized QOL in terms of food.” Moreover, as part of their nursing work, “they provided everyday living support that they considered to be effective in preventing aspiration pneumonia.” They also incorporated “team care that made the most of the strengths of “psychiatric medical care” in a restricted environment.</p><p>The results of the study showed the state of care among nurses amid the lack of effective resources in psychiatric hospitals and the particular difficulties associated with looking after psychiatric patients. The research suggests the importance of going back to basics in terms of the individual needs of each patient and of getting to grips with multi-disciplinary coordination and comprehensive support.</p>

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