Dysphagia
Conditions
Keywords
dysphagia, oral care, nasogastric tube
Brief summary
Oral care is a common way of caring for long-term care facility residents, particularly for those with swallowing difficulties, as oral health is closely related to eating function. Oral care includes general oral hygiene and comprehensive oral care (including cleaning, facial massage, oral muscle massage and stretching, and oral moisturizing). Regular oral care can reduce oral diseases, improve oral mucosa, increase appetite, and improve eating function. However, it is still unclear whether comprehensive oral care can improve eating function and aid in removing nasogastric tubes. Therefore, this study plans to recruit residents with dysphagia from multiple long-term care facilities nationwide to investigate the impact of comprehensive oral care on nasogastric tube removal. The study will collect basic information, disease diagnosis, and onset time and use random grouping to investigate the effects of general oral hygiene and oral care on nasogastric tube removal. The results of this study can provide guidance for clinical practitioners and researchers on oral care and eating function improvement for long-term care facility residents.
Interventions
BEHAVIORALcomprehensive oral care
including cleaning, facial massage, oral muscle massage and stretching, and oral moisturizing.
Sponsors
National Taiwan University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Aged 18 years or older, with swallowing disorders classified as grades 1-3 on the Functional Oral Intake Scale (FOIS). * Conscious and alert. * Able to follow simple one-step commands (e.g., raising a hand, opening the mouth). * Able to maintain a seated position for more than 15 minutes. * Has a swallowing reflex (able to swallow saliva on command).
Exclusion criteria
* Acute infection. * Hypoxemia (SaO2 \< 90%) or requiring the use of a ventilator. * Structural abnormalities of the oropharyngeal area that prevent oral feeding. * Failing the water swallow test (coughing or wet voice in two or more out of three attempts, or no significant laryngeal elevation).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Removing nasogastric tubes | Follow up for 6 months | Each subject was tracked at one month, three months, and six months for the status of their nasogastric tube. |
Secondary
| Measure | Time frame |
|---|---|
| the functional oral intake scale | Follow up for 6 months |
| body weight | Follow up for 6 months |
Countries
Taiwan
Outcome results
None listed