背景:在考虑吞咽困难管理的新领域时,优先考虑改善严重吞咽困难患者的生活质量,特别是如果这增加了参与与饮食相关的社交活动的机会。可食用泡沫在食品工业中得到了广泛的研究和利用;然而,可食用泡沫在吞咽困难领域中的使用仍未被探索。尽管没有关于有效性和安全性的研究发表,目前市场上的商业产品广泛分布在欧洲和英国,包括28个NHS信托基金,表明它越来越多地用于临床实践。
目的:探讨医疗保健专业人员对患有严重吞咽困难的成年人使用稳定可食用泡沫(SEF)的看法和经验,以便为该新型吞咽困难干预措施的未来研究提供参考。
方法:使用有目的的采样和滚雪球技术招募医疗保健专业人员。最初共接触了56名医疗保健专业人员,其中10人完成了半结构化面试。面试问题是根据主题指南和试点问卷开发的。
结果:主题分析用于确定三个主题:潜在影响,考虑风险和感知经验。这些主题中的每一个都是未知的元素。
结论:对于吞咽困难的成年人使用SEF还处于起步阶段。虽然结果表明一些临床医生正在接受这种新颖的方法,其他人表示担忧。因此,需要进一步的研究,特别是与个人的直接经验和禁忌症有关。
结论:关于本主题的已知内容在英国,对有吞咽问题的个体使用SEF是一个相对新颖的吞咽困难干预领域。目前尚无关于其有效性和安全性的公开研究。本研究为SEF和患有严重吞咽困难的成年人提供了有价值的初步工作,捕捉对SEF有认识的医疗保健专业人士的经验和看法。这项工作的潜在或实际临床意义是什么?增加临床医生和研究人员对吞咽困难管理这一新颖领域的认识。
Improving the quality of life for individuals with severe dysphagia is a priority when considering new areas of dysphagia management, especially if this increases opportunities to participate in social activities associated with eating and drinking. Edible foam is widely researched and available in the food industry; however, the use of edible foam within the field of dysphagia remains unexplored. Despite no research published on effectiveness and safety, a commercial product currently on the market is widely distributed across both Europe and the UK, including 28 NHS Trusts, suggesting that it is increasingly being used in clinical practice.
To explore the perceptions and experiences of healthcare professionals on the use of stabilized edible foam (SEF) with adults with severe dysphagia in order to inform areas for future research in this novel dysphagia intervention.
Healthcare professionals were recruited using purposeful sampling and snowballing technique. A total of 56 healthcare professionals were initially approached, of which 10 completed the semi-structured interviews. Interview questions were developed from a topic guide and a pilot questionnaire.
Thematic analysis was used to identify three themes: potential impact, consideration of risk and perceived experiences. Overarching each of these themes was the element of the unknown.
Use of SEF with adults with dysphagia is in its infancy. Whilst results indicate that some clinicians are embracing this novel approach, others express concerns. Therefore, further research is needed, particularly in relation of direct experience of individuals and contra-indications.
What is already known on the subject The use of SEF with individuals with swallowing problems is a relatively novel area of dysphagia intervention in the UK. There are currently no published studies on its effectiveness and safety profile. What this paper adds to existing knowledge This study provides valuable preliminary work into the area of SEF and adults with severe dysphagia, capturing the experience and perceptions of healthcare professions who have an awareness of SEF. What are the potential or actual clinical implications of this work? Increasing clinicians and researcher\'s awareness of this novel area of dysphagia management.