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background Dysphagia is said to be associated with between 9 and 42 per cent of psychiatric patients. Adverse reactions to and psychiatric symptoms from psychotropic drugs such as antipsychotics have been implicated. Most pneumonia in psychiatric hospitals seems to be aspiration pneumonia that occurs among elderly patients, and even if life can be saved, the condition causes malnutrition due to fasting and a decrease in ADL due to resting, which affects QOL. While private psychiatric hospitals account for 91.8% of psychiatric beds in Japan, virtually none of these can provide specialized support for evaluation and rehabilitation of dysphagia. Attention has also been drawn to the lack of interest in dysphagia support by nurses. To date, in psychiatric hospitals that have problems in dealing with patients with dysphagia, the aspiration pneumonia prevention situation has not been clarified from the point of view of care providers i.e. the attitude of nurses and other professionals to aspiration pneumonia prevention and what sort of care they provide. Moreover, the factors that influence the risk of aspiration pneumonia in patients who live in hospital in such an environment are not yet clear and the question of necessary support has not been sufficiently examined. Aspiration pneumonia is a disease that can be prevented by on-site care. It would seem that it does not occur through eating; instead \u201caspiration pneumonia occurs due to lack of care.\u201d In this paper, we focus on the care required for aspiration pneumonia in psychiatric hospitals, clarify the current state of clinical practice, and examine support for helping mentally ill patients to eat. \u2161\uff0ePurpose and method This paper consists of the following three studies. Study 1: The purpose was to clarify nursing care for aspiration pneumonia prevention as experienced by psychiatric nurses and to obtain suggestions for helping patients to eat. From July to November 2016, we conducted a total of sixteen focus group interviews with 55 ward nurses in sixteen of twenty psychiatric hospitals in Prefecture A in groups of two to five people per hospital. The data obtained were analyzed qualitatively and inductively. This study was carried out with the approval of the Niigata University Research Ethics Review Committee (No. 144). Study 2: The purpose was to clarify the current situation and issues relating to care provided by Nutritional Support Team (NST) members of psychiatric hospitals for the prevention of aspiration pneumonia, and to obtain suggestions for a team approach to support eating. From September to December 2017, we conducted a total of eight focus group interviews with 31 NST members from eight of twenty psychiatric hospitals with nutritional support teams in Prefecture A. There were three to five people per group and per hospital. The data obtained were analyzed qualitatively and inductively. This study was carried out with the approval of the Niigata University Research Ethics Review Committee (No. 2017-0123). Study 3: The purpose was to clarify the factors influencing the risk of aspiration pneumonia in patients admitted to a psychiatric hospital and to obtain suggestions for support aimed at its prevention. From July to December 2018, 100 patients who could take their meals in the ward cafeteria in a psychiatric hospital with approximately 400 patients in Prefecture A, were divided into a low risk group and a medium risk group on the basis of an aspiration pneumonia risk assessment and a statistical study was conducted. This study was carried out with the approval of the Niigata University Research Ethics Review Committee (No. 2018-0022). \u2162\uff0eResults and Discussion Study 1: Because of the lack of effective resources and since \u201caspiration pneumonia preventive care in a psychiatric ward involves particular problems,\u201d psychiatric nurses have provided aspiration pneumonia prevention \u201ccare based on their eagerness to avoid the risk of pulmonary aspiration or suffocation happening before their eyes\u201d using measures such as careful monitoring during meals (i.e. food, etc. \u201cgoing down the wrong way\u201d). On the other hand, since food is an important element of QOL for mentally ill patients who are hospitalized, they have been working on \u201cprioritized QOL in terms of food.\u201d In addition, as part of daily nursing care, they provided \u201ceveryday living support that they considered to be effective in preventing aspiration pneumonia.\u201d Furthermore, in order to provide maximum care in a limited environment, they have adopted \u201cteam care that made the most of the strengths of psychiatric medical care.\u201d It was suggested that to help patients eat, experience and knowledge of psychiatric nursing should be used in order to work on comprehensive assessment and care in collaboration with various hospital occupations. Study 2: NST members of the psychiatric hospital deal with prevention of the dysphagia associated with mentally ill people by \u201cpreventing them from swallowing down the wrong pipe\u201d while taking in food orally, and adjusting meal patterns. Through nutritional management, which forms the lynchpin of NST activities, meal rounds, and \u201cimprovements in physical strength and nutritional status\u201d represented by the transition to oral intake, as well as through scrupulous oral care, the NST members have endeavored to \u201cavoid food going down the wrong way while nobody notices.\u201d Those involved in \u201ceating-related team care\u201d were responsible for consultation with hospital staff and endeavored to perform their duties as medical professionals. The issues clarified were \u201cdifficulties in dealing with dysphagia\u201d such as adjustment of meal settings and eating patterns, and assessment of and training in the swallowing function; and \u201cdifficulties in psychiatric NST activities\u201d such as nutritional management, drug therapy, and occupational therapy. As a team approach to support eating, it seemed important to carry out flexible multidisciplinary collaboration that transcends the boundaries of departments and occupations while utilizing the original strengths of NST and the strengths of each specialty. Study 3: Hospitalization period, BMI, PEF, and RSST were factors that affected the risk of aspiration pneumonia in inpatients who were able to eat in the ward cafeteria of a psychiatric hospital. To support the prevention of aspiration pneumonia, it was suggested that assessment must be carried out while paying close attention to these values and that efforts were required to maintain and improve nutritional status, respiratory function, and swallowing function.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_6_description_53":{"attribute_name":"\u5b66\u4f4d\u8a18\u756a\u53f7","attribute_value_mlt":[{"subitem_description":"\u65b0\u5927\u9662\u535a(\u4fdd)\u7532\u7b2c40\u53f7","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_6_dissertation_number_52":{"attribute_name":"\u5b66\u4f4d\u6388\u4e0e\u756a\u53f7","attribute_value_mlt":[{"subitem_dissertationnumber":"\u7532\u7b2c4923\u53f7"}]},"item_access_right":{"attribute_name":"\u30a2\u30af\u30bb\u30b9\u6a29","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"\u8457\u8005","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"\u6e05\u91ce, \u7531\u7f8e\u5b50","creatorNameLang":"ja"}]}]},"item_files":{"attribute_name":"\u30d5\u30a1\u30a4\u30eb\u60c5\u5831","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2022-01-07"}],"displaytype":"detail","filename":"r2bbk40.pdf","filesize":[{"value":"1.87MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"\u672c\u6587","objectType":"fulltext","url":"https://niigata-u.repo.nii.ac.jp/record/2000205/files/r2bbk40.pdf"},"version_id":"b4e702a6-fc2a-4ea4-a4d8-b1550ed4375e"},{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2022-01-07"}],"displaytype":"detail","filename":"r2bbk40_a.pdf","filesize":[{"value":"208KB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"\u8981\u65e8","objectType":"abstract","url":"https://niigata-u.repo.nii.ac.jp/record/2000205/files/r2bbk40_a.pdf"},"version_id":"23986b3d-d23e-4b88-b25f-be998fbe6da4"}]},"item_language":{"attribute_name":"\u8a00\u8a9e","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"\u8cc7\u6e90\u30bf\u30a4\u30d7","attribute_value_mlt":[{"resourcetype":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"\u7cbe\u795e\u79d1\u75c5\u9662\u306b\u304a\u3051\u308b\u8aa4\u56a5\u6027\u80ba\u708e\u4e88\u9632\u306e\u30b1\u30a2\u306b\u95a2\u3059\u308b\u7814\u7a76","item_titles":{"attribute_name":"\u30bf\u30a4\u30c8\u30eb","attribute_value_mlt":[{"subitem_title":"\u7cbe\u795e\u79d1\u75c5\u9662\u306b\u304a\u3051\u308b\u8aa4\u56a5\u6027\u80ba\u708e\u4e88\u9632\u306e\u30b1\u30a2\u306b\u95a2\u3059\u308b\u7814\u7a76","subitem_title_language":"ja"}]},"item_type_id":"6","owner":"1","path":["453/455","159/160/161"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-01-07"},"publish_date":"2022-01-07","publish_status":"0","recid":"2000205","relation_version_is_last":true,"title":["\u7cbe\u795e\u79d1\u75c5\u9662\u306b\u304a\u3051\u308b\u8aa4\u56a5\u6027\u80ba\u708e\u4e88\u9632\u306e\u30b1\u30a2\u306b\u95a2\u3059\u308b\u7814\u7a76"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2022-01-07T02:52:09.575933+00:00"}