| Summary: | 碩士 === 國立陽明大學 === 臨床護理研究所 === 90 === The purpose of this research was to investigate the effectiveness of various booster swallowing training programs for swallowing function maintenance of institutionalized residents. The study was done in six licensed long-term care facilities located in Metropolitan Taipei. Forty-seven residents agreed to participate in this program with their family members’ consent. Participants were subjected to geometrical reduced-training, constant reduced-training and control groups. Geometrical reduced-training and constant reduced-training groups received the identical training method but with different training frequency. The training period for the booster swallowing training program was 24 weeks. Thirty-eight participants completed the entire training process, giving an attrition rate of 19.15%. Date was collected every eight weeks with a total of four collections including baseline data. Data analysis consisted of a descriptive Chi-square test, the Kruskal-Wallis test and Mann-Whitney U test. The results indicated that (1) there was no significant difference in swallowing volume per second among the three groups; (2) the frequency of choking and coughing in the geometrical reduced-training was significantly less than the control group in week 16 and 24; (3) the frequency of clearing throat in geometrical reduced-training group was better than the control group in week 8. In week 24, both the geometrical reduced-training and constant reduced-training group showed a better performance than the control group; (4) there was no significant difference in the score of the swallowing neurological examination among the three groups; (5) the score on the swallowing questionnaire of the higher than the geometrical reduced-training group in week 8 ; yet, there was no significant difference among the three study groups in week 16 and week 24；（6）the mean differences in the saturated concentration of blood oxygen before and after meals of the constant reduced-training group and control group were higher than that in the geometrical reduced-training group in week 8 ; but in week 24 both geometrical reduced-training group and constant reduced-training group demonstrated a better result than the control group .Based on the research findings, the booster swallowing training program was able to maintain the swallowing training effectiveness. Thus, we suggest that in clinical practice the consecutive swallowing booster training be used not only for those who suffer clear acute impaired swallowing, but also for all residents as a monitoring tool within an integrated care environment.
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