Pill swallowing and medication administration can be problematic in patients with difficulty swallowing and can lead to poor medication compliance. The extent to which speech-language pathologists (SLPs) consider pill swallowing during videofluorographic assessments, however, is not known. A survey focusing on SLP practices, knowledge, and opinions about assessment of pill swallowing and subsequent medication administration decisions in patients with dysphagia was distributed to SLPs via American Speech-Language-Hearing Association (ASHA) special interest divisions and an online forum. Results from the survey revealed that while 53% of respondents agreed that pill swallowing should be included during dysphagia assessment, only 28% routinely do so. However, 58% of the SLPs reported making recommendations regarding medication administration based on the results of the videofluorographic exam. Further research should focus on best practices for pill swallowing assessment as well as exploring interventions for pill swallowing difficulty within the dysphagic population so that adverse events can be minimized, and patient outcome maximized.

Keywords: Dysphagia; Medication; Swallowing.

© 2025. The Author(s).

吞咽药片和给药在有吞咽困难的患者中可能会存在问题，可能导致药物依从性差。然而，言语-语言病理学家（SLP）在进行视频透视评估时考虑吞咽药片的情况尚不清楚。一项针对SLP实践、知识和对吞咽药片评估以及后续用药决策意见的调查通过美国言语-听力协会（ASHA）专业兴趣小组和一个在线论坛分发给SLP。调查结果显示，虽然53%的受访者同意在吞咽障碍评估中应包括吞咽药片的内容，但只有28%的人会常规这样做。然而，58%的SLP报告称他们会根据视频透视检查的结果提出有关用药的建议。进一步的研究应该集中在最佳实践方法上，以进行药片吞咽评估，并探索针对吞咽困难人群中的药片吞咽困难干预措施，从而减少不良事件并最大化患者预后。

关键词： 吞咽障碍；药物；吞咽。