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A Qualitative Study Supporting Optimal Nutrition in Advanced Liver Disease-Unlocking the Potential for Improvement
Shaye Ludlow1,2, Katherine Farragher3, Kelly Squires3
1John Hunter Hospital, Hunter New England Local Heath District, New Lambton Heights, NSW 2305, Australia.
Nutrients
|August 10, 2024
Summary
Malnutrition is common in Advanced Liver Disease (ALD), impacting quality of life. Holistic screening, including non-physiological factors, is needed for better patient care.
Area of Science:
- Hepatology
- Clinical Nutrition
- Qualitative Research
Background:
- Malnutrition is prevalent in Advanced Liver Disease (ALD), exceeding rates in compensated liver disease.
- Malnutrition negatively affects patients' quality of life, including social, emotional, and psychological well-being.
- Non-physiological factors influence malnutrition risk in other conditions like oncology and renal care.
Purpose of the Study:
- To explore holistic factors influencing nutritional status in the ALD population.
- To understand patient, carer, and clinician experiences with malnutrition in ALD.
- To identify limitations in current malnutrition screening for ALD.
Main Methods:
- Qualitative study design.
- Semi-structured interviews conducted with 21 participants (patients, carers, clinicians).
- Thematic analysis of interview data.
Main Results:
- Five key themes emerged: healthcare delivery appropriateness, health/food factors, symptom burden, social support, and physical/structural supports.
- Current malnutrition screening methods in ALD are inadequate.
- Holistic factors significantly influence nutritional status in ALD patients.
Conclusions:
- Existing malnutrition screening tools for ALD do not fully capture all contributing factors.
- Integrating non-physiological factors into ALD malnutrition screening is crucial.
- A supportive, holistic approach can optimize nutritional interventions for ALD patients.
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