高齢者の栄養失調
Elsa Dent1, Olivia R L Wright2, Jean Woo3
1Research Centre for Public Health, Equity & Human Flourishing, Torrens University Australia, Adelaide, SA, Australia.
Lancet (London, England)
|January 30, 2023
まとめ
栄養失調は高齢者の多くで 医療・介護システムに 影響を及ぼしています 栄養ケアを改善するには,証拠と現在の臨床実践の間のギャップを解決する必要があります.
科学分野:
- ゲロントロジー
- 栄養学
- 公衆衛生
背景:
- 栄養失調は高齢者の多くで,医療や高齢者ケアシステムにとって大きな課題となっています.
- 年齢に伴う生理学的変化,食物へのアクセス制限,および併発性疾患は,この集団における栄養失調のリスクを高めます.
- 現行の臨床ガイドラインでは 常時的な栄養失調のスクリーニングと 高齢者に合わせた栄養支援が推奨されています
研究 の 目的:
- 高齢者の栄養失調の特定と治療に関する現在の証拠をレビューする.
- 証拠に基づいたガイドラインと臨床実務の間の不一致を特定する.
- 高齢者の栄養ケアを改善するための実用的な戦略を提案する.
主な方法:
- 高齢者の栄養失調に関する現在の証拠の文献レビュー.
- 医療環境における流行,原因,リスク要因の分析
- 証拠を翻訳するための実用的な戦略の議論
主要な成果:
- 栄養不良のスクリーニングと支援に関する臨床ガイドラインは 実践的に十分に活用されていない.
- 推奨と実際の栄養介入の間のギャップを示唆する低価値のケアが頻繁に観察されます.
- 証拠に基づいた栄養戦略は一貫して実施されていません.
結論:
- 高齢者の栄養失調に対する 根拠に基づいたガイドラインと臨床実践のギャップを 埋めることが不可欠です
- 実践的な戦略を実践することで 栄養に関する知識が 効果的な患者ケアに 変換されるのを改善できます
- 栄養失調に対処するには,様々な医療環境における流行,原因,リスク要因を考慮した多面的なアプローチが必要です.
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