老年人的营养不良
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
概括
在老年人中营养不良很常见, 改善营养护理需要解决证据与当前临床实践之间的差距.
科学领域:
- 老年学
- 营养科学
- 公共卫生
背景情况:
- 营养不良在老年人中非常普遍,对医疗保健和老年护理系统构成重大挑战.
- 与年龄相关的生理变化,减少食物获取和相关疾病增加了这一群体的营养不良风险.
- 目前的临床指南建议对老年人进行常规的营养不良查和量身定制的营养支持.
研究的目的:
- 审查目前关于识别和治疗老年营养不良的证据.
- 确定基于证据的指导方针与临床实践之间的差异.
- 提出改善老年人的营养保健的实际策略.
主要方法:
- 对老年人营养不良现有证据的文献综述.
- 对医疗保健机构的流行,原因和风险因素的分析.
- 对证据翻译的实际策略进行讨论.
主要成果:
- 在实践中,对营养不良查和支持的临床指南未得到充分利用.
- 经常观察到低价值的护理,表明推和实际的营养干预措施之间存在差距.
- 基于证据的营养策略没有得到一致的实施.
结论:
- 需要弥合基于证据的指导方针与老年营养不良的临床实践之间的差距.
- 实施实用策略可以改善营养知识转化为有效的患者护理.
- 应对营养不良需要采取多方面的方法,考虑不同医疗机构的患病率,原因和风险因素.
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