一项教育营养干预措施,支持老年医院患者使用电子健康充分饮食:混合方法可行性和试点研究
Rikke Terp1, Lars Kayser2, Tove Lindhardt3
1Department of Internal Medicine, Copenhagen University Hospital, Herlev and Gentofte Hospital, Hospitalsvej 1, 2900, Hellerup, Denmark. rikke.terp@regionh.dk.
BMC geriatrics
|January 4, 2024
概括
这项研究表明,使用电子健康的教育营养干预 (ENI) 对老年医院患者是可行的. ENI改善了能量和蛋白质摄入量,支持对老年人的更好的营养护理.
科学领域:
- 老年学是一门学科.
- 临床营养学 临床营养学
- 医疗信息学 医疗信息学
背景情况:
- 老年医院患者经常经历不足的食物摄入量,增加再入院,死亡率和功能衰退的风险.
- 实施了Food'n'Go电子健康解决方案,以加强患者参与营养护理.
- 一个教育营养干预 (ENI) 已开发,以支持老年人 (≥65岁) 通过Food'n'Go.管理他们的营养.
研究的目的:
- 评估住院老年人教育营养干预 (ENI) 的可行性.
- 评估ENI的潜力,利用eHealth (Food'n'Go),改善这一群体的营养摄入量.
主要方法:
- 通过过程评估评估可行性,检查上下文因素,干预忠实性和影响机制.
- 使用前后测试设计测量营养摄入量,比较三个月干预前后的能量和蛋白质消耗.
- 患者数据包括一天的摄入量观察 (n=65测试前,n=65测试后) 和知识,技能和接受度的评估.
主要成果:
- 干预后,Food'n'Go的可用性增加了 (85%与64%相比).
- 患者积极参与食物订购,尽管摄入量监测有限;营养信息没有普遍提供.
- 干预后观察到,平均每日能量摄入量 (1052kJ差异) 和蛋白质摄入量 (17g差异) 显著增加.
- 实现蛋白质需求的平均水平从59%提高到73%.
结论:
- 教育营养干预 (ENI) 是可行的,通过电子健康为住院的老年人提供营养护理.
- 初步发现表明,ENI有效地增加了老年住院患者的能量和蛋白质摄入量.
- 该研究强调了电子健康干预措施在老年医院护理中改善营养结果的潜力.
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