在加拿大初级保健中探索缺食症评估和管理:一项临床实践调查
Peter Lam1, Erin Bailey2, Cindy Steel2
1University of British Columbia, Vancouver, BC.
概括
注册营养学家,语音语言病理学家和职业治疗师通常会使用临床吞评估来评估口腔喉乱 (OD). 患者教育和饮食修改是关键的管理策略,但患者遵守和人员配置是初级保健的主要挑战.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 临床实践 临床实践
背景情况:
- 口腔喉功能障碍 (OD) 影响到社区居住的老年人中高达35%,导致营养不良,肺炎和住院.
- 有效的消化障碍评估和管理对于保持老年人群的健康和独立性至关重要.
研究的目的:
- 调查加拿大初级保健中注册营养学家 (RDs),语音语言病理学家 (SLPs) 和职业治疗师 (OTs) 的现有失调评估和管理实践.
- 确定在初级保健机构内优化失调症患者护理的差距和机会.
主要方法:
- 通过专业协会和实践小组招募的 RD,SLP和 OT 分发了一份22个问题的在线实践调查.
- 126名专业人士完成了调查,提供了关于他们对成年人消化不良的评估和管理方法的数据.
主要成果:
- 临床吞评估和餐时间观察是RD (92%),SLP (83%) 和OT (50%) 的主要评估方法.
- 顶级管理策略包括患者教育,口腔护理和饮食修改.
- 发现的关键挑战是患者遵守策略和有限的人员对食障碍的评估和管理.
结论:
- 专业间的协作,增强患者/护理人员资源和专业培训对于改善失调护理非常有价值.
- 解决患者坚持治疗和人员配置方面的挑战对于初级保健中及时有效的失调症管理至关重要.
- 优化护理途径可以显著改善社区生活的食障碍患者的结果.
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