简单的营养途径的脆弱性骨折:一个质量改善的倡议
Jack J Bell1,2, Olof Gudny Geirsdottir1,2, Antony Johansen2,3
1Faculty of Food Science and Nutrition, School of Health at the University of Iceland, 102 Reykjavik, Iceland.
Nutrients
|June 27, 2025
概括
营养不良使老年人患有脆弱性骨折的结果变得更糟. 共同创建和测试了SIMPLER营养路径和工具包,以改善全球为这些患者提供基于证据的营养护理.
科学领域:
- 老年医学 老年医学
- 营养科学 营养科学
- 提高医疗保健的质量 改善医疗保健的质量
背景情况:
- 营养不良显著增加了老年人患有脆弱性骨折的并发症,功能衰退和死亡率.
- 现有证据支持早期,跨学科的营养护理,特别是关节骨折,但在全球范围内实施仍然不够理想.
- 在推的营养干预措施和它们在脆弱性骨折护理中的实际应用之间存在差距.
研究的目的:
- 共同创建和测试一条路径和工具包 (SIMPLER),在全球脆弱性骨折环境中提供基于证据的营养护理.
- 为了解决在脆弱性骨折患者的营养干预中发现的证据与实践差距.
- 开发一个可扩展和适应的框架,以改善这一脆弱群体的营养护理.
主要方法:
- 一个多阶段的,共同创作质量改善倡议 (2018-2025年),以"知识转化为行动"框架为指导.
- 通过专家和临床团队的参与,开发和代改进SIMPLER路径和工具包.
- 在四个国家的五家医院进行试点测试,利用行动反思周期和改进模式.
主要成果:
- 超过100个共同创作活动涉及工作人员和患者,改进了SIMPLER途径.
- 全球调查,审计和采访证实,在脆弱性骨折的营养护理中存在广泛的证据和实践差距.
- 试点测试导致了适合环境的改进,23个国家的46个医疗保健服务承诺实施SIMPLER.
结论:
- 简单的营养途径提供了一个可扩展和适应的框架,以证据为基础的营养护理脆弱性骨折设置.
- 共同创作方法促进了开发一套解决现实世界实施挑战的实用工具包.
- 全球采用正在增加,这表明可能对患者的治疗结果产生广泛影响.
关键词:
脆弱性骨折的骨折是一种脆弱性骨折.部骨折 骨折 部骨折 部骨折医院 医院 医院 医院实施实施实施实施实施.改进是一种改善.营养不良 营养不良 营养不良营养支持 营养支持协议 协议 协议 协议 协议质量改善 质量改善更多相关视频
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