"有人记住我需要帮助":对老年住院患者的饮食经验进行多地点混合方法研究
Rhiannon Young1,2, Jessica King2, Adrienne M Young1,3
1Department of Nutrition and Dietetics, Royal Brisbane and Women's Hospital, Herston, Australia.
Journal of the American Geriatrics Society
|September 23, 2025
概括
老年人面临的挑战是医院的食物和水合,影响恢复. 改善营养护理需要了解患者的经验,并实施多方面的以人为中心的解决方案.
科学领域:
- 老年学是一门学科.
- 改善医疗保健质量 改善医疗保健质量
- 患者体验研究 研究研究
背景情况:
- 住院的老年人容易受到营养不良和水合不良的影响,这会影响治疗结果.
- 医院用餐对老年住院患者来说是一个独特的挑战.
- 患者的观点对于有效的饮食时间干预至关重要.
研究的目的:
- 描述昆士兰州医院中老年人的饮食经历.
- 确定老年住院患者摄入足够的食物和液体的障碍物和促进因素.
- 收集患者的看法,以告知营养护理的改进.
主要方法:
- 混合方法研究涉及对200名65岁以上的住院患者进行结构化采访.
- 数据收集于昆士兰州12家医院的20个急症病房 (2019-20).
- 使用理论领域框架 (TDF) 分析的定性数据,以生成信念陈述.
主要成果:
- 98%的患者认为饮食对康复至关重要.
- 患者报告了个人 (食欲,身体),护理 (协助,定位) 和系统 (时间,部分大小) 的挑战.
- 推动因素包括员工/家庭支持,食物选择和熟悉的食物.
结论:
- 对老年人的医院营养护理是复杂的,需要采取整体方法.
- 为了以人为中心的营养,需要多方面的多学科策略.
- 解决患者识别的障碍是改善医院用餐时间体验的关键.
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