在门诊记忆护理的背景下预先实施营养不良查:质量改进项目
Austin M Sullivan1,2, Jeffrey M Burns3,4, Debra K Sullivan2,3
1Health Sciences Program, University of Kansas, Overland Park, Kansas, USA.
概括
在记忆护理诊所进行营养不良查是可行的,超过一半的查患者处于高风险. 人员配置和访问等障碍存在,但实施是有必要的.
科学领域:
- 老年学是一门学科.
- 临床营养学 临床营养学
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 患有痴呆症的老年人面临着严重的营养不良风险.
- 在这个弱势群体中,营养查的利用不足.
- 记忆护理诊所为营养评估提供了一个独特的环境.
研究的目的:
- 评估在门诊记忆护理诊所实施营养不良查的可行性.
- 为了确定营养风险在这种环境中患者的流行率.
- 识别营养查和服务的障碍和促进者.
主要方法:
- 一个为期12周的质量改进项目使用了"社区老年人:饮食和营养风险评估" (SCREEN) 工具.
- 组织变革准备评估 (ORCA) 调查了提供者的看法.
- 收集了患者和护理人员对查容易度和对营养咨询的兴趣的反.
主要成果:
- 15.3%的符合条件的患者接受了查,58.3%被确定为营养风险高.
- 缺乏人员是完成选的主要障碍.
- 提供者对证据基础和对查的组织支持表示中度到强烈的同意.
- 大多数患者/护理人员发现查很容易,33.7%的人对营养咨询表示兴趣.
结论:
- 该研究确定了在记忆护理中进行营养查的关键障碍 (人员,访问) 和促进者 (提供者支持,患者方便).
- 尽管存在挑战,但初步发现支持在这些诊所进一步实施营养查.
- 解决已识别的障碍对于成功整合营养服务至关重要.
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