van Nie Noémi C, Meijers Judith M M, Schols Jos M G A, Lohrmann Christa, Spreeuwenberg Marieke, Halfens Ruud J G
Caphri, Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands.
Caphri, Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands.
Nutrition. 2014 Nov-Dec;30(11-12):1384-90. doi: 10.1016/j.nut.2014.04.015. Epub 2014 May 17.
The aim of this study was to explore whether structural quality indicators for nutritional care influence malnutrition prevalence in the Netherlands, Germany, and Austria. Furthermore, differences in malnutrition prevalence and structural quality indicators for nutritional care nursing homes in the three countries were examined.
This was a cross-sectional, multicenter study using a standardized questionnaire at the patient, ward, and institutional levels. Malnutrition was assessed by low body mass index, undesired weight loss, and reduced intake. Structural quality indicators of nutritional care were measured at the ward and institutional levels.
The prevalence of malnutrition differed significantly between the three countries (Netherlands 18%, Germany 20%, and Austria 22.7%). Structural quality indicators related to nutritional care as having a guideline of prevention and treatment of malnutrition were related to malnutrition and explained malnutrition prevalence variance between the Netherlands and Germany. Differences between the Netherlands and Austria in malnutrition prevalence still existed after controlling for these quality structural indicators.
Structural quality indicators of nutritional care are important in explaining malnutrition variance between the Netherlands and Germany. However, they did not explain the difference in malnutrition prevalence between the Netherlands and Austria. Investigating the role of process indicators may provide insight in the role of structural quality indicators of nutritional care in explaining the malnutrition prevalence differences between the Netherlands and Austria.
本研究旨在探讨营养护理的结构质量指标是否会影响荷兰、德国和奥地利的营养不良患病率。此外，还对这三个国家养老院的营养不良患病率和营养护理结构质量指标的差异进行了研究。
这是一项横断面多中心研究，在患者、病房和机构层面使用标准化问卷。通过低体重指数、非预期体重减轻和摄入量减少来评估营养不良情况。在病房和机构层面测量营养护理的结构质量指标。
三个国家的营养不良患病率存在显著差异（荷兰18%，德国20%，奥地利22.7%）。与营养护理相关的结构质量指标，如拥有营养不良预防和治疗指南，与营养不良有关，并解释了荷兰和德国之间营养不良患病率的差异。在控制这些质量结构指标后，荷兰和奥地利在营养不良患病率方面的差异仍然存在。
营养护理的结构质量指标对于解释荷兰和德国之间的营养不良差异很重要。然而，它们并不能解释荷兰和奥地利在营养不良患病率上的差异。研究过程指标的作用可能有助于深入了解营养护理结构质量指标在解释荷兰和奥地利之间营养不良患病率差异方面的作用。
