Center for Postgraduate Clinical Training and Career Development, Nagoya University Hospital, 65 Tsuruma-cho, Showa-ku, Nagoya, Aichi 466-8560, Japan.
Aoi Home Clinic, 1-15 Hinokuchi-cho, Nishi-ku, Nagoya City, Aichi 451-0034, Japan.
Healthcare (Basel). 2013 Sep 12;1(1):53-63. doi: 10.3390/healthcare1010053.
Preventive care for frail older adults includes providing tailor-made diet information suited to their health conditions. The present study aims to explore the current situation and challenges of home nutrition advice for Japanese frail older adults using qualitative data from a ten-person group discussion among care managers. As the results of our analysis, nine themes were identified: (1) Homebound older adults develop poor eating habits; meals turn into a lonely and unpleasant experience; (2) With age, people's eating and drinking patterns tend to deteriorate; (3) Many older adults and their family know little about food management according to condition and medication; (4) Many older adults do not understand the importance of maintaining a proper diet; (5) Many homebound older adults do not worry about oral hygiene and swallowing ability; (6) Some older adults are at high risk for food safety problems; (7) Only a limited range of boil-in-the-bag meal options are available for older adults; (8) Many older adults feel unduly confident in their own nutrition management skills; and (9) For many family caregivers, nutrition management is a burden. We conclude that the provision of tailor-made information by skilled dietitians and high-quality home-delivered meal service are essential for the successful nutrition management of the older adults.
对虚弱的老年人进行预防保健包括提供适合其健康状况的定制饮食信息。本研究旨在使用护理经理十人小组讨论的定性数据，探索日本虚弱的老年人家庭营养咨询的现状和挑战。作为我们分析的结果，确定了九个主题：（1）居家老年人养成不良饮食习惯；用餐变成孤独和不愉快的经历；（2）随着年龄的增长，人们的饮食模式往往会恶化；（3）许多老年人及其家人对根据病情和药物进行饮食管理知之甚少；（4）许多老年人不了解保持适当饮食的重要性；（5）许多居家老年人不关心口腔卫生和吞咽能力；（6）一些老年人存在食品安全问题的高风险；（7）可供老年人选择的即煮餐包种类有限；（8）许多老年人对自己的营养管理技能过于自信；（9）对于许多家庭照顾者来说，营养管理是一种负担。我们得出结论，由熟练的营养师提供定制信息和高质量的上门送餐服务对于成功管理老年人的营养至关重要。
