改善养老院营养护理记录：一项参与式行动研究项目的评估
Improving Documentation of Nutritional Care in A Nursing Home: An Evaluation of A Participatory Action Research Project.
作者信息
Hestevik Christine Hillestad, Heyerdahl Ella, Lysne Garaas Bjørg, Sellevold Gerd Sylvi, Molin Marianne
机构信息
Department of Physiotherapy, Faculty of Health Sciences, OsloMet-Oslo Metropolitan University, 0130 Oslo, Norway.
Bjørknes University College, 0456 Oslo, Norway.
出版信息
Geriatrics (Basel). 2019 Mar 20;4(1):29. doi: 10.3390/geriatrics4010029.
BACKGROUND
Nursing home patients at nutritional risk are often not identified, nor given entitled nutritional treatment. One approach proven suitable to facilitate change in clinical practise is participatory action research (PAR). This is a process which involves research participants in reflection, planning, action, observation, assessing and re-planning, targeted to bring about change. The aim of the present study was to evaluate whether a PAR project resulted in improved documentation of nutritional care in a nursing home ward. Method and sample: A quantitative evaluation. Documentation of the nutritional information was collected from medical records of residents in a nursing home ward at baseline and five months into the project period.
RESULTS
Increased documentation of individual nutritional treatment measures was found from baseline to the follow-up. The number of residents with a nutritional care plan (NCP) also increased significantly. On the other hand, the study identified a significant decrease in the proportion of residents with documented weight and nutritional status.
CONCLUSION
The evaluation found several improvements in the documentation of nutritional care practice in the nursing home ward as a result of the PAR project, indicating that a PAR approach is suitable to bring about change in practice.
背景
处于营养风险中的疗养院患者常常未被识别，也未得到应有的营养治疗。一种被证明适合促进临床实践改变的方法是参与式行动研究（PAR）。这是一个让研究参与者参与反思、规划、行动、观察、评估和重新规划的过程，旨在实现改变。本研究的目的是评估一个PAR项目是否能改善疗养院病房营养护理的记录情况。方法与样本：进行定量评估。从疗养院病房居民的病历中收集基线期和项目期五个月时的营养信息记录。
结果
从基线期到随访期，发现个体营养治疗措施的记录有所增加。有营养护理计划（NCP）的居民数量也显著增加。另一方面，研究发现记录了体重和营养状况的居民比例显著下降。
结论
评估发现，由于PAR项目，疗养院病房营养护理实践的记录有多项改进，表明PAR方法适合在实践中带来改变。
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