New York University Rory Meyers College of Nursing, New York City, USA.
New York University School of Medicine, New York City, USA.
J Appl Gerontol. 2021 Feb;40(2):179-188. doi: 10.1177/0733464820910030. Epub 2020 Mar 4.
Adult day service centers (ADSCs) provide community-based long-term care, including meals, to racially diverse older adults, 47% of whom have dementia and consequently experience elevated nutritional risk. We examine nutritional behaviors for Chinese and Vietnamese persons living with dementia (PLWD) in ADSCs and evaluate the extent to which ADSCs provide person-centered nutritional care. Multi-stakeholder interviews were conducted. Data were coded using Dedoose and analyzed using Braun and Clarke's six-step method. The Model for the Provision of Good Nutritional Care in Dementia guided analysis. Barriers to food intake included distracting meal environment, rigid mealtimes, and excessively restrictive diets. Conversely, peer relationships, culturally tailored meals and celebrations, and consistent staff assisting with feeding benefited PLWD. ADSCs can support healthy nutritional behaviors and quality of life among PLWD through person-centered nutritional care. To optimize nutritional services, further exploration is needed with respect to the ADSC environment, users' culture and ethnicity, and liberalized diets for PLWD.
成人日间服务中心（ADSCs）为不同种族的老年人提供社区基础长期护理，包括膳食，其中 47%患有痴呆症，因此营养风险较高。我们研究了 ADSC 中患有痴呆症的中国和越南老年人（PLWD）的营养行为，并评估了 ADSC 提供以患者为中心的营养护理的程度。我们进行了多方利益相关者访谈。使用 Dedoose 对数据进行编码，并使用 Braun 和 Clarke 的六步分析法进行分析。该模型为痴呆症患者的良好营养护理提供了分析指导。妨碍进食的因素包括分散注意力的就餐环境、刻板的用餐时间和过于严格的饮食。相反，同伴关系、具有文化特色的膳食和庆祝活动，以及始终如一的工作人员协助喂食，使 PLWD 受益。ADSC 可以通过以患者为中心的营养护理来支持 PLWD 的健康营养行为和生活质量。为了优化营养服务，需要进一步探讨 ADSC 环境、用户的文化和种族以及 PLWD 的宽松饮食。
