Laur Celia, Carew Wendy, Keller Heather
Faculty of Applied Health Sciences, University of Waterloo, Waterloo, Ontario.
Population Health Lead, North East Local Health Integration Network, North Bay, Ontario.
Can J Aging. 2021 Mar;40(1):97-113. doi: 10.1017/S0714980819000850. Epub 2020 Apr 6.
Approximately 30 per cent of those over the age of 65 living in the community fall at least once each year, and a similar proportion are at nutrition risk. Screening is an important component of prevention. The objective of this study was to understand how to add nutrition risk screening to a falls risk screening program in family health teams (FHTs). Interview participants (n = 31) were staff/management, regional representatives, and clients from six FHTs that had started integrating screening. Thematic analysis was conducted. Themes identified how to develop screening programs: setting up for successful screening, making it work, and following up with risk. An overarching theme recognized "it's about building relationships". Adding nutrition risk to a falls risk screening program takes effort, and is different for each FHT based on their work flow and client population. Determining how to integrate screening into the work flow and planning to address identified risk are necessary components.
居住在社区中的65岁以上老人中，约30%每年至少跌倒一次，且有类似比例的人存在营养风险。筛查是预防工作的重要组成部分。本研究的目的是了解如何在家庭健康团队（FHTs）的跌倒风险筛查项目中增加营养风险筛查。访谈参与者（n = 31）包括来自六个已开始整合筛查的FHTs的工作人员/管理人员、区域代表和客户。进行了主题分析。主题确定了如何制定筛查项目：为成功筛查做好准备、使其发挥作用以及跟进风险。一个总体主题是“这关乎建立关系”。在跌倒风险筛查项目中增加营养风险需要付出努力，并且根据每个FHT的工作流程和客户群体而有所不同。确定如何将筛查整合到工作流程中以及规划应对已识别风险是必要的组成部分。
