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对食欲重要因素的认知——一项对接受食物分发的老年人的访谈研究

Perceptions of What Is Important for Appetite-An Interview Study With Older People Having Food Distribution.

作者信息

Nordlander Marlene, Isaksson Ulf, Hörnsten Åsa

机构信息

Department of Nursing, Umeå University, Sweden.

Arctic Research Centre at Umeå University, Sweden.

出版信息

SAGE Open Nurs. 2019 Feb 6;5:2377960818817126. doi: 10.1177/2377960818817126. eCollection 2019 Jan-Dec.

Abstract

The proportion of older people in the population increases and more and more continue living in their own homes. Appetite among the elderly people is important to their nutrition and health. The increased risk of unintended weight loss and malnutrition is linked to food distribution among home-living elderly people. The aim was to describe experiences and perceptions of what matters to appetite among home-living elderly people having food distribution. The design was qualitative where interview data were collected among 13 interviewees in 2017 to 2018. Data were analyzed using qualitative content analysis. The results are presented in three domains: the food, the meal situation, and the adaptation to meal service with categories and themes responding to each domain. The six themes related to appetite among the elderly people concerned the following: eating tasty, savory, and culturally adapted food; eating healthy and sustainable food; eating alone or together with others; eating in a pleasant meal environment; having choices to make about the meal; and last, accepting disabilities and increased dependency. One conclusion is that many aspects should be taken into consideration when promoting appetites of people who also get food distribution. It is highly individual and an understanding of which aspects are relevant must be considered; consequently, person-centered care is suggested to promote appetite.

摘要

人口中老年人的比例在增加,越来越多的老年人继续住在自己家里。老年人的食欲对他们的营养和健康很重要。非故意体重减轻和营养不良风险的增加与居家老年人的食物配送有关。目的是描述接受食物配送的居家老年人对食欲重要因素的体验和看法。采用定性研究设计,于2017年至2018年收集了13名受访者的访谈数据。使用定性内容分析法对数据进行分析。结果呈现为三个领域:食物、用餐情况以及对送餐服务的适应情况,并带有回应每个领域的类别和主题。与老年人食欲相关的六个主题如下:吃美味、可口且符合文化习惯的食物;吃健康且可持续的食物;独自用餐或与他人一起用餐;在愉快的用餐环境中用餐;对餐食有选择的权利;最后,接受残疾和依赖性增加的状况。一个结论是,在促进接受食物配送人群的食欲时,应考虑许多方面。这是非常个性化的,必须考虑哪些方面是相关的;因此,建议采用以患者为中心的护理来促进食欲。

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本文引用的文献

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Person-Centered Care: A Definition and Essential Elements.以患者为中心的护理:定义与基本要素
J Am Geriatr Soc. 2016 Jan;64(1):15-8. doi: 10.1111/jgs.13866. Epub 2015 Dec 2.

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