School of Allied Health Sciences, Griffith University, Gold Coast, QLD 4222, Australia.
Menzies Health Institute Queensland, Griffith University, Gold Coast, QLD 4222, Australia.
Nutrients. 2021 Jan 22;13(2):314. doi: 10.3390/nu13020314.
Empowering patients to participate in nutrition care during hospitalisation may improve their dietary intakes and associated outcomes. This study tested the acceptability and feasibility of a technology-based intervention to engage hospital patients in nutrition care at a tertiary teaching hospital in Australia. The hospital used an electronic foodservice system (EFS), by which patients ordered meals via bedside computers. Adults at nutritional risk received the nutrition technology (NUTRI-TEC) intervention, involving nutrition assessment, education on nutrition requirements and training on using the EFS to enter food intakes and monitor nutrition goals. Acceptability was assessed using patient satisfaction and engagement surveys. Feasibility was assessed by evaluating the intervention delivery/fidelity and patient recruitment/retention. Patients' dietary intakes were observed daily to indicate the intervention's effects and assess the accuracy of the patient-recorded intakes. Descriptive and inferential statistics were used to analyse the data. Of the 71 patients recruited, 49 completed the study (55% male; median (IQR) age 71 (65-78) years; length of stay 10 (7-14) days). Patient satisfaction with NUTRI-TEC was high. Intervention delivery and fidelity targets were met but recruitment (≥50%) and retention (≥75%) targets were not; only 31% of patients agreed to participate and 69% completed the study (mostly due to unexpected/early discharge). Patient- and researcher-recorded dietary intakes correlated strongly, indicating patients can record food intakes accurately using technology. This study highlights the important role technology is likely to play in facilitating patient engagement and improving care during hospitalisation.
赋权患者参与住院期间的营养护理可能会改善他们的饮食摄入和相关结果。本研究测试了一种基于技术的干预措施在澳大利亚一家三级教学医院中使住院患者参与营养护理的可接受性和可行性。该医院使用电子餐饮系统（EFS），患者通过床边电脑点餐。营养风险成人接受营养技术（NUTRI-TEC）干预，包括营养评估、营养需求教育以及使用 EFS 输入食物摄入量和监测营养目标的培训。通过患者满意度和参与度调查评估可接受性。通过评估干预交付/保真度和患者招募/保留来评估可行性。每天观察患者的饮食摄入量，以表明干预的效果并评估患者记录的摄入量的准确性。使用描述性和推断性统计分析数据。在招募的 71 名患者中，有 49 名完成了研究（55%为男性；中位数（IQR）年龄 71（65-78）岁；住院时间 10（7-14）天）。患者对 NUTRI-TEC 的满意度很高。干预交付和保真度目标得到了满足，但招募（≥50%）和保留（≥75%）目标没有得到满足；只有 31%的患者同意参与，69%的患者完成了研究（主要是由于意外/提前出院）。患者和研究人员记录的饮食摄入量相关性很强，表明患者可以使用技术准确记录食物摄入量。这项研究强调了技术在促进患者参与和改善住院期间护理方面可能发挥的重要作用。
