Faculty of Health & Behavioural Sciences, School of Nursing, Midwifery & Social Work, University of Queensland, Brisbane, QLD, Australia.
Dietetics & Food Services, Surgical, Treatment & Rehabilitation Service (STARS), Metro North Hospital & Health Service, Herston, QLD, Australia.
J Hum Nutr Diet. 2022 Feb;35(1):134-144. doi: 10.1111/jhn.12940. Epub 2021 Sep 9.
Patient centred care (PCC) positively influences individual and organisational outcomes. It is important that dietitians working in rehabilitation units are supported to deliver PCC because effective rehabilitation is a collaborative and patient centred process. The objective of this scoping review was to explore the literature available regarding the delivery of dietetic PCC, with patients undergoing rehabilitation in subacute inpatient units.
PubMed, MEDLINE, CINAHL, Embase and Scopus were searched for relevant published literature. Searches for grey and unpublished literature were also completed. Studies were eligible for inclusion and data extraction if they demonstrated the delivery of PCC by qualified dietitians, through individual consultations with adult patients undertaking subacute rehabilitation.
Overall, 675 studies were identified and six were included in the review. From the literature available, documentation was lacking regarding conceptualisation and delivery of patient centred nutrition care, with only one study providing quality indicators for patient centred dietetic services. Elements of PCC cited were mostly limited to phrases such as, 'individualised care', 'tailored advice', 'follow-up' and 'team collaboration'.
This scoping review identified a considerable gap in the literature regarding the delivery of dietetic PCC in subacute rehabilitation units. Contemporary descriptions of PCC show that the delivery of care which is truly patient centred is far more comprehensive than individualising interventions or organising ongoing services. This raises the question: is the delivery of nutrition care in subacute rehabilitation unit's patient centred?
以患者为中心的护理（PCC）积极影响个人和组织的结果。在康复病房工作的营养师得到支持，以提供以患者为中心的护理非常重要，因为有效的康复是一个协作和以患者为中心的过程。本次范围综述的目的是探讨有关在亚急性住院病房接受康复治疗的患者中提供饮食护理 PCC 的文献。
在 PubMed、MEDLINE、CINAHL、Embase 和 Scopus 中搜索相关的已发表文献。还搜索了灰色和未发表的文献。如果研究表明合格的营养师通过与接受亚急性康复的成年患者进行个体咨询来提供 PCC，则符合纳入和数据提取标准。
总体而言，共确定了 675 项研究，其中 6 项纳入综述。从现有文献中可以看出，关于以患者为中心的营养护理的概念化和提供方面的文献很少，只有一项研究为以患者为中心的饮食服务提供了质量指标。引用的 PCC 要素大多仅限于“个体化护理”、“量身定制的建议”、“随访”和“团队合作”等短语。
本次范围综述发现，有关亚急性康复病房提供饮食护理 PCC 的文献存在相当大的差距。当代对 PCC 的描述表明，真正以患者为中心的护理提供比个体化干预或组织持续服务要全面得多。这就提出了一个问题：亚急性康复病房的营养护理是否以患者为中心？
