健康专业人员在长期护理机构中提供质地改良食品：一项范围综述的方案

The Provision of Texture-Modified Foods in Long-term Care Facilities by Health Professionals: Protocol for a Scoping Review.

作者信息

Sari Dianis Wulan, Aurizki Gading Ekapuja, Indarwati Retno, Farapti Farapti, Rekawati Etty, Takaoka Manami

机构信息

Department of Advanced Nursing, Faculty of Nursing, Universitas Airlangga, Surabaya, Indonesia.

Research Group for Community Health, Family, and Geriatric Nursing, Universitas Airlangga, Surabaya, Indonesia.

出版信息

JMIR Res Protoc. 2023 Mar 17;12:e44201. doi: 10.2196/44201.

DOI:10.2196/44201

PMID:36930183

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10131749/

Abstract

BACKGROUND

Malnutrition among older adults with dysphagia is common. Texture-modified foods (TMFs) are an essential part of dysphagia management. In long-term care (LTC) facilities, health professionals have implemented TMFs, but their application has not been fully elucidated, making them heterogeneous.

OBJECTIVE

We aim to explore the implementation of TMFs in LTC facilities, particularly focusing on the role of health professionals in nutritional care involving TMFs (eg, deciding the type of food, preparing and giving the food, and evaluating the outcomes).

METHODS

A scoping review using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) methodological approach will be performed. A comprehensive search for published literature will be systematically performed in PubMed, CINAHL, MEDLINE, ProQuest, PsycINFO, and Science Citation Index (Web of Science). Data screening and extraction will be performed by 2 reviewers independently. The studies included will be synthesized, summarized, and reported, following the preferred reporting items of the Mixed Methods Appraisal Tool. Our review will consider the following study designs: mixed methods, quantitative, and qualitative. Studies with patients who are not older adults will be excluded.

RESULTS

Data extraction will be completed by February 2023. Data presentation and analyses will be completed by April 2023, and the final outcomes will be completed by June 2023. The study findings will be published in a peer-reviewed journal.

CONCLUSIONS

Our scoping review will consider studies related to TMF interventions for older adults in LTC residential facilities, with no exclusion restrictions based on country, gender, or comorbidities. Studies on interventions that address TMF-related issues, such as deciding the type of food, preparing and giving the food, and evaluating the outcomes, are qualified for inclusion.

TRIAL REGISTRATION

OSF Registries 79AFZ; https://osf.io/79afz.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/44201.

摘要

背景

吞咽困难的老年人中营养不良很常见。质地改良食品（TMFs）是吞咽困难管理的重要组成部分。在长期护理（LTC）机构中，卫生专业人员已实施了质地改良食品，但对其应用尚未完全阐明，导致其存在异质性。

目的

我们旨在探讨长期护理机构中质地改良食品的实施情况，尤其关注卫生专业人员在涉及质地改良食品的营养护理中的作用（例如，决定食物类型、准备和提供食物以及评估结果）。

方法

将采用PRISMA（系统评价和Meta分析的首选报告项目）方法进行范围综述。将在PubMed、CINAHL、MEDLINE、ProQuest、PsycINFO和科学引文索引（科学网）中系统地全面检索已发表的文献。数据筛选和提取将由两名审稿人独立进行。纳入的研究将按照混合方法评估工具的首选报告项目进行综合、总结和报告。我们的综述将考虑以下研究设计：混合方法、定量和定性。非老年人患者的研究将被排除。