欧洲老年康复机构的营养护理实践：一项横断面研究。

Nutritional Care Practices in Geriatric Rehabilitation Facilities across Europe: A Cross-Sectional Study.

作者信息

Everink Irma H J, Grund Stefan, Benzinger Petra, de Vries Anne, Gordon Adam L, van Wijngaarden Janneke P, Bauer Jürgen M, Schols Jos M G A

机构信息

Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University, 6200 MD Maastricht, The Netherlands.

Center for Geriatric Medicine, Agaplesion Bethanien Hospital Heidelberg, Geriatric Center at the Heidelberg University, 69126 Heidelberg, Germany.

出版信息

J Clin Med. 2023 Apr 17;12(8):2918. doi: 10.3390/jcm12082918.

DOI:10.3390/jcm12082918

PMID:37109255

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10142565/

Abstract

UNLABELLED

Many patients in geriatric rehabilitation (GR) are physically frail at the time of admission and suffer from malnutrition and sarcopenia, which may worsen rehabilitation outcomes. This study aims to obtain insight into the current nutritional care practices in GR facilities across Europe.

METHODS

In this cross-sectional study, a questionnaire focused on nutritional care practices in GR was distributed across experts in EUGMS member countries. Data were analyzed by using descriptive statistics.

RESULTS

In total, 109 respondents working in 25 European countries participated, and the results showed that not all GR patients were screened and treated for malnutrition, and not all participants used (inter)national guidelines when performing nutritional care. The results also showed variations across European geographical areas related to screening and treatment of malnutrition, sarcopenia, and frailty. Even though the participants underlined the importance of dedicating time to nutritional care, they experienced barriers in its implementation, which were mostly due to a lack of resources.

CONCLUSION

As malnutrition, sarcopenia, and frailty are often present in patients admitted to GR, in addition to being interrelated, it is recommended to develop an integrated approach to screening and treatment of all three clinical problems.

摘要

未标注

许多老年康复（GR）患者在入院时身体虚弱，患有营养不良和肌肉减少症，这可能会使康复效果恶化。本研究旨在深入了解欧洲各地GR机构当前的营养护理实践。

方法

在这项横断面研究中，一份聚焦于GR营养护理实践的问卷在欧洲老年医学学会（EUGMS）成员国的专家中分发。使用描述性统计方法对数据进行分析。

结果

共有来自25个欧洲国家的109名受访者参与，结果显示并非所有GR患者都接受了营养不良筛查和治疗，并非所有参与者在进行营养护理时都采用了（国际）指南。结果还显示，欧洲不同地理区域在营养不良、肌肉减少症和身体虚弱的筛查与治疗方面存在差异。尽管参与者强调了投入时间进行营养护理的重要性，但他们在实施过程中遇到了障碍，这主要是由于缺乏资源。