Nursing and Rehabilitation School, Campus Puente del Común, Universidad de La Sabana, Chía 250001, Colombia.
Engineering School, Campus Puente del Común, Universidad de La Sabana, Chía 250001, Colombia.
Int J Environ Res Public Health. 2023 Sep 15;20(18):6763. doi: 10.3390/ijerph20186763.
Older people are at risk of malnutrition, especially when they suffer from cognitive impairment. Guidelines that orient nursing care in this regard need to be updated. The aim of this review is to address the best available evidence on interventions that can benefit nutritional nursing care for institutionalized older adults with dementia.
Integrative review using the Dimensions and Eureka search engines, and the PubMed, Embase, Scielo, CINAHL, and ScienceDirect databases. We searched from the year 2015 through to 2021. We employed the MMAT guidelines for mixed, qualitative, and quantitative studies, and the PRISMA, CASP, and JBI guidelines to value the reviews.
A total of 55 studies met the inclusion criteria. The best available evidence to support nutritional nursing care for institutionalized older adults with dementia highlights several aspects related to the assessment and caring interventions that are focused on people with dementia, their caregivers, and their context.
Both the assessment and nutritional care interventions for older people with dementia should consider the patient-caregiver dyad as the subject of care and understand the context as a fundamental part of it. The analysis of the context should look further than the immediate environment.
老年人有营养不良的风险，尤其是当他们患有认知障碍时。指导护理的相关指南需要更新。本综述旨在探讨针对机构中患有痴呆症的老年人群的营养护理干预措施的最佳现有证据。
使用 Dimensions 和 Eureka 搜索引擎以及 PubMed、Embase、Scielo、CINAHL 和 ScienceDirect 数据库进行综合回顾。我们从 2015 年到 2021 年进行了检索。我们使用 MMAT 指南评估混合、定性和定量研究，使用 PRISMA、CASP 和 JBI 指南评估综述。
共有 55 项研究符合纳入标准。支持机构中患有痴呆症的老年人群的营养护理的最佳现有证据强调了与评估和护理干预相关的几个方面，这些干预措施侧重于痴呆症患者、他们的照顾者及其所处的环境。
针对痴呆症老年人的评估和营养护理干预措施都应将患者-照顾者二人组视为护理对象，并将环境作为护理的重要组成部分。对环境的分析不应局限于直接环境。
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