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老年人社区营养风险筛查(COMRISK):加拿大艾伯塔省筛查体验及营养风险患病率的探索

Community-Based Nutrition Risk Screening in Older Adults (COMRISK): An Exploration of the Experience of Being Screened and Prevalence of Nutrition Risk in Alberta, Canada.

作者信息

Fedoruk Rani, Olstad Heidi, Watts Lori, Morrison Monica, Ward Jill, Popeski Naomi, Atkins Marlis, Chan Catherine B

机构信息

Department of Agricultural, Food and Nutritional Science, Li Ka Shing Centre of Health Innovation, University of Alberta, Edmonton, AB, Canada.

Nutrition Services, Alberta Health Services, Red Deer, AB, Canada.

出版信息

Can J Aging. 2023 Nov 17:1-11. doi: 10.1017/S0714980823000703.

DOI:10.1017/S0714980823000703
PMID:37974476
Abstract

The objectives of this feasibility study were to measure the prevalence of nutrition risk in community-dwelling older adults (CDOA, ages ≥ 65 years) and explore the perspectives of CDOA of the acceptability, value, and effectiveness of nutrition risk screening in primary care and community settings. Using the Seniors in the Community: Risk Evaluation for Eating and Nutrition (SCREEN)© eight-item tool ( = 276), results indicated that moderate and high nutrition risks affected 50 per cent and 8 per cent, respectively, of those screened. Interviewees ( = 16) agreed that screening is acceptable, important, and valuable (Theme One). Effectiveness was unclear, as only 3 of 16 respondents recalled being told their nutrition risk status. When articulating nutrition-related issues, a food security theme, expressed in the third person, was prominent (Theme Two). Screening for nutrition risk and receiving nutrition information in community-based settings are acceptable to CDOA and medically necessary, as evidenced by the high proportion of CDOA at moderate-high nutrition risk.

摘要

本可行性研究的目的是测量社区居住的老年人(年龄≥65岁)中营养风险的患病率,并探讨社区居住的老年人对初级保健和社区环境中营养风险筛查的可接受性、价值和有效性的看法。使用社区老年人:饮食与营养风险评估(SCREEN)©八项工具(n = 276),结果表明,中度和高度营养风险分别影响了50%和8%的筛查对象。受访者(n = 16)一致认为筛查是可接受的、重要的和有价值的(主题一)。有效性尚不清楚,因为16名受访者中只有3人记得被告知他们的营养风险状况。在阐述营养相关问题时,以第三人称表达的粮食安全主题较为突出(主题二)。社区居住的老年人可接受在社区环境中筛查营养风险并获取营养信息,且这在医学上是必要的,中度至高度营养风险的社区居住老年人比例较高就证明了这一点。

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