The Impact of Education Sources on Patient Compliance with the Recommended Oral Nutritional Supplement (ONS) Intake: A Qualitative Survey.

IF 5 2区 医学 Q1 NUTRITION & DIETETICS Nutrients Pub Date : 2025-03-02 DOI:10.3390/nu17050889
Natalija Uršulin-Trstenjak, Damir Poljak, Bojan Šarkanj, Melita Sajko, Ivana Dodlek Šarkanj
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Abstract

Background: Nutritional support through oral nutritional supplements (ONSs) is important for patients. It leads to improved nutritional intake and better clinical and economic outcomes.

Objectives: The problem that often accompanies the use of ONSs is their consumption below the optimal prescribed doses. One of the reasons for this is patient education on the importance of ONS intake. This study investigated hospitalized patients and focused on the impact that educational sources have on ONS intake. It also investigated patient compliance with the intake of the prescribed dose, and the time of initiation and discontinuation of ONS consumption.

Methods: A qualitative survey using an anonymous questionnaire was conducted on 120 hospital patients across three locations in the Republic of Croatia: Varaždin General Hospital, the Special Hospital for Chronic Diseases in Novi Marof, and the hospital for lung diseases and tuberculosis in Klenovnik. Data were collected by independent nurses and analyzed using appropriate statistical tests, including Shapiro-Wilk, Levene, Mann-Whitney, and χ2 tests.

Results: There is a statistically significant difference between compliance with the intake at home and the source of information on how to consume ONSs (p = 0.003). There is also a statistically significant difference between compliance with intake at home and the initiation of ONS consumption (p = 0.000) with a key time of six months (half a year) when most of them give up.

Conclusions: Only 47.95% complied with the recommended dose of ONS intake at home who received the information from a nurse, if we look at the information source. There is a clear need to change patient education by developing a standardized form and tools accessible to patients. After six months, most patients discontinue ONS consumption. Further research is necessary to determine whether a medical specialist is the reason for discontinuation, or whether discontinuation happened due to insufficient education on the importance of ONS intake.

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教育来源对患者依从口服营养补充剂(ONS)摄入量的影响:一项定性调查。
背景:通过口服营养补充剂(ONSs)进行营养支持对患者很重要。它可以改善营养摄入,改善临床和经济效果。目的:经常伴随使用ONSs的问题是其消耗量低于最佳规定剂量。其中一个原因是对患者的教育,让他们认识到摄入ONS的重要性。本研究调查了住院患者,重点关注教育来源对ONS摄入量的影响。它还调查了患者对处方剂量摄入的依从性,以及开始和停止使用ONS的时间。方法:使用匿名问卷对克罗地亚共和国三个地点的120名医院患者进行了定性调查:Varaždin总医院、诺维马罗夫慢性病专科医院和克列诺夫尼克肺病和结核病医院。数据由独立护士收集,并采用相应的统计检验进行分析,包括Shapiro-Wilk、Levene、Mann-Whitney检验和χ2检验。结果:家庭摄入依从性与如何摄入ONSs的信息来源之间存在统计学差异(p = 0.003)。在家中坚持服用与开始服用ONS之间也存在统计学上的显著差异(p = 0.000),其中关键时间为6个月(半年),大多数人都放弃了。结论:从信息源上看,从护士处获取信息的患者,只有47.95%的患者遵守了ONS的推荐摄入量。显然,需要通过开发一种标准化的表格和便于患者使用的工具来改变患者教育。6个月后,大多数患者停止服用ONS。需要进一步的研究来确定是否医学专家是中断治疗的原因,或者中断治疗是由于对摄入ONS重要性的教育不足造成的。
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来源期刊
Nutrients
Nutrients NUTRITION & DIETETICS-
CiteScore
9.20
自引率
15.30%
发文量
4599
审稿时长
16.74 days
期刊介绍: Nutrients (ISSN 2072-6643) is an international, peer-reviewed open access advanced forum for studies related to Human Nutrition. It publishes reviews, regular research papers and short communications. Our aim is to encourage scientists to publish their experimental and theoretical results in as much detail as possible. There is no restriction on the length of the papers. The full experimental details must be provided so that the results can be reproduced.
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