营养护理实践在老年康复设施在欧洲:横断面研究

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

许多老年康复患者在入院时身体虚弱,患有营养不良和肌肉减少症,这可能会使康复结果恶化。这项研究的目的是获得洞察目前的营养保健实践在整个欧洲的GR设施。方法:在这项横断面研究中,在EUGMS成员国的专家中分发了一份关于GR中营养保健实践的问卷。资料采用描述性统计进行分析。结果:共有来自25个欧洲国家的109名受访者参与了调查,结果表明,并非所有GR患者都接受了营养不良筛查和治疗,也并非所有参与者在进行营养护理时都使用(国际)国家指南。研究结果还显示,欧洲不同地理区域在营养不良、肌肉减少症和虚弱的筛查和治疗方面存在差异。尽管参与者强调了在营养护理上投入时间的重要性,但他们在实施过程中遇到了障碍,这主要是由于缺乏资源。结论:由于营养不良、肌肉减少症和虚弱在GR住院患者中经常出现,除了相互关联外,建议制定综合方法来筛查和治疗这三种临床问题。
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Nutritional Care Practices in Geriatric Rehabilitation Facilities across Europe: A Cross-Sectional Study
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.
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