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Nutritionsbehandling inom slutenvården: Svenska sjukhus klarar inte Europarådets riktlinjer
Sahlgrenska universitetssjukhuset.ORCID iD: 0000-0002-3692-7014
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2006 (Swedish)In: Läkartidningen, ISSN 0023-7205, Vol. 103, no 21-22, 1718-1724 p.Article in journal (Refereed) Published
Abstract [sv]

Sjukdomsrelaterad undernäring har beskrivits i Europa sedan ett tiotal år. Problemet har föranlett Europarådet att 2003 anta en resolution med rekommendationer till medlemsländerna om nutritionsbehandling på sjukhus.

I en enkätstudie genomförd bland svenska läkare, sjuksköterskor och dietister undersöktes attityder till och rutiner för nutritionsbehandling inom slutenvården – i relation till Europarådets rekommendationer.

Totalt 1 656 personer (38 procent) svarade på enkäten. Av dessa ansåg 88 procent att nutritionsstatus ska screenas vid inläggning, medan endast 22 procent beskrev att så verkligen sker. Nästan hälften ansåg att utbildningen i klinisk nutrition för vårdpersonal var otillräcklig. En otydlighet i ansvarsfördelningen beskrevs av majoriteten av dem som svarat.

Undersökningen visar att svensk slutenvård inte lever upp till Europarådets rekommendationer om nutritionsbehandling. Brister har också definierats vad gäller riktlinjer och organisation.

För framtiden efterlyses en nationell handlingsplan för att implementera Europarådets resolution i svensk hälso- och sjukvård.

Abstract [en]

Disease-related malnutrition is still a significant problem in hospital care, and the Council of Europe has in a resolution 2003 stated that the number of undernourished patients i Europe is unacceptable, and given recommendations to the member states on how to improve the situation. We investigated the use of clinical nutrition in Swedish hospitals and compared it with the guidelines from the Council of Europe by doing a questionnaire-based study among doctors, nurses and dieticians randomely selected in Swedish hospitals. Overall, 1656 (38%) responded to the questionnaire. 88 percent stated that nutritional assessment ought to be performed on admission, but only 22 % claimed that it was a routine procedure. Nearly half of the responders stated that education regarding clinical nutrition was insufficient. A lack of clearly defined responsibilities for the different staff groups was stated in a majority of the responders. The use of clinical nutrition in Swedish hospitals did not fulfill the standards for nutrition support according to the guidelines of the Council of Europe. Special efforts should be aimed at a clarified organization, both on a national and a regional level.

Place, publisher, year, edition, pages
2006. Vol. 103, no 21-22, 1718-1724 p.
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:hkr:diva-12806OAI: oai:DiVA.org:hkr-12806DiVA: diva2:742852
Available from: 2014-09-02 Created: 2014-09-02 Last updated: 2015-01-27Bibliographically approved

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CiteExportLink to record
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Citation style
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