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Nutritionsbehandling i äldrevård - ett bortglömt perspektiv: Enkätstudie visar tydliga brister i omhändertagandet av äldre. [Nutritional therapy in elderly care--a forgotten perspective. A questionnaire study shows clear shortages in the care of the elderly]
Sahlgrenska University Hospital, Gothenburg.ORCID iD: 0000-0002-3692-7014
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2009 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 106, no 40, p. 2538-2542Article in journal (Refereed) Published
Abstract [sv]

Sjukdomsrelaterad under­näring har beskrivits i Europa under flera decennier.Europarådet antog år 2003 en resolution med rekommendationer till medlemsländerna kring nutritionsbehandling på sjukhus.En tidigare studie visar att rekommendationerna inte efterlevs inom svensk slutenvård, där flertalet patienter är äldre.Den aktuella enkätstudien, riktad till sjuksköterskor inom särskilda boenden, påvisar sjuksköterskornas ansvar för nutritionsprocessen men även brister i både kunskap och utbildning.Brister har även beskrivits i ansvarsfördelning mellan yrkesgrupper, riktlinjer för nutritionsbehandling och övergripande organisation.En förändrad struktur efter­lyses inom hälso -och sjukvårdsorganisationen. Såväl läkare, dietister, sjuksköterskor som undersköterskor bör vara aktiva i nutritionsprocessen vid särskilda boenden.

Abstract [en]

It has previously been demonstrated that the use of clinical nutrition in Swedish hospitals did not fulfill European standards. In the present study, a questionnaire-based investigation was performed among nurses working with elderly people living in sheltered housing. Overall, 765 (54.6%) responded. Nearly 90% of the nurses considered themselves responsible for nutritional assessment, although only 36% routinely registered energy intake on patients at risk of undernutrition. More than 60% stated that education regarding clinical nutrition was insufficient. Thus, despite a heavy responsibility in the nutrition care process for nurses, a lack of sufficient knowledge and education was evident. Special efforts should be aimed at a clarified organization as well as education.

Place, publisher, year, edition, pages
2009. Vol. 106, no 40, p. 2538-2542
National Category
Nutrition and Dietetics Nursing
Identifiers
URN: urn:nbn:se:hkr:diva-12817PubMedID: 19908624OAI: oai:DiVA.org:hkr-12817DiVA, id: diva2:743641
Available from: 2014-09-04 Created: 2014-09-04 Last updated: 2017-12-05Bibliographically approved

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Rothenberg, Elisabet

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