{"title":"接受口腔摄入支持的老年人营养不良筛查工具与进餐时间观察清单项目之间的关联：四家长期护理机构的横断面研究","authors":"Eri Nishioka MA, RD, Mayumi Iwata BA, RD, Noriko Kumai BA, RD, Yoshinari Matsumoto PhD, RD, Chika Momoki PhD, RD, Yoko Yasui MA, RD, Daiki Habu PhD, MD","doi":"10.1111/opn.12610","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Multiple nutritional screening tools are available for older people; however, few screening tools include specific eating behaviours as risk factors that could lead to poor food intake. The 24-item mealtime observation checklist (MOCL), developed by the Japanese Ministry of Health, Labour and Welfare in 2015, comprises signs, symptoms and conditions during mealtime that reflect eating and swallowing functions and oral conditions.</p>\n </section>\n \n <section>\n \n <h3> Objectives</h3>\n \n <p>To examine factors associated with malnutrition among the MOCL items in older people.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A cross-sectional study was conducted using data from a retrospective cohort study conducted at four long-term care facilities in Japan. Among the older people residing in the facilities, 198 who received oral intake support were included in the analyses. Nutritional status was assessed using the Mini Nutritional Assessment-Short Form (MNA<sup>®</sup>-SF), and comparisons were made between ‘malnutrition’ and ‘at-risk or well-nourished’. The association between each MOCL item and malnutrition was assessed using multivariable logistic regression analysis.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Of the 198 participants, 98 (49.5%) were classified as ‘malnutrition’, 98 (49.5%) as ‘at-risk’ and 2 (1%) as ‘well-nourished’ by MNA<sup>®</sup>-SF. After adjusting for participant characteristics such as age and sex, significant associations with malnutrition were observed for four items from the 24-item MOCL: ‘Has fatigue due to extended mealtime (odds ratio [OR] = 3.20, 95% confidence interval [CI]: 1.36–7.53)’, ‘Food residues in the oral cavity are conspicuous (OR = 2.77, 95% CI: 1.38–5.52)’, ‘Has difficulty swallowing food and takes time to swallow (OR = 3.78, 95% CI: 1.45–9.84)’ and ‘Assisted feeding is required (OR = 3.70, 95% CI: 1.73–7.91)’.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The four signs, symptoms and conditions during mealtime identified in this study may be associated with malnutrition in older people.</p>\n </section>\n \n <section>\n \n <h3> Implications for practice</h3>\n \n <p>These may indicate the potential eating problems that can lead to malnutrition. By incorporating them into early intervention and prevention measures, health care providers may help prevent malnutrition and improve the nutritional status of older people.</p>\n </section>\n </div>","PeriodicalId":48651,"journal":{"name":"International Journal of Older People Nursing","volume":"19 3","pages":""},"PeriodicalIF":1.6000,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Association between a malnutrition screening tool and mealtime observation checklist items in older people receiving oral intake support: A cross-sectional study of four long-term care facilities\",\"authors\":\"Eri Nishioka MA, RD, Mayumi Iwata BA, RD, Noriko Kumai BA, RD, Yoshinari Matsumoto PhD, RD, Chika Momoki PhD, RD, Yoko Yasui MA, RD, Daiki Habu PhD, MD\",\"doi\":\"10.1111/opn.12610\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background</h3>\\n \\n <p>Multiple nutritional screening tools are available for older people; however, few screening tools include specific eating behaviours as risk factors that could lead to poor food intake. The 24-item mealtime observation checklist (MOCL), developed by the Japanese Ministry of Health, Labour and Welfare in 2015, comprises signs, symptoms and conditions during mealtime that reflect eating and swallowing functions and oral conditions.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>To examine factors associated with malnutrition among the MOCL items in older people.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A cross-sectional study was conducted using data from a retrospective cohort study conducted at four long-term care facilities in Japan. Among the older people residing in the facilities, 198 who received oral intake support were included in the analyses. Nutritional status was assessed using the Mini Nutritional Assessment-Short Form (MNA<sup>®</sup>-SF), and comparisons were made between ‘malnutrition’ and ‘at-risk or well-nourished’. The association between each MOCL item and malnutrition was assessed using multivariable logistic regression analysis.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Of the 198 participants, 98 (49.5%) were classified as ‘malnutrition’, 98 (49.5%) as ‘at-risk’ and 2 (1%) as ‘well-nourished’ by MNA<sup>®</sup>-SF. After adjusting for participant characteristics such as age and sex, significant associations with malnutrition were observed for four items from the 24-item MOCL: ‘Has fatigue due to extended mealtime (odds ratio [OR] = 3.20, 95% confidence interval [CI]: 1.36–7.53)’, ‘Food residues in the oral cavity are conspicuous (OR = 2.77, 95% CI: 1.38–5.52)’, ‘Has difficulty swallowing food and takes time to swallow (OR = 3.78, 95% CI: 1.45–9.84)’ and ‘Assisted feeding is required (OR = 3.70, 95% CI: 1.73–7.91)’.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>The four signs, symptoms and conditions during mealtime identified in this study may be associated with malnutrition in older people.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Implications for practice</h3>\\n \\n <p>These may indicate the potential eating problems that can lead to malnutrition. By incorporating them into early intervention and prevention measures, health care providers may help prevent malnutrition and improve the nutritional status of older people.</p>\\n </section>\\n </div>\",\"PeriodicalId\":48651,\"journal\":{\"name\":\"International Journal of Older People Nursing\",\"volume\":\"19 3\",\"pages\":\"\"},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-04-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Older People Nursing\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/opn.12610\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"GERIATRICS & GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Older People Nursing","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/opn.12610","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"GERIATRICS & GERONTOLOGY","Score":null,"Total":0}
Association between a malnutrition screening tool and mealtime observation checklist items in older people receiving oral intake support: A cross-sectional study of four long-term care facilities
Background
Multiple nutritional screening tools are available for older people; however, few screening tools include specific eating behaviours as risk factors that could lead to poor food intake. The 24-item mealtime observation checklist (MOCL), developed by the Japanese Ministry of Health, Labour and Welfare in 2015, comprises signs, symptoms and conditions during mealtime that reflect eating and swallowing functions and oral conditions.
Objectives
To examine factors associated with malnutrition among the MOCL items in older people.
Methods
A cross-sectional study was conducted using data from a retrospective cohort study conducted at four long-term care facilities in Japan. Among the older people residing in the facilities, 198 who received oral intake support were included in the analyses. Nutritional status was assessed using the Mini Nutritional Assessment-Short Form (MNA®-SF), and comparisons were made between ‘malnutrition’ and ‘at-risk or well-nourished’. The association between each MOCL item and malnutrition was assessed using multivariable logistic regression analysis.
Results
Of the 198 participants, 98 (49.5%) were classified as ‘malnutrition’, 98 (49.5%) as ‘at-risk’ and 2 (1%) as ‘well-nourished’ by MNA®-SF. After adjusting for participant characteristics such as age and sex, significant associations with malnutrition were observed for four items from the 24-item MOCL: ‘Has fatigue due to extended mealtime (odds ratio [OR] = 3.20, 95% confidence interval [CI]: 1.36–7.53)’, ‘Food residues in the oral cavity are conspicuous (OR = 2.77, 95% CI: 1.38–5.52)’, ‘Has difficulty swallowing food and takes time to swallow (OR = 3.78, 95% CI: 1.45–9.84)’ and ‘Assisted feeding is required (OR = 3.70, 95% CI: 1.73–7.91)’.
Conclusions
The four signs, symptoms and conditions during mealtime identified in this study may be associated with malnutrition in older people.
Implications for practice
These may indicate the potential eating problems that can lead to malnutrition. By incorporating them into early intervention and prevention measures, health care providers may help prevent malnutrition and improve the nutritional status of older people.
期刊介绍：
International Journal of Older People Nursing welcomes scholarly papers on all aspects of older people nursing including research, practice, education, management, and policy. We publish manuscripts that further scholarly inquiry and improve practice through innovation and creativity in all aspects of gerontological nursing. We encourage submission of integrative and systematic reviews; original quantitative, qualitative, and mixed methods research; secondary analyses of existing data; historical works; theoretical and conceptual analyses; evidence based practice projects and other practice improvement reports; and policy analyses. All submissions must reflect consideration of IJOPN''s international readership and include explicit perspective on gerontological nursing. We particularly welcome submissions from regions of the world underrepresented in the gerontological nursing literature and from settings and situations not typically addressed in that literature. Editorial perspectives are published in each issue. Editorial perspectives are submitted by invitation only.
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