日本老龄厌食症诊断和管理知识与实践调查。

IF 9.4 1区 医学 Q1 GERIATRICS & GERONTOLOGY
Sahoko Takagi, Shosuke Satake, Ken Sugimoto, Masafumi Kuzuya, Masahiro Akishita, Hidenori Arai, Ivan Aprahamian, Andrew J. Coats, Tatiana Klompenhouwer, Stefan D. Anker, Hidetaka Wakabayashi
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引用次数: 0

摘要

背景:老年厌食症(AA)是老年人的一种症状,包括食欲不振和进食量减少。目前还没有详细分析教育措施对解决老年厌食症的潜在影响。本研究旨在阐明日本从事老年患者治疗的医护人员对厌食症的认识和实践现状,以及厌食症与继续教育机会的关系:方法:日本老年医学会和日本肉质疏松与虚弱症协会与日本肉质疏松、虚弱症与消瘦症协会合作,就 AA 检测与管理的知识与实践进行了在线问卷调查。调查从人口统计学、筛查、定义/诊断、治疗、转诊和认知等方面进行提问,其中 "参与 "为患者提供营养的继续教育和专业发展计划的人被划分为 "教育组",而 "未参与 "的人被划分为 "非教育组"。对每个问题的结果进行比较:分析包括 870 名参与者(医生,48%;注册营养师,16%;康复治疗师,14%;药剂师,12%;护士,6%;其他专业人员,5%)。教育组(45%)比非教育组(55%)更有可能使用迷你营养评估简表(MNA-SF)来筛查 AA(49% 对 27%),而不使用有效工具的可能性较小(33% 对 47%)。使用循证工具和材料进行 AA 护理的参与者较多(38% 对 12%),而使用临床判断(23% 对 35%)或不了解这些工具和材料的参与者较少(9% 对 23%)。在教育组和非教育组中,使用有 AA 护理经验的专业团队的比例分别为 47% 和 24%。从职业来看,很少有医生使用特定的有效工具和资源来进行 AA 筛查和治疗。半数以上的营养师使用了 MNA-SF,而不考虑是否有培训机会。在专业可用性和团队使用方面,医生在教育机会方面的差异尤其大:结论:参加营养方面的继续教育计划与对 AA 筛查和治疗的反应能力以及专业团队的可用性有关,这可能会影响 AA 治疗的质量。营养教育可增强医护专业人员对具有复杂临床症状的机能障碍老年人的信心,并鼓励他们开展循证实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Survey on the knowledge and practices in anorexia of aging diagnosis and management in Japan

Survey on the knowledge and practices in anorexia of aging diagnosis and management in Japan

Background

Anorexia of aging (AA) is a condition in older adults that includes loss of appetite and reduced food intake. There is a lack of detailed analysis of the potential influence of educational initiatives in addressing AA. This study aimed to clarify the current state of knowledge and practice regarding AA and its relationship with the availability of continuing education opportunities among Japanese healthcare professionals involved in treating older patients.

Methods

The Japan Geriatrics Society and the Japanese Association on Sarcopenia and Frailty, in collaboration with the Society on Sarcopenia, Cachexia, and Wasting Disorders, conducted an online questionnaire survey on the knowledge and practices in AA detection and management. Questions were asked in the areas of demographics, screening, definition/diagnosis, treatment, referral, and awareness, with those who ‘participate’ in continuing education and professional development programmes in nutrition for their patients were classified as the ‘education group’ and those who ‘do not participate’ were classified as the ‘non-education group’. The results for each question were compared.

Results

The analysis included 870 participants (physicians, 48%; registered dietitians, 16%; rehabilitation therapists, 14%; pharmacists, 12%; nurses, 6%; and other professionals, 5%). The education group (45%) was more likely than the non-education group (55%) to use the Mini-Nutritional Assessment Short Form (MNA-SF) to screen for AA (49% vs. 27%) and less likely not to use a validated tool (33% vs. 47%). More participants used evidence-based tools and materials for AA care (38% vs. 12%), and fewer used their clinical judgement (23% vs. 35%) or were unaware of the tools and materials (9% vs. 23%). The proportion using a team of professionals experienced in AA care were 47% and 24% of the education and non-education groups, respectively. By profession, few physicians used specific validated tools and resources for AA screening and treatment. More than half of the dietitians used the MNA-SF regardless of training opportunity availability. Regarding professional availability and team use, differences in educational opportunities were particularly large among physicians.

Conclusions

Participation in continuing education programmes on nutrition is associated with responsiveness to AA screening and treatment and the availability of a team of professionals, which may influence the quality of AA treatment. Nutrition education may support the confidence of healthcare professionals working with older adults in AA with complex clinical signs and encourage them to conduct evidence-based practice.

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来源期刊
Journal of Cachexia Sarcopenia and Muscle
Journal of Cachexia Sarcopenia and Muscle MEDICINE, GENERAL & INTERNAL-
CiteScore
13.30
自引率
12.40%
发文量
234
审稿时长
16 weeks
期刊介绍: The Journal of Cachexia, Sarcopenia and Muscle is a peer-reviewed international journal dedicated to publishing materials related to cachexia and sarcopenia, as well as body composition and its physiological and pathophysiological changes across the lifespan and in response to various illnesses from all fields of life sciences. The journal aims to provide a reliable resource for professionals interested in related research or involved in the clinical care of affected patients, such as those suffering from AIDS, cancer, chronic heart failure, chronic lung disease, liver cirrhosis, chronic kidney failure, rheumatoid arthritis, or sepsis.
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