中国宁夏养老院老年人营养管理项目:循证实践和德尔菲法

IF 3 3区 医学 Q2 NUTRITION & DIETETICS
Haiyan Liu, Li Chen, Yanhua Ning, Yahong Guo, Weijuan Kong, Xiongxiong Lv, Meiman Li, Ting Jiang
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引用次数: 0

摘要

目的:为养老院老年人营养管理构建循证实践方案。该计划将为改善或解决养老院老年人的营养管理问题提供基础。设计:基于指南证据和德尔菲法的研究。全面检索、评估和总结证据,汇总最佳证据和初步方案,用于养老院老年人的营养管理。然后采用德尔菲法评价初步方案的适用性和对营养管理方案进行修改、补充和完善的障碍因素。背景:基线调查数据来自中国宁夏的三家养老院,并通过系统检索Cochrane Library、PubMed等科学数据库及相关官方网站获得指导性证据。参与者:共有350名居住在养老院的老年人和160名护士参加了基线调查。为了确保该方案的适用性并确定潜在的实施障碍,来自地方一级医院、养老院和社区卫生中心的15名专家被征求意见进行审查。结果:基于五个指导证据和基线调查结果,为养老院老年人制定了一个14项、56项最佳证据的营养管理计划。结论:本研究是基于指南证据的养老院老年人系统、全面的营养管理方案,可为宁夏养老院实施科学营养管理提供规范依据。管理者应根据个别养老院的具体情况,推动证据转化为实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Nutrition management programme for older adults in Ningxia nursing homes, China: evidence-based practice and the Delphi method.

Objectives: To construct an evidence-based practice programme for the nutrition management of older adults in nursing homes. The programme will provide a basis for improving or solving the nutrition management problems of older adults in nursing homes.

Design: The study is based on guideline evidence and Delphi method. The evidence was comprehensively searched, assessed and summarized, and the best evidence and a preliminary programme for nutrition management of older adults in nursing homes were aggregated. Then, the Delphi method was used to assess the applicability of the preliminary programme and the obstacle factors to modify, supplement and improve the nutrition management programme.

Setting: Baseline survey data were collected from three nursing homes in Ningxia, China, and guideline evidence was obtained through systematic searches of the Cochrane Library, PubMed and other scientific databases, as well as relevant official websites.

Participants: A total of 350 older adults residing nursing homes and 160 nurses participated in the baseline survey. To ensure the programme's applicability and identify potential implementation obstacles, fifteen experts from local grade A hospitals, nursing homes and community health centres were consulted for review.

Results: A fourteen-item, fifty-six-best-evidence nutrition management programme for older adults in nursing homes was developed based on five guideline evidences and baseline survey findings.

Conclusions: This is a systematic and comprehensive nutritional management programme for older adults in nursing homes based on guideline evidence, which can provide a standardised basis for the implementation of scientific nutritional management in nursing homes in Ningxia. Managers should promote the translation of evidence into practice in accordance with the specific circumstances of individual nursing homes.

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来源期刊
Public Health Nutrition
Public Health Nutrition 医学-公共卫生、环境卫生与职业卫生
CiteScore
6.10
自引率
6.20%
发文量
521
审稿时长
3 months
期刊介绍: Public Health Nutrition provides an international peer-reviewed forum for the publication and dissemination of research and scholarship aimed at understanding the causes of, and approaches and solutions to nutrition-related public health achievements, situations and problems around the world. The journal publishes original and commissioned articles, commentaries and discussion papers for debate. The journal is of interest to epidemiologists and health promotion specialists interested in the role of nutrition in disease prevention; academics and those involved in fieldwork and the application of research to identify practical solutions to important public health problems.
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