Implementation of a nutritional programme in elderly people admitted to resident homes.

Abstract:

AIM:The aim was to test the hypothesis that education provided to staff regarding nutritional needs and individualizing nutritional care will improve the nutritional status and functional capacity of elderly people newly admitted to resident homes. DESIGN:Pre- and posttest, quasi experimental. SETTING:Resident homes. SUBJECTS:Sixty-two residents (20 men, 42 women) in the experimental group and 53 (14 men, 39 women) in the control group were consecutively included. Mean age was 85 years. METHODS:On admission and after 4 months, nutritional status was assessed using a combination of anthropometry (weight index, arm muscle circumference and triceps skinfold thickness) and biochemical measurements (serum albumin and transthyretin). Functional capacity and overall cognitive function were also assessed. In the experimental unit, the staff received education about nutritional needs and individualized nutritional care. RESULTS:After 4 months the number of residents assessed as protein energy malnourished decreased from 20 to seven in the experimental (p = 0.004), and from 17 to 10 in the control group (p = 0.1). In the experimental group, motor activity (p = 0.006) and cognitive function (p = 0.02) increased. In the control group, motor activity decreased (p = 0.02). CONCLUSIONS:The results indicate that the intervention had effects, as the number of protein energy malnourished residents decreased in the experimental group and motor activity and cognitive function improved. No such improvements were seen in the control group.

journal_name

Scand J Caring Sci

authors

Wikby K,Ek AC,Christensson L

doi

10.1111/j.1471-6712.2008.00632.x

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

421-30

issue

3

eissn

0283-9318

issn

1471-6712

pii

SCS632

journal_volume

23

pub_type

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