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Nutrition care-related practices and factors affecting nutritional intakes in hospital patients at risk of pressure ulcers
Background Malnutrition is common in hospitals and is a risk factor for pressure ulcers. Nutrition care practices relating to the identification and treatment of malnutrition have not been assessed in patients at risk of pressure ulcers. The present study describes nutrition care practices and facto...
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| Published in: | Journal of human nutrition and dietetics 2015-08, Vol.28 (4), p.357-365 |
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| Language: | English |
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| container_end_page | 365 |
| container_issue | 4 |
| container_start_page | 357 |
| container_title | Journal of human nutrition and dietetics |
| container_volume | 28 |
| creator | Roberts, S. Chaboyer, W. Desbrow, B. |
| description | Background
Malnutrition is common in hospitals and is a risk factor for pressure ulcers. Nutrition care practices relating to the identification and treatment of malnutrition have not been assessed in patients at risk of pressure ulcers. The present study describes nutrition care practices and factors affecting nutritional intakes in this patient group.
Methods
The study was conducted in four wards at two hospitals in Queensland, Australia. Adult patients at risk of pressure ulcers as a result of restricted mobility were observed for 24 h to determine their daily oral intake and practices such as nutrition screening, documentation and intervention. Independent samples t‐tests and chi‐squared tests were used to analyse dietary intake and nutrition care‐related data. Predictors of receiving a dietitian referral were identified using logistic regression analyses.
Results
Two hundred and forty‐one patients participated in the present study. The observed nutritional screening rate was 59% (142 patients). Weight and height were documented in 71% and 34% of cases. Sixty‐nine patients (29%) received a dietitian referral. Predictors of receiving a dietitian referral included lower body mass index and longer length of stay. On average, patients consumed 73% and 72% of the energy and protein provided, respectively. Between 22% and 38% of patients consumed |
| doi_str_mv | 10.1111/jhn.12258 |
| format | article |
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Malnutrition is common in hospitals and is a risk factor for pressure ulcers. Nutrition care practices relating to the identification and treatment of malnutrition have not been assessed in patients at risk of pressure ulcers. The present study describes nutrition care practices and factors affecting nutritional intakes in this patient group.
Methods
The study was conducted in four wards at two hospitals in Queensland, Australia. Adult patients at risk of pressure ulcers as a result of restricted mobility were observed for 24 h to determine their daily oral intake and practices such as nutrition screening, documentation and intervention. Independent samples t‐tests and chi‐squared tests were used to analyse dietary intake and nutrition care‐related data. Predictors of receiving a dietitian referral were identified using logistic regression analyses.
Results
Two hundred and forty‐one patients participated in the present study. The observed nutritional screening rate was 59% (142 patients). Weight and height were documented in 71% and 34% of cases. Sixty‐nine patients (29%) received a dietitian referral. Predictors of receiving a dietitian referral included lower body mass index and longer length of stay. On average, patients consumed 73% and 72% of the energy and protein provided, respectively. Between 22% and 38% of patients consumed <50% of food provided at main meals.
Conclusions
Nutrition care practices including malnutrition risk screening and documentation of nutritional parameters appear to be inadequate in patients at risk of pressure ulcers. A significant proportion of these patients eat inadequately at main meals, further increasing their risk of malnutrition and pressure ulcers.</description><identifier>ISSN: 0952-3871</identifier><identifier>EISSN: 1365-277X</identifier><identifier>DOI: 10.1111/jhn.12258</identifier><identifier>PMID: 24974729</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Aged ; Aged, 80 and over ; Body Mass Index ; Diet ; Dietetics ; Eating ; Hospitalization ; Humans ; Length of Stay ; Malnutrition - diagnosis ; Malnutrition - epidemiology ; Malnutrition - prevention & control ; Middle Aged ; Nutrition ; Nutrition Assessment ; nutrition care ; Nutrition Therapy - methods ; Nutritional Status ; oral intake ; Patient safety ; pressure ulcer ; Pressure Ulcer - epidemiology ; Pressure Ulcer - prevention & control ; Queensland - epidemiology ; Risk Factors ; Ulcers</subject><ispartof>Journal of human nutrition and dietetics, 2015-08, Vol.28 (4), p.357-365</ispartof><rights>2014 The British Dietetic Association Ltd.</rights><rights>Journal of Human Nutrition and Dietetics © 2015 The British Dietetic Association Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4618-d07a5187d5fac2a12629a9570955c94b7bcd866564a165d75649b3e629f9ed973</citedby><cites>FETCH-LOGICAL-c4618-d07a5187d5fac2a12629a9570955c94b7bcd866564a165d75649b3e629f9ed973</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24974729$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Roberts, S.</creatorcontrib><creatorcontrib>Chaboyer, W.</creatorcontrib><creatorcontrib>Desbrow, B.</creatorcontrib><title>Nutrition care-related practices and factors affecting nutritional intakes in hospital patients at risk of pressure ulcers</title><title>Journal of human nutrition and dietetics</title><addtitle>J Hum Nutr Diet</addtitle><description>Background
Malnutrition is common in hospitals and is a risk factor for pressure ulcers. Nutrition care practices relating to the identification and treatment of malnutrition have not been assessed in patients at risk of pressure ulcers. The present study describes nutrition care practices and factors affecting nutritional intakes in this patient group.
Methods
The study was conducted in four wards at two hospitals in Queensland, Australia. Adult patients at risk of pressure ulcers as a result of restricted mobility were observed for 24 h to determine their daily oral intake and practices such as nutrition screening, documentation and intervention. Independent samples t‐tests and chi‐squared tests were used to analyse dietary intake and nutrition care‐related data. Predictors of receiving a dietitian referral were identified using logistic regression analyses.
Results
Two hundred and forty‐one patients participated in the present study. The observed nutritional screening rate was 59% (142 patients). Weight and height were documented in 71% and 34% of cases. Sixty‐nine patients (29%) received a dietitian referral. Predictors of receiving a dietitian referral included lower body mass index and longer length of stay. On average, patients consumed 73% and 72% of the energy and protein provided, respectively. Between 22% and 38% of patients consumed <50% of food provided at main meals.
Conclusions
Nutrition care practices including malnutrition risk screening and documentation of nutritional parameters appear to be inadequate in patients at risk of pressure ulcers. A significant proportion of these patients eat inadequately at main meals, further increasing their risk of malnutrition and pressure ulcers.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Body Mass Index</subject><subject>Diet</subject><subject>Dietetics</subject><subject>Eating</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Length of Stay</subject><subject>Malnutrition - diagnosis</subject><subject>Malnutrition - epidemiology</subject><subject>Malnutrition - prevention & control</subject><subject>Middle Aged</subject><subject>Nutrition</subject><subject>Nutrition Assessment</subject><subject>nutrition care</subject><subject>Nutrition Therapy - methods</subject><subject>Nutritional Status</subject><subject>oral intake</subject><subject>Patient safety</subject><subject>pressure ulcer</subject><subject>Pressure Ulcer - epidemiology</subject><subject>Pressure Ulcer - prevention & control</subject><subject>Queensland - epidemiology</subject><subject>Risk Factors</subject><subject>Ulcers</subject><issn>0952-3871</issn><issn>1365-277X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><recordid>eNp1kU9vEzEQxS1ERUPhwBdAlrjAYVvb6z_rI1SQgKL0UgTiYjneWepk493aXkH59LhN00OlzmXGo9978ugh9IaSU1rqbHMVTiljonmGZrSWomJK_XyOZkQLVtWNosfoZUobQoikhLxAx4xrxRXTM_RvNeXosx8CdjZCFaG3GVo8Ruuyd5CwDS3uymOIZe46KOvwG4eDzPbYh2y3hfQBXw1p9LnsRps9hFwkGUeftnjoiiekNEXAU-8gplfoqLN9gtf3_QR9__L58nxRLS_mX88_LivHJW2qligraKNaUX7BLGWSaauFKscJp_larV3bSCkkt1SKVpVBr2soVKeh1ao-Qe_3vmMcridI2ex8ctD3NsAwJUOlbkjNheAFffcI3QxTLDfeUarmROlb6sOecnFIKUJnxuh3Nt4YSsxtIKYEYu4CKezbe8dpvYP2gTwkUICzPfDH93DztJP5tlgdLKu9wqcMfx8UNm6NVLUS5sdqbi7nn-bL5eKX4fV_3kOlMA</recordid><startdate>201508</startdate><enddate>201508</enddate><creator>Roberts, S.</creator><creator>Chaboyer, W.</creator><creator>Desbrow, B.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201508</creationdate><title>Nutrition care-related practices and factors affecting nutritional intakes in hospital patients at risk of pressure ulcers</title><author>Roberts, S. ; Chaboyer, W. ; Desbrow, B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4618-d07a5187d5fac2a12629a9570955c94b7bcd866564a165d75649b3e629f9ed973</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Body Mass Index</topic><topic>Diet</topic><topic>Dietetics</topic><topic>Eating</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Length of Stay</topic><topic>Malnutrition - diagnosis</topic><topic>Malnutrition - epidemiology</topic><topic>Malnutrition - prevention & control</topic><topic>Middle Aged</topic><topic>Nutrition</topic><topic>Nutrition Assessment</topic><topic>nutrition care</topic><topic>Nutrition Therapy - methods</topic><topic>Nutritional Status</topic><topic>oral intake</topic><topic>Patient safety</topic><topic>pressure ulcer</topic><topic>Pressure Ulcer - epidemiology</topic><topic>Pressure Ulcer - prevention & control</topic><topic>Queensland - epidemiology</topic><topic>Risk Factors</topic><topic>Ulcers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Roberts, S.</creatorcontrib><creatorcontrib>Chaboyer, W.</creatorcontrib><creatorcontrib>Desbrow, B.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of human nutrition and dietetics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Roberts, S.</au><au>Chaboyer, W.</au><au>Desbrow, B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nutrition care-related practices and factors affecting nutritional intakes in hospital patients at risk of pressure ulcers</atitle><jtitle>Journal of human nutrition and dietetics</jtitle><addtitle>J Hum Nutr Diet</addtitle><date>2015-08</date><risdate>2015</risdate><volume>28</volume><issue>4</issue><spage>357</spage><epage>365</epage><pages>357-365</pages><issn>0952-3871</issn><eissn>1365-277X</eissn><abstract>Background
Malnutrition is common in hospitals and is a risk factor for pressure ulcers. Nutrition care practices relating to the identification and treatment of malnutrition have not been assessed in patients at risk of pressure ulcers. The present study describes nutrition care practices and factors affecting nutritional intakes in this patient group.
Methods
The study was conducted in four wards at two hospitals in Queensland, Australia. Adult patients at risk of pressure ulcers as a result of restricted mobility were observed for 24 h to determine their daily oral intake and practices such as nutrition screening, documentation and intervention. Independent samples t‐tests and chi‐squared tests were used to analyse dietary intake and nutrition care‐related data. Predictors of receiving a dietitian referral were identified using logistic regression analyses.
Results
Two hundred and forty‐one patients participated in the present study. The observed nutritional screening rate was 59% (142 patients). Weight and height were documented in 71% and 34% of cases. Sixty‐nine patients (29%) received a dietitian referral. Predictors of receiving a dietitian referral included lower body mass index and longer length of stay. On average, patients consumed 73% and 72% of the energy and protein provided, respectively. Between 22% and 38% of patients consumed <50% of food provided at main meals.
Conclusions
Nutrition care practices including malnutrition risk screening and documentation of nutritional parameters appear to be inadequate in patients at risk of pressure ulcers. A significant proportion of these patients eat inadequately at main meals, further increasing their risk of malnutrition and pressure ulcers.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>24974729</pmid><doi>10.1111/jhn.12258</doi><tpages>9</tpages></addata></record> |
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| ispartof | Journal of human nutrition and dietetics, 2015-08, Vol.28 (4), p.357-365 |
| issn | 0952-3871 1365-277X |
| language | eng |
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| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Aged Aged, 80 and over Body Mass Index Diet Dietetics Eating Hospitalization Humans Length of Stay Malnutrition - diagnosis Malnutrition - epidemiology Malnutrition - prevention & control Middle Aged Nutrition Nutrition Assessment nutrition care Nutrition Therapy - methods Nutritional Status oral intake Patient safety pressure ulcer Pressure Ulcer - epidemiology Pressure Ulcer - prevention & control Queensland - epidemiology Risk Factors Ulcers |
| title | Nutrition care-related practices and factors affecting nutritional intakes in hospital patients at risk of pressure ulcers |
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