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The effect of a structured nutritional care programme in Swedish nursing homes
Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping). Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Region Jönköping County, Futurum, Länssjukhuset Ryhov, Sweden.ORCID iD: 0000-0003-2376-8023
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).ORCID iD: 0000-0001-7101-3165
Jönköping University, School of Health and Welfare, HHJ, Institute of Gerontology. Jönköping University, School of Health and Welfare, HHJ. ARN-J (Aging Research Network - Jönköping).ORCID iD: 0000-0003-4149-9787
2017 (English)In: The Journal of Nursing Home Research Sciences, ISSN 2496-0799, no 3, 64-70 p.Article in journal (Refereed) Epub ahead of print
Abstract [en]

Objective: Malnutrition with consequent weight loss is a well-known problem among older frail persons living in nursing homes. The objective of this study was to examine the effect of a structured preventive care programme including an individualized nutrition plan. Design: A retrospective study, based on already collected data from two different nursing home populations. One population constituted a group of nursing home residents receiving the nutritional care programme (ncp-group), including individually performed nutritions actions. The ncp-group (N=135) was registered in the national quality registry Senior Alert (SA), a platform for following of this preventive care process. The other population constituted a group of nursing home residents receiving “care as usual” (n=186), ie not using the nutritional care programme, collected from the study SHADES. The two populations was compared by a quasi-experimental pre-posttest design with a follow-up time of 5–7 months. Settings: Nursing homes in Sweden. Participants: Two populations of nursing home residents assessed to be at risk for malnutrition, or to be already malnourished, according to the short form of the Mini Nutritional Assessment (MNA-SF). Intervention: The ncp-group received a structured, individually targeted care programme including risk assessments, team-based decisions on actions, and evaluation of results. Measurements: Body weight and weight changes were monitored over time. Additionally, nutritional status was described using the MNA-SF scores and body mass index (BMI). Results: No statistically significant differences in body weight, MNA-SF or BMI between the groups were found at follow-up. However, within-group analyses in the group followed in SA showed improved outcomes. Conclusion: This suggest small differences in nutritional care provided at nursing homes working with SA and “care as usual” in nursing homes, not working with SA.

Place, publisher, year, edition, pages
Serdi , 2017. no 3, 64-70 p.
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Gerontology, specializing in Medical and Health Sciences
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URN: urn:nbn:se:hj:diva-35612DOI: 10.14283/jnhrs.2017.11OAI: oai:DiVA.org:hj-35612DiVA: diva2:1099155
Available from: 2017-05-29 Created: 2017-05-29 Last updated: 2017-05-29

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Lannering, ChristinaJohansson, LindaErnsth-Bravell, Marie

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