Interdisciplinary Oral Nutrition Support and Supplementation After Hip Fracture Surgery in Older Adult Inpatients: A Global Cross-Sectional Survey (ONS-STUDY)

被引:0
作者
Bell, Jack [1 ,2 ]
Turabi, Ruqayyah [3 ,4 ]
Olsen, Sissel Urke [5 ]
Sheehan, Katie Jane [3 ,6 ]
Geirsdottir, Olof Guony [2 ]
机构
[1] Prince Charles Hosp, Allied Hlth Res Collaborat, Chermside, Qld 4032, Australia
[2] Univ Iceland, Fac Food Sci & Nutr, IS-102 Reykjavik, Iceland
[3] Kings Coll London, Sch Life Course & Populat Sci, Dept Populat Hlth Sci, London WC2R 2LS, England
[4] Jazan Univ, Coll Nursing & Hlth Sci, Dept Phys Therapy, Jazan 45142, Saudi Arabia
[5] Diakonhjemmet Hosp, Dept Med Serv, N-0370 Oslo, Norway
[6] Queen Mary Univ London, Bone & Joint Hlth, Blizard Inst, London E1 2AB, England
关键词
hip fractures; hospitals; malnutrition; nutrition risk assessment; nutritional support; oral nutrition supplements; TREAT MALNUTRITION; CARE; BARRIERS; OUTCOMES; NURSES;
D O I
10.3390/nu17020240
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: Malnutrition predicts poor outcomes following hip fracture, affecting patient recovery, healthcare performance, and costs. Evidence-based guidelines recommend multicomponent, interdisciplinary nutrition care to improve intake, reduce complications, and enhance outcomes. This study examines global variation in oral nutrition support for older (65+ years) hip fracture inpatients. Methods: A global survey was conducted as part of a broader program to improve interdisciplinary nutrition care. The protocol was based on evidence-based guidelines, reviewed by experts, and piloted for validity. Recruitment used snowball sampling to achieve diversity across income levels, countries, and healthcare roles. Results: The survey (July-September 2023) recruited 308 participants from 46 countries across five global regions. Respondents primarily worked in acute teaching (57.5%) and non-teaching (17.5%) hospitals, representing medical (48.4%), nursing (28.2%), and allied health (17.9%) roles. Findings revealed a global knowledge-to-practice gap in multicomponent nutrition care, across providing high-protein/energy food and fluids (median: "half the time"), post-operative provision of oral nutritional supplements (median: "half the time") and continuation for one month with assessment (median: "not very often"), and nutritional education (median: "not very often"). Only 17.9% of respondents reported routine provision ("often" and "nearly always or always") of high-protein/energy food, supplements, and education. Substantial regional variation showed Western Pacific respondents perceiving the lowest provision across multicomponent processes. Interdisciplinary, multicomponent interventions were seen as a potential opportunity requiring further exploration. Conclusions: Major gaps persist in implementing evidence-based, interdisciplinary, multicomponent nutrition care for older adults with hip fractures. A targeted implementation approach is the next step to addressing the knowledge-to-practice gap.
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页数:14
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