The nutritional care of people living with dementia at home: A scoping review

被引:23
作者
Mole, Louise [1 ,2 ]
Kent, Bridie [2 ,3 ,4 ]
Abbott, Rebecca [2 ]
Wood, Chloe [2 ,5 ]
Hickson, Mary [1 ,2 ]
机构
[1] Plymouth Univ, Sch Hlth Profess, Inst Hlth & Commun, Plymouth, Devon, England
[2] NIHR, Collaborat Leadership Appl Hlth Res & Care, South West Peninsula PenCLAHRC, Plymouth, Devon, England
[3] Plymouth Univ, Sch Nursing & Midwifery, Plymouth, Devon, England
[4] Plymouth Univ, Joanna Briggs Inst, Ctr Hlth & Social Care, Plymouth, Devon, England
[5] Univ Exeter, Med Sch, Exeter, Devon, England
关键词
community care; dementia; nutritional care; COMMUNITY-DWELLING PATIENTS; STAGE ALZHEIMER-DEMENTIA; QUALITY-OF-LIFE; OLDER-ADULTS; WEIGHT-LOSS; COGNITIVE IMPAIRMENT; PROMOTION PROGRAM; CAREGIVER BURDEN; EATING BEHAVIOR; NUTRIENT INTAKE;
D O I
10.1111/hsc.12540
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
There are an increasing number of people with dementia living in their own home for longer, often supported by a family member. The symptoms of dementia can affect an individual's nutritional status, which can lead to a reduced quality of life for the person with dementia and their family members. A scoping review was conducted from July 2016 until September 2016, using a recognised framework, to explore what is currently known, and identify any gaps in the research regarding the nutritional care of people living with dementia at home. This included any interventions that may have been trialled or implemented, and the views of those living with dementia, carers and clinicians. Six electronic databases were searched from inception to July 2016. A review team was involved in screening and data extraction for selected articles. Published qualitative and quantitative studies were included that explored the nutritional care of people living with dementia at home. Methods included data extraction and conventional content analysis. Stakeholders were involved in the development of final categories. Following screening, 61 studies reported in 63 articles were included. Most studies were cross-sectional (n=24), cohort (n=15) or qualitative (n=9). Only three were randomised controlled trials. Three overarching categories represented the results: Timely identification of nutritional risk and subsequent regular monitoring of nutritional status, multi-component tailored interventions and the influence of the care-giving dyad on nutritional status. Many studies identify people living at home with dementia as a vulnerable group prone to malnutrition; however, a lack of interventions exists to address the increased risk. There is a lack of research exploring the role of home care providers and healthcare professionals in the provision of nutritional care. Further research is required to explore how the emotional aspect of the care-giving dyad influences nutritional care.
引用
收藏
页码:E485 / E496
页数:12
相关论文
共 94 条
[1]   Effectiveness of interventions to directly support food and drink intake in people with dementia: systematic review and meta-analysis [J].
Abdelhamid, Asmaa ;
Bunn, Diane ;
Copley, Maddie ;
Cowap, Vicky ;
Dickinson, Angela ;
Gray, Lucy ;
Howe, Amanda ;
Killett, Anne ;
Lee, Jin ;
Li, Francesca ;
Poland, Fiona ;
Potter, John ;
Richardson, Kate ;
Smithard, David ;
Fox, Chris ;
Hooper, Lee .
BMC GERIATRICS, 2016, 16
[2]  
Alzheimer's Society, 2012, CHALL FAC PRIM CAR P
[3]   Vitamin D insufficiency and mild cognitive impairment: cross-sectional association [J].
Annweiler, C. ;
Fantino, B. ;
Schott, A. M. ;
Krolak-Salmon, P. ;
Allali, G. ;
Beauchet, O. .
EUROPEAN JOURNAL OF NEUROLOGY, 2012, 19 (07) :1023-1029
[4]  
[Anonymous], 2009, AGING HLTH, DOI DOI 10.2217/1745509X.5.1.51
[5]  
[Anonymous], 2016, 2016 alzheimer's disease facts and figures
[6]  
[Anonymous], 2015, 2015 ALZH DIS FACTS
[7]  
Arksey H., 2005, INT J SOC RES METHOD, V8, P19, DOI [10.1080/1364557032000119616, DOI 10.1080/1364557032000119616]
[8]   Experiences and nutrition support strategies in dementia care: Lessons from family carers [J].
Ball, Lauren ;
Jansen, Sarah ;
Desbrow, Ben ;
Morgan, Kate ;
Moyle, Wendy ;
Hughes, Roger .
NUTRITION & DIETETICS, 2015, 72 (01) :22-29
[9]  
BAPEN, 2016, INTR MUST
[10]   Caregiver burden as a short-term predictor of weight loss in older outpatients suffering from mild to moderate Alzheimer's disease: A three months follow-up study [J].
Bilotta, Claudio ;
Bergamaschini, Luigi ;
Arienti, Rossana ;
Spreafico, Sibilla ;
Vergani, Carlo .
AGING & MENTAL HEALTH, 2010, 14 (04) :481-488