Autor segons l'article: Fernández-Barrés S, García-Barco M, Basora J, Martínez T, Pedret R, Arija V, Project ATDOM-NUT group
Departament: Ciències Mèdiques Bàsiques
Autor/s de la URV: Arija Val, Maria Victoria / Basora Gallisa, Josep
Paraules clau: Primary health care Nutrition education Malnutrition Home care Caregivers Aged Activities of daily living nutrition education malnutrition home care caregivers aged activities of daily living
Resum: © 2017 Elsevier Ltd Objective To assess the effect of a nutrition education intervention included in the Home Care Program for caregivers to prevent the increasing risk of malnutrition of dependent patients at risk of malnutrition. Design Randomized controlled multicenter trial of 6 months of duration and 12 months follow-up. Settings 10 Primary Care Centers, Spain. Participants Patients enrolled in the Home Care Program between January 2010 and March 2012, who were dependent and at risk of malnutrition, older than 65, and had caregivers (n = 190). Intervention The nurses conducted initial educational intervention sessions for caregivers and then monitored at home every month for 6 months. Measurements The nutritional status was assessed using the Mini Nutritional Assessment test (primary outcome), diet, anthropometry, and biochemical parameters (albumin, prealbumin, hemoglobin and cholesterol). Other descriptive and outcome measures were recorded: current medical history, Activities of daily living (Barthel test), cognitive state (Pfeiffer test), and mood status (Yesavage test). All the measures were recorded in a schedule of 0–6–12 months. Results 173 individuals participated after exclusions (intervention n = 101; control n = 72). Mean age was 87.8 ± 8.9 years, 68.2% were women. Difference were found between the groups for Mini Nutritional Assessment test score change (repeated measures ANOVA, F = 10.1; P < 0.001), the intervention improved the Mini Nutritional Assessment test score of the participants in the intervention group. The egg consumption (F = 4.1; P = 0.018), protein intake (F = 3.0; P = 0.050), polyunsaturated fatty acid intake (F = 5.3; P = 0.006), folate (F = 3.3; P = 0.041) and vitamin E (F = 6.4; P = 0.002) showed significant group × time interactions. Conclusion A nutrition education intervention for caregivers halted the tendency of nutritional decline, and reduced the risk of malnutrition of older dependent patients. Trial registration: Clinical Trial Registration-URL: www.clinicaltrials.gov. Identifier: NCT01360775
Grup de recerca: Nutrició i Salut Mental
Àrees temàtiques: Saúde coletiva Odontología Nursing (miscellaneous) Nursing (all) Nursing Medicina iii Medicina ii Medicina i Interdisciplinar General nursing General medicine Enfermagem Ciencias sociales
Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
ISSN: 00207489
Adreça de correu electrònic de l'autor: josep.basora@urv.cat josep.basora@urv.cat victoria.arija@urv.cat
Identificador de l'autor: 0000-0002-1758-0975
Data d'alta del registre: 2024-09-07
Versió de l'article dipositat: info:eu-repo/semantics/acceptedVersion
Enllaç font original: https://www.sciencedirect.com/science/article/abs/pii/S0020748917300561
URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
Referència a l'article segons font original: International Journal Of Nursing Studies. 70 131-141
Referència de l'ítem segons les normes APA: Fernández-Barrés S, García-Barco M, Basora J, Martínez T, Pedret R, Arija V, Project ATDOM-NUT group (2017). The efficacy of a nutrition education intervention to prevent risk of malnutrition for dependent elderly patients receiving Home Care: A randomized controlled trial. International Journal Of Nursing Studies, 70(), 131-141. DOI: 10.1016/j.ijnurstu.2017.02.020
DOI de l'article: 10.1016/j.ijnurstu.2017.02.020
Entitat: Universitat Rovira i Virgili
Any de publicació de la revista: 2017
Tipus de publicació: Journal Publications