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Clinical practice guidelines for malnutrition and use of nutritional interventions: changes over 6 years
Authors: Eglseer Doris | Blanař Vít | Lohrmann Christa | Hoedl Manuela
Year: 2019
Type of publication: ostatní - přednáška nebo poster
Page from-to: nestránkováno
Titles:
Language Name Abstract Keywords
eng Clinical practice guidelines for malnutrition and use of nutritional interventions: changes over 6 years Rationale: Clinical practice guidelines (CPG) support healthcare professionals in conducting evidence-based management of malnourished patients. The aim of this study was to evaluate the availability of guidelines for malnutrition and interventions based on these guidelines in hospitals, specifically the change from 2012 to 2017. Methods: This cross-sectional multicentre study was part of the Prevalence Measurement of Care Problems (LPZ) and was conducted in 6 consecutive years (2012–2017). 15 Austrian hospitals with a total of 5650 patients participated in the study. Data were collected with a standardized questionnaire by nurse directors (organizational level) and nurses (patient level). Data were analysed with SPSS 25 using descriptive statistics and statistical tests, e.g. X2 test, McNemar’s test, Mann-Whitney U test. Results: The availability of CPGs for malnutrition increased from 6.7% in 2012 to 100% in 2017 ( p < 0.001). Interventions conducted to treat malnutrition increased accordingly during the study period. The availability of a guideline was associated with a higher frequency of nutritional interventions. The most frequently conducted interventions were the referral to a dietician, diet enrichment and food consistency adjustment. The number of patients who did not receive any intervention decreased from 70.0% in 2012 to 55.6% in 2017 ( p <0.001). Conclusions: The availability of guidelines on malnutrition increased considerably in the participating hospitals over the six-year study period. This highlights the rising awareness regarding this topic in Austrian hospitals. The frequency of CPG-based nutritional interventions for patients at risk of malnutrition rose concurrently with the increased use of guidelines. Therefore, stakeholders and hospital managers but also healthcare staff working in clinical practice should promote the implementation of CPGs for the management of malnourished patients to support the provision of evidence-based nutritional ca Clinical; practice; guidelines; for; malnutrition; use; nutritional; interventions; changes; over; years

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