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Screeninginstrument för nutritionsstatus och ät- och måltidsobservationer: En litteraturstudie i syfte att identifiera vilka faktorer som observeras i samband med måltid hos multisjuka äldre
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences.
2016 (Swedish)Independent thesis Basic level (degree of Bachelor), 10 credits / 15 HE creditsStudent thesisAlternative title
Screening Tools for nutritional status and eating and meal observations : A literature in order to identify the factors that are observed during meals with multi-ill elderly (English)
Abstract [sv]

Bakgrund: Undernäring är ett vanligt förekommande tillstånd inom hälso- och sjukvården. Undernäring har samband med ökad sjuklighet och dödlighet. Det leder till ökade kostnader för samhället då vårdtiderna blir längre. Patienterna blir utsatta för ett ökat lidande. Enligt nutritionsvårdsprocessen kan undernäring upptäckas om en screening av nutritionsstatusen  utförs. För att sedan utreda vad som orsakar undernäringen kan ät- och måltidsobservationsinstrument utnyttjas. Syfte: Syftet med föreliggande litteraturstudie var att identifiera vilka faktorer som observeras i samband med screening för nutritionsstatus och ät -och måltidsobservationer och vilka instrument som finns utvecklade för att identifiera dessa faktorer hos multisjuka äldre. Metod: Litteraturöversikten baserad på vetenskapliga artiklar utifrån studiens syfte. De vetenskapliga artiklarna fanns tillgängliga på Uppsala universitets elektroniska prenumerationer. Analysarbetet gjordes genom granskning och bearbetning av insamlat material. Resultat: Resultatet av granskningen visade att viktminskning, BMI, diagnos, aptit och funktionsförmåga var faktorer som de flesta nutritionsstatus screeninginstrument observerade. Faktorer som observerades i störst utsträckning i ätobservationsinstrument var tugg och sväljsvårigheter, transport av mat till munnen, sittposition och energitillförsel. De flesta av instrumenten som granskades visade sig vara reliabla och validerade. Det fanns inget instrument som observerade endast måltidsmiljön. Det finns även andra faktorer som visat sig ha inverkan på nutritionsstatusen som inte observeras i något instrument. Dessa faktorer var av psykosociala och ekonomisk karaktär.  Slutsats: Det finns nutritionsstatus screening instrument av god kvalité däremot finns det inte lika omfattande ät – och måltidsobservationsinstrument.

Abstract [en]

Background: Malnutrition is a common condition in health care. Malnutrition is associated with increased morbidity and mortality. It leads to increased charges imposed on society when the length at hospital becomes longer. Patients becomes vulnerable to increased suffering. According to the nutrition care process, malnutrition can be detected when a nutritional status screening is performed. Then, to investigate the causes of malnutrition eating and meal instruments can be utilized. Aim: The aim of the present study was to identify the factors that are observed in connection with the nutritional status screening and eat -and meal observations. Which instruments are developed to identify these factors in multi-ill elderly. Methods: The review was based on scientific papers on the basis of the study's purpose. The data were available at Uppsala University's electronic subscriptions. The analysis was done by examination and processing of the collected material. Result: The result showed that the weight loss, body mass index, diagnosis, appetite and functional capacity were factors that most nutritional screening instruments observed. Factors that were observed to the greatest extent in eat observation instrument was chewing and swallowing difficulties, transportation of food to the mouth, sit position and energy intake. There was no instrument that observed only meal environment. Most of the instruments examined proved to have reliability and validity. There are also other factors shown to influence the nutritional status that is not observed in any instrument. These factors were of the psychosocial and economic character. Conclusion:There are nutritional status screening instruments of good quality, however, there are not as extensive eat -and meal instruments.

Place, publisher, year, edition, pages
2016. , p. 38
Keywords [en]
Validity, Reliability, Eating and meal observation, Nutritional status screening, Malnutrition.
Keywords [sv]
Validitet, Reliabilitet, Ät- och måltidsobservation, Nutritionsstatus screening, Undernäring.
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-311636OAI: oai:DiVA.org:uu-311636DiVA, id: diva2:1060933
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2017-01-02 Created: 2016-12-30 Last updated: 2017-01-02Bibliographically approved

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