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Home Delivered Meals II: older Adults Sensory Perceptions and Satisfaction from Assistant Nurses Perspective
Kristianstad University, Faculty of Health Science.
2019 (English)Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesisAlternative title
Hemlevererade måltider II : äldres sensoriska upplevelser och nöjdhet från undersköterskornas perspektiv. (Swedish)
Abstract [en]

Introduction: Overall meal satisfaction and sensory properties of the food have been seen to impact the nutritional status in older adults living in residential care homes. However, there is a lack of studies focusing on home-dwelling older adults’ perceptions and satisfaction of home delivered meals.

Objective: The purpose was to examine home-dwelling older adults’ sensory perceptions and satisfaction of home-delivered meals from the assistant nurses’ perspective.

Method: The present study was the quantitative follow-up phase of a mixed method study with an exploratory sequential design. Data was collected through an online survey regarding assistant nurses’ (N=74) experiences of their care recipients satisfaction and perceptions of appearance, odor, flavor and texture of the meals.

Result: The nurses reported that most care recipients appreciate the sensory properties of the meals. However, the perceptions of texture and flavor varied considerably as the texture of vegetables were perceived as either hard or soft, and the meat was perceived as either chewy or easy to chew. Moreover, the flavor of the meals were perceived as either tasty or tasteless. Sensory properties were important for the care recipients’ meal experience, and odor (OR= 6.15, p= 0,03,) and flavor (OR= 5.71, p= 0,05) were significant predictors for meal satisfaction. However, satisfaction could not be correlated to type of delivery system.

Conclusion: Chewing difficulties and deteriorating smell and taste senses could be a reason for the great variation of the reported perceptions of texture and flavor. To increase older adults’ acceptability, more focus on choice of products and cooking techniques might be a way to improve the texture and flavor of the meals. Furthermore, due to selection bias the result cannot be generalized.

Abstract [sv]

Introduktion: Nöjdhet och måltidens sensoriska egenskaper påverkar äldres nutritionsstatus i särskilt boende. Det finns dock brist på studier om hemmaboende äldres sensoriska uppfattningar och acceptans.

Syfte: Syftet var att undersöka hemmaboende äldres sensoriska perceptioner och acceptans av hemlevererade måltider från undersköterskornas perspektiv.

Metod: Studien är den andra uppföljande fasen av en mixed method studie med en exploratory sequential design. Kvantitativ data samlades in genom en online enkät med både slutna och öppna frågor om undersköterskors (N=74) erfarenhet av vårdtagarnas nöjdhet samt upplevelser av måltidernas smak, doft, utseende och textur.

Resultat: Undersköterskorna rapporterade att de flesta vårdtagarna uppskattar de sensoriska egenskaperna av måltiderna men att upplevelsen av textur och smak varierade betydligt. Texturen på grönsakerna upplevdes antingen som hårda eller mjuka och texturen på köttet upplevdes antingen som segt eller lättuggat. Smaken på måltiderna upplevdes också antingen som god eller inte god. Vidare var sensorisk kvalitet viktig för vårdtagarnas måltidsupplevelse, och doft (OR= 6.15, p= 0,03,) och smak (OR= 5.71, p= 0,05) var signifikanta prediktorer för måltidsnöjdhet, däremot kunde inte nöjdhet korreleras till typ av leveranssystem.

Slutsatser: Tuggsvårigheter och försämrade lukt och smaksinnen skulle kunna vara en anledning till den rapporterade variationen i upplevelsen av textur och smak. Mer fokus på råvaror och tillagningsmetoder skulle kunna vara ett sätt förbättra texturen och smaken. Till följd av selektionsbias är inte resultatet generaliserbart.

Place, publisher, year, edition, pages
2019. , p. 35
Keywords [en]
Home delivered meals, home-dwelling, older adults, sensory, perceptions, satisfaction, assistant nurses, home care service
Keywords [sv]
Hemlevererade måltider, hemmaboende, äldre; sensorisk, uppfattningar, nöjdhet, undersköterskor, hemtjänst
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:hkr:diva-20128OAI: oai:DiVA.org:hkr-20128DiVA, id: diva2:1373270
Educational program
Masterprogram Integrerad hälsovetenskap
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Examiners
Available from: 2019-11-27 Created: 2019-11-26 Last updated: 2019-11-27Bibliographically approved

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