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Energiintag och servering av mellanmål på ortopediska avdelningar.: - att förebygga undernäring
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 thesis
Abstract [sv]

SAMMANFATTNING

Bakgrund: Undernäring är ett återkommande och stort problem inom sjukvården, i genomsnitt är var tredje patient undernärd. På ett sjukhus i mellansverige finns rutiner att mellanmål ska serveras, men varje avdelning får ansvara att det serveras. I november 2015 genomfördes en intervention för att öka serveringen av mellanmål på avdelning 1.

Syfte: Syftet med studien var att genom en punktprevalensmätning, Dagen nutrition, mäta i vilken grad patienter på ortopedisk avdelning 1 och 2 på ett sjukhus i mellansverige uppnår beräknat energibehov. Samt se om interventionen om servering av mellanmål har bidragit till att fler mellanmål har serverats på avdelning 1. Studien kommer även se över hur väl avdelningarna följer rutinen för att riskbedöma patienter för undernäring vid inskrivningen och uppföljningen till vårdplaner.

Metod: En punktprevalensmätning utfördes på avdelning 1 och avdelning 2 under ett dygn. Under mätdygnet uppmättes även antalet serverade mellanmål och riskbedömningar på avdelningarna.

Resultat: Resultatet visade att endast fyra patienter uppnådde ett energiintag på mer än 75 % på avdelningarna avdelning 1 och avdelning 2, skillnader i energiintaget mellan avdelningar förekom efter mellanmålsinterventionen. Interventionen kan ha bidragit till att fler antal mellanmål har serverats på sikt. Endast 8 % av patienterna var riskbedömda vid inskrivningen.

Slutsats: Studiens huvudresultat visar att majoriteten av patienterna inte uppnår ett energiintag mer än 75 %. Anledningarna till att en låg andel patienter kommer upp i ett energiintag mer än 75 % beror förmodligen på många olika faktorer. Interventionen från november 2015, kan ha bidragit till att flera mellanmål har serverats sedan förmätningen samt att personalen fått inspiration och vägledning i arbetet med nutritionen för patienterna. För att ytterligare kunna fastställa vad som kan göras för att öka patienternas energiintag behöver forskning som redan finns implementeras i den kliniska vården. 

Abstract [en]

ABSTRACT

Background: Malnutrition is a frequent and serious problem in health care, on average, every third patient malnourished. At a hospital in central Sweden routines are that in-between-meal should be served, but each ward will be responsible to have it served. To increase the serving of in between meals at ward 1 a intervention was conducted in November 2015.

Objective: The purpose of the study was that through a point prevalence survey, Day Nutrition, measure the degree to which patients on the orthopedic wards 1 and 2 at achieves calculated energy intake at a hospital in central Sweden. And see if the intervention of the serving of in-between-meal has helped more in-between-meal have been served on ward 1. The study will also look at how well departments are following the routine for risk assessment of patients for malnutrition at enrollment and follow-up to the care plans.

Method: A point prevalence survey was conducted on wards 1 and 2 for one day. During the survey the number of served in-between-meal and risk assessments were measured. Results: The results showed that only four patients achieved an energy intake of more than 75 % of the wards 1 and 2, differences in energy intake between wards occurred after in-between-meal intervention. The intervention may have contributed to a number of more served in-between-meal. Only 8 % of patients were risk assessed at enrollment.

Conclusion: The study's main results show that the majority of patients do not achieve an energy intake more than 75 %. The reasons for a low percentage of patients going into an energy intake greater than 75 % is probably due to many different factors. Intervention in November 2015 may have contributed to an increase of in-between-meal have been served since the preliminary measurement, and that staff received inspiration and guidance in the work of nutrition for there patients. To further determine what can be done to increase the patients' energy intake needs the research that already exists be implemented in clinical care.

Place, publisher, year, edition, pages
2016. , 43 p.
Keyword [en]
nutrition, in-between-meal, intervention, malnutrition
Keyword [sv]
nutrition, mellanmål, intervention, undernäring
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-294178OAI: oai:DiVA.org:uu-294178DiVA: diva2:929170
Subject / course
Caring Sciences
Educational program
Registered Nurse Programme
Supervisors
Examiners
Available from: 2016-05-23 Created: 2016-05-17 Last updated: 2016-05-23Bibliographically approved

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