[New collaborative and participatory program for malnutrition management in the elders after hospitalization].
Nouveau programme collaboratif et participatif de lutte contre la dénutrition chez le sujet âgé en ville au sortir d’une hospitalisation.
aged
dietetics
general practice
patient discharge
protein-energy malnutrition
Journal
Geriatrie et psychologie neuropsychiatrie du vieillissement
ISSN: 2115-7863
Titre abrégé: Geriatr Psychol Neuropsychiatr Vieil
Pays: France
ID NLM: 101553404
Informations de publication
Date de publication:
01 Dec 2020
01 Dec 2020
Historique:
pubmed:
26
9
2020
medline:
7
7
2021
entrez:
25
9
2020
Statut:
ppublish
Résumé
Malnutrition in the elderly people is frequent and serious. Management of malnutrition at home after hospitalization is unsatisfactory. The objective of the study is to evaluate the feasibility and participation of a new collaborative and participative program involving the patient, the general practitioner and the dietician nutritionist, to fight against malnutrition in the elderly people at home after hospitalization. This was a prospective and non-randomized study performed from May 2015 to February 2016, in subjects aged 75 and more, malnourished, with an MMSE score > 20 and returning homes after hospitalization. At home, a dietician worked with the patients and their general practitioner for 3 months. Patient participation and satisfaction of the 3 actors were assessed. Forty-four patients were included and 11.9% (n=8) benefited from the entire program. Present entourage (p=0.001), dietary education to the entourage (p=0,003), a high MMSE score (p=0.04), having an ulcer (p=0.0097), and a high weight at discharge (p=0.03) increased patients' participation. Patients (78.6%) and general practitioners (75%) were satisfied with the program. Patients criticized the lack of involvement of the general practitioner. General practitioners felt they had not acquired any knowledge of dietetics. Patient participation and collaboration between actors of the program of management of malnutrition in elderly people were considered weak.
Sections du résumé
BACKGROUND
BACKGROUND
Malnutrition in the elderly people is frequent and serious. Management of malnutrition at home after hospitalization is unsatisfactory. The objective of the study is to evaluate the feasibility and participation of a new collaborative and participative program involving the patient, the general practitioner and the dietician nutritionist, to fight against malnutrition in the elderly people at home after hospitalization.
METHODS
METHODS
This was a prospective and non-randomized study performed from May 2015 to February 2016, in subjects aged 75 and more, malnourished, with an MMSE score > 20 and returning homes after hospitalization. At home, a dietician worked with the patients and their general practitioner for 3 months. Patient participation and satisfaction of the 3 actors were assessed.
RESULTS
RESULTS
Forty-four patients were included and 11.9% (n=8) benefited from the entire program. Present entourage (p=0.001), dietary education to the entourage (p=0,003), a high MMSE score (p=0.04), having an ulcer (p=0.0097), and a high weight at discharge (p=0.03) increased patients' participation. Patients (78.6%) and general practitioners (75%) were satisfied with the program. Patients criticized the lack of involvement of the general practitioner. General practitioners felt they had not acquired any knowledge of dietetics.
CONCLUSION
CONCLUSIONS
Patient participation and collaboration between actors of the program of management of malnutrition in elderly people were considered weak.
Identifiants
pubmed: 32972912
pii: pnv.2020.0888
doi: 10.1684/pnv.2020.0888
doi:
Types de publication
Journal Article
Langues
fre
Sous-ensembles de citation
IM