[Dietitians' understanding of personalized nutritional guidance--proposals to increase home visits by dietitians].
[Dietitians' understanding of personalized nutritional guidance--proposals to increase home visits by dietitians].
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DOI：
10.3143/geriatrics.40.509
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发表时间：
2003-09-01
期刊：
影响因子：
--
通讯作者：
Iguchi, Akihisa
中科院分区：
文献类型：
--
作者：
Hirakawa, Yoshihisa;Masuda, Yuichiro;Iguchi, Akihisa
为老年人提供营养护理变得很重要。本研究的目的是澄清限制营养师广泛采用家访的因素。 2002年9月至11月，我们对“Hoeiken”组织的211名营养师进行了问卷调查，该组织致力于营养师家访研究。我们研究了以下因素：研究对象的特征、家访的结果、限制营养师家访广泛采用的因素以及营养师家访的未来。营养师中，49.7%进行营养管理，30.5%进行餐饮管理，12.8%进行家访（12.8%）。总共有53.5%的营养师有过家访经历，平均拜访过1至5人。典型的访问包括烹饪课程（27.5%）、能量摄入建议（25.3%）、分享新食谱（23.6%）和人体测量（13.3%）。共有76.8%的人认为他们的指导有效，并指出护理人员的烹饪技巧（30.0%）、患者对饮食的理解（24.0%）和膳食摄入量（21.5%）方面都有显着改善。阻碍营养师更广泛上门的因素是：很少有人知道这项服务的存在，很少有人相信他们需要这种类型的帮助，它基本上无利可图，并且合格的营养师数量不足。我们认为，应该有更多的医务人员参与营养师的家访。应实施公共政策，降低营养师的营养护理费用，提高营养师的教育程度和数量。
Providing elderly people with nutritional care has become important. The aim of the present study is to clarify the factors limiting the widespread adoption of home visits by dietitians. From September to November 2002, we conducted a questionnaire survey of 211 dietitians belonging to the "Houeiken", a group devoted to the study of dietician's home visits. We examined the following factors: characteristics of the study subjects, result of the home visits, factors limiting the widespread adoption of home visits by dietitians, and the future of home visits by dietitians. Among the dietitians, 49.7% did nutrition management, 30.5% catering management and 12.8% performed home visits (12.8%). In total, 53.5% of the dietitians had experience with home visits, having visited an average of 1 to 5 people. Typical visits included cooking lessons (27.5%), advice on energy intake (25.3%), sharing new recipes (23.6%), and anthropometric examinations (13.3%). A total of 76.8% thought their guidance was effective and noted significant improvements in terms of caregiver's cooking skills (30.0%), patient's understanding of diet (24.0%), and dietary intake (21.5%). The factors preventing more widespread home visits by dietitians are: few people are aware that this service exists, few people believe that they need this type of assistance, it is largely unprofitable, and the number of qualified dieticians is insufficient. We believe that more medical staff should become involved in dietitian's home visits. Public policies should be implemented to lower dietitian's nutritional care fees and increase the education and number of dietitians.