Utility of Braden Scale Nutrition Subscale Ratings as an Indicator of Dietary Intake and Weight Outcomes among Nursing Home Residents at Risk for Pressure Ulcers.
Utility of Braden Scale Nutrition Subscale Ratings as an Indicator of Dietary Intake and Weight Outcomes among Nursing Home Residents at Risk for Pressure Ulcers.
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DOI：
10.3390/healthcare3040879
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发表时间：
2015-09-24
期刊：
影响因子：
--
通讯作者：
Bergstrom N
中科院分区：
文献类型：
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作者：
Kennerly S;Boss L;Yap TL;Batchelor-Murphy M;Horn SD;Barrett R;Bergstrom N
Braden压疮风险量表©是一种筛查工具，用于确定压疮发展的总体风险，并估计个体居民特定风险因素的严重程度。护士经常使用Braden营养分量表来筛选养老院（NH）居民的营养风险，然后建议进行更全面的营养评估。来自Turn for Ulcer ReductioN（TURN）研究的美国和加拿大NH居民（n = 690）调查的次要数据分析被认为是中度或高度压疮（PrU）风险，用于评估子量表用于识别营养摄入风险因素的效用。研究了Braden营养风险子量表筛查、饮食摄入（平均膳食摄入量%和进餐时间、平均蛋白质摄入量、蛋白质来源、补充剂和零食摄入量%）、体重结局和新发PrU发病率之间的关联。在中度和高度PrU风险的居民中，61.9%和59.2%的平均膳食%<75。总体而言，只有不到18%的人吃了50%以下的饭菜或拒绝吃饭。对于中度与高PrU风险居民，按营养分量表风险或每餐平均蛋白质摄入量（1.4（SD = 0.58）与1.3（SD = 0.53））计算的体重差异无显著性差异。营养分量表近似于随后估计的膳食摄入量，可以为中度或高度PrU风险的患者提供膳食摄入模式的见解。研究结果支持布雷登量表的使用作为初步筛选方法，以确定潜在的干预重点领域。
The Braden Scale for Pressure Sore Risk© is a screening tool to determine overall risk of pressure ulcer development and estimate severity of specific risk factors for individual residents. Nurses often use the Braden nutrition subscale to screen nursing home (NH) residents for nutritional risk, and then recommend a more comprehensive nutritional assessment as indicated. Secondary data analysis from the Turn for Ulcer ReductioN (TURN) study’s investigation of U.S. and Canadian NH residents (n = 690) considered at moderate or high pressure ulcer (PrU) risk was used to evaluate the subscale’s utility for identifying nutritional intake risk factors. Associations were examined between Braden Nutritional Risk subscale screening, dietary intake (mean % meal intake and by meal timing, mean number of protein servings, protein sources, % intake of supplements and snacks), weight outcomes, and new PrU incidence. Of moderate and high PrU risk residents, 61.9% and 59.2% ate a mean meal % of <75. Fewer than 18% overall ate <50% of meals or refused meals. No significant differences were observed in weight differences by nutrition subscale risk or in mean number protein servings per meal (1.4 (SD = 0.58) versus 1.3 (SD = 0.53)) for moderate versus high PrU risk residents. The nutrition subscale approximates subsequent estimated dietary intake and can provide insight into meal intake patterns for those at either moderate or high PrU risk. Findings support the Braden Scale’s use as a preliminary screening method to identify focused areas for potential intervention.