An evolutionary analysis of mealtime difficulties in older adults with dementia
An evolutionary analysis of mealtime difficulties in older adults with dementia
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DOI：
10.1111/j.1365-2702.2009.02969.x
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发表时间：
2010-01-01
影响因子：
4.2
通讯作者：
Amella, Elaine J.
中科院分区：
文献类型：
--
作者：
Aselage, Melissa B.;Amella, Elaine J.
目的和目标：使用概念分析的进化方法来识别进餐困难的属性、前因和后果，为老年痴呆症患者的评估和管理提供指导。社会和环境因素是改善营养摄入的重要因素。虽然喂养困难的痴呆症已在文献中进行了分析，本文提出了一个更广泛的范围进餐时间的考虑，以减轻营养不足往往与痴呆症。设计。进化方法的概念分析。方法。在2008年，文献检索使用关键字（膳食、历史、社会学、膳食、文化、习惯、痴呆、痴呆）在CINAHL、学术搜索Premiere、MasterFILE、美国生活和历史中完成，通信和大众媒体完成，EJS，健康源加学术，PsychARTICLES和PsychINFO，ScienceDirect，社会学摘要和谷歌。年份限制为1988年至2008年。共查阅了659篇摘要、谷歌、书籍和教科书中的相关内容。结果。在对老年痴呆症患者用餐困难的最终分析中使用了48个来源。一个模型的进餐困难划定属性，前因和consequence.Conclusions.进餐困难在痴呆症出现作为一个概念与支持循证实践指南在2003年。大多数研究都是在机构环境中进行的，但随着老龄化人口结构的变化需要关注这一环境，社区研究也在增加。不同的干预措施的有效性，以减轻后遗症的进餐时间困难的老年人dementions.Relevance临床practice.The概念模型的进餐时间困难提供了一个更广泛的范围，考虑到环境，社会，文化和上下文的影响与营养摄入的老年痴呆症的进餐时间困难。该模型可用于指导未来的研究，以减轻老年痴呆症患者的进餐困难。
Aims and objectives.To use the evolutionary method of concept analysis to identify attributes, antecedents and consequences of mealtime difficulties providing direction for assessment and management in older adults with dementia.Background.Mealtimes encompass more than the physical act of feeding a person with dementia. Social and contextual considerations are vital considerations to improving nutritional intake. While feeding difficulties in dementia have been analysed in the literature, this paper proposes a broader scope of mealtime considerations to alleviate nutritional deficiencies often associated with dementia.Design.Evolutionary method of concept analysis.Methods.In 2008, literature searches using keywords (meal, history, sociology, mealtime, culture, habit, dementia, dementia) were done in CINAHL, Academic Search Premiere, MasterFILE, Americal Life and History, Communication and Mass Media Complete, EJS, Health Source Plus-Academic, PsychARTICLES and PsychINFO, ScienceDirect, Sociological Abstracts and Google. Year limits were from 1988-2008. A total of 659 abstracts were reviewed, Google, books and textbooks with relevant content.Results.Fourty-eight sources were used in the final analysis of mealtime difficulties in older adults with dementia. A model of mealtime difficulties delineates attributes, antecedents and consequences.Conclusions.Mealtime difficulties in dementia emerged as a concept with supporting evidence-based practice guidelines in 2003. Most research has been conducted in institutional settings, but community research is growing as the shifting demographics of ageing demand attention for this setting. Interventions vary in effectiveness for alleviating sequelae of mealtime difficulties in older adults with dementia.Relevance to clinical practice.The conceptual model of mealtime difficulties provides a broader scope of mealtime difficulties in dementia that considers environmental, social, cultural and contextual implications with nutritional intake. The model can be used to guide future research to alleviate mealtime difficulties in older adults with dementia.