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Abstract
Background: The integration of informal and formal family care systems have been proposed to support independence and healthy ageing.
Aim: To determine whether a patient‐and family‐centred model of nutrition care improves patient and carer service satisfaction, and hospital and aged care admission rates in malnourished rehabilitation patients up to 3 months post‐discharge, compared with usual care.
Methods: Community‐dwelling participants were recruited from rural rehabilitation units (15 historical control participants were matched to 15 patient‐carer participant pairs in the intervention group). The control group received a standard high protein‐high energy diet during admission and usual care. Family carers were engaged as partners in care by the dietitian for participants in the intervention to deliver individualised and needs‐based strategies during admission and 3 months post‐discharge. Outcomes were discharge location, institutionalisation to aged care, and hospital readmission at 3 months post‐discharge.
Results: Participants were 78 ± 7.38 years and 56% female. 66% of participants were moderately malnourished and 33% were severely malnourished at baseline according to the PG‐SGA. More participants in the intervention group were discharged home as opposed to aged care or hospital (P = 0.009). More participants in the control group were admitted to aged care (P = 0.008). No significant difference was found between groups for hospital readmission. Sixty‐seven percent of participants and 60 % of carers reported a good or very good overall satisfaction with the intervention.
Conclusions: The integration of informal and formal family care systems demonstrated a positive impact on patient‐centred outcomes.
Aim: To determine whether a patient‐and family‐centred model of nutrition care improves patient and carer service satisfaction, and hospital and aged care admission rates in malnourished rehabilitation patients up to 3 months post‐discharge, compared with usual care.
Methods: Community‐dwelling participants were recruited from rural rehabilitation units (15 historical control participants were matched to 15 patient‐carer participant pairs in the intervention group). The control group received a standard high protein‐high energy diet during admission and usual care. Family carers were engaged as partners in care by the dietitian for participants in the intervention to deliver individualised and needs‐based strategies during admission and 3 months post‐discharge. Outcomes were discharge location, institutionalisation to aged care, and hospital readmission at 3 months post‐discharge.
Results: Participants were 78 ± 7.38 years and 56% female. 66% of participants were moderately malnourished and 33% were severely malnourished at baseline according to the PG‐SGA. More participants in the intervention group were discharged home as opposed to aged care or hospital (P = 0.009). More participants in the control group were admitted to aged care (P = 0.008). No significant difference was found between groups for hospital readmission. Sixty‐seven percent of participants and 60 % of carers reported a good or very good overall satisfaction with the intervention.
Conclusions: The integration of informal and formal family care systems demonstrated a positive impact on patient‐centred outcomes.
| Original language | English |
|---|---|
| Article number | 138 |
| Pages (from-to) | 36 |
| Journal | Nutrition and Dietetics |
| Volume | 77 |
| Issue number | S1 |
| DOIs | |
| Publication status | Published - Aug 2020 |
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Research by Master of Nutrition and Dietetic Practice Students
Isenring, E., Marshall, S., Reidlinger, D., Kelly, J., Cox, G., Van der Meij, B., MacKenzie-Shalders, K., Mayr, H., Utter, J., Dahl, C., Crichton, M., O'Bryan, K. R., Norris, R., Warner, M., Davidson, A., Naranjo, A., Mahoney, S., Eberhardt, F., Dalwood, P., Lopez, E., Hofto, S., Innerarity, C., So, D., McIntosh, A., Gadd, N., Chan, H. C., Lan, X., Fei, X., Kostjasyn, S., Adhyaru, P., Giang, J., Leung, E. L. Y., Strike, K., Pearcy, J., Somani, A., Wright, C., Matthews, C., Lee, G. & Tang, X.
1/01/14 → 31/12/27
Project: Research
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Ageing Nutrition: Research Across the Care Continuum
Marshall, S., Isenring, E., Hugo, C., Agarwal, E., Teleni, L., Reidlinger, D., Campbell, K., Van der Meij, B. & Tang, X.
1/01/14 → …
Project: Research