Impact of a patient and carer-centred intervention for malnutrition rehabilitation patients on health service outcomes

Joanna Giang, Elisabeth Isenring, Molly Warner, Barbara S Van der Meij, Clare E. Collins, Rachel Milte, Marian de van der Schueren, Mark Banbury, Skye Marshall

Research output: Contribution to journalMeeting AbstractResearchpeer-review

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.
Original languageEnglish
Article number138
Pages (from-to)36
JournalNutrition and Dietetics
Volume77
Issue numberS1
DOIs
Publication statusPublished - Aug 2020
EventDietitians Association of Australia 37th National Conference: Discover. Grow. Evolve - Melbourne, Australia
Duration: 23 Aug 202025 Aug 2020
Conference number: 37th
https://daa2020.com.au/

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