Functional training and timed nutrition intervention in infectious medical patients

Holst, Mette; Søndergaard, Lise; Bendtsen, Mette Dahl; Andreasen, Jane

doi:10.1038/ejcn.2016.72

Cited by 6 publications

(8 citation statements)

References 49 publications

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“…The findings regarding the quantitative outcome measures of patients included in Intervention A have previously been published. 25 …”

Section: Methodsmentioning

confidence: 99%

“…Generally, the patient outcomes were positive and statistically and clinically significant for physical activity measures, the fulfilling of daily protein and energy requirements, and health-related quality of life for the group of patients with functional decline on the time of inclusion. 25 However, there was registered substantial variety regarding funtional improvements within the included patients. The TEMP intervention was developed in collaboration with ward staff and the management.…”

Section: Introductionmentioning

confidence: 96%

“…It is thus important to design, test and evaluate interventions targeting physical activity and nutritional status on several levels, including patients, staff, and organizational and environmental levels, to accommodate the serious challenges of functional decline in older medical patients during hospitalization. 2 , 5 , 24 The “Training and Eating for Medical Patients study” (TEMP) 25 was developed using an ecological framework 14 to ensure a tailor-made approach to the specific setting in order to improve the functional and nutritional status of patients, and to develop ward culture in relation to physical activity and nutrition. Generally, the patient outcomes were positive and statistically and clinically significant for physical activity measures, the fulfilling of daily protein and energy requirements, and health-related quality of life for the group of patients with functional decline on the time of inclusion.…”

Section: Introductionmentioning

confidence: 99%

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Factors affecting patient and nursing staff adherence to an integrated physical activity and nutritional intervention targeting functional decline on an acute medical ward: a qualitative study

Andreasen

Soendergaard

Holst

2018

PPA

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BackgroundMedical patients are particularly at risk of developing complications during and after hospitalization, due to impaired nutritional intake, physical inactivity, or immobilization. Evaluations of implementation studies on health-promoting interventions for medical patients in hospitals are scarce. The aim of this study was to identify factors affecting the adherence of patients and staff to an integrated physical activity and nutritional intervention on a medical ward.MethodsTwo focus group interviews were conducted: one with patients and another with staff. Three individual telephone interviews were conducted, as three patients were not available at the time of the group interview. An inductive thematic analysis was fundamental to the findings of the study.FindingsNine themes describe factors affecting adherence to integrated physical activity and nutrition intervention. Positive factors described by the patients were new knowledge and insight, and that they felt seen and believed in, which made a significant difference to their motivation. The nursing staff felt that the intervention provided important knowledge related to daily practice, prevented bad consciences due to time issues, and that they experienced happier and more active patients. Both staff and patients found that the approaches of the physiotherapist and the dietician positively changed their behavior, however staff members experienced limited resources as a barrier, and a lack of knowledge seemed to hinder full integration of the intervention. Patients reported that their illness situation, “being on their own,” and failure to negotiate a shared goal with the project staff were barriers to adherence.ConclusionsBoth the nursing staff and patients described positive experiences with the integration of a multifaceted health promotion intervention on physical activity and nutrition, however the nursing staff did not fully participate in the intervention and patient adherence differed; particularly, it tended to diminish when the patients were expected to act on their own.

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“…The findings regarding the quantitative outcome measures of patients included in Intervention A have previously been published. 25 …”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Factors affecting patient and nursing staff adherence to an integrated physical activity and nutritional intervention targeting functional decline on an acute medical ward: a qualitative study

Andreasen

Soendergaard

Holst

2018

PPA

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“…98 Functional training was included in 1 study. 101 Using an implementation framework was advisable to support uptake of multicomponent interventions that involve changing systems. 105 Using such frameworks, as well as implementation science and behavior change techniques, promoted uptake and sustained new nutrition care processes.…”

Section: Multicomponent Interventionsmentioning

confidence: 99%

“…Twenty‐one articles were categorized as multicomponent, 11,16,17,61,87,98–113 including a systematic review, 87 an RCT, 98 and 10 non‐RCT intervention studies 61,99–107 . Multicomponent interventions included combinations of food service, ONS, dietitian counseling, and other interventions to improve food intake and nutritional status of patients.…”

Section: Multicomponent Interventionsmentioning

confidence: 99%

Trends and Novel Research in Hospital Nutrition Care: A Narrative Review of Leading Clinical Nutrition Journals

Keller¹,

Laur

Dhaliwal

et al. 2020

J Parenter Enteral Nutr

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Hospital malnutrition is a longstanding problem that continues to be underrecognized and undertreated. The aim of this narrative review is to summarize novel, solution-focused, recent research or commentary to update providers on the prevention of iatrogenic malnutrition as well as the detection and treatment of hospital malnutrition. A narrative review was completed using the top 11 clinically relevant nutrition journals. Of the 13,850 articles and editorials published in these journals between 2013 and 2019, 511 were related to hospital malnutrition. A duplicate review was used to select (n = 108) and extract key findings from articles and editorials. Key criteria for selection were population of interest (adult hospital patients, no specific diagnostic group), solutionfocused, and novel perspectives. Articles were categorized (6 classified in >1 category) as Screening and Assessment (n = 17), Standard (n = 25), Advanced (n = 12) and Specialized Nutrition Care (n = 8), Transitions (n = 15), Multicomponent (n = 21), Education and Empowerment (n = 9), Economic Impact (n = 3), and Guidelines (n = 4) for summarizing. Research advances in screening implementation, standard nutrition care, transitions, and multicomponent interventions provide new strategies to consider for malnutrition prevention (iatrogenic), detection, and care. However, several areas requiring further research were identified. Specifically, larger and more rigorous studies that examine health outcomes and economic analyses are urgently needed.

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Nutritional rehabilitation after acute illness among older patients: A systematic review and meta-analysis

et al. 2023

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Functional training and timed nutrition intervention in infectious medical patients

Abstract: The intervention with dietician and timed oral supplement to functional training by physiotherapist in hospitalized infectious medical patients improved function as well as nutrition intake and HRQoL.

Cited by 6 publications

References 49 publications

Factors affecting patient and nursing staff adherence to an integrated physical activity and nutritional intervention targeting functional decline on an acute medical ward: a qualitative study

Factors affecting patient and nursing staff adherence to an integrated physical activity and nutritional intervention targeting functional decline on an acute medical ward: a qualitative study

Trends and Novel Research in Hospital Nutrition Care: A Narrative Review of Leading Clinical Nutrition Journals

Nutritional rehabilitation after acute illness among older patients: A systematic review and meta-analysis

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