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Prevalence of malnutrition among older people in medical and surgical wards in hospital and quality of nutritional care: A multicenter, cross‐sectional study

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  • Loris Bonetti
  • Stefano Terzoni
  • Maura Lusignani
  • Marina Negri
  • Marco Froldi
  • Anne Destrebecq

Abstract

Aims and objectives To determine and compare the prevalence of malnutrition in medical and surgical hospital units; to assess quality of nutritional care and patients’ perception about quality of food and nutritional care. Background Hospital malnutrition in older people leads to increased mortality, length of stay, risk of infections and pressure ulcers. Several studies show that malnutrition is often caused by hospitalisation and related to poor nutritional care. Few studies report data on surgical older patients. Design A cross‐sectional, multicenter study was conducted in 12 hospitals in northern Italy. Methods Malnutrition prevalence was determined according to the Mini Nutritional Assessment full‐version. Head nurses were interviewed in 80 units, through a validated questionnaire regarding quality of nutritional care. Semi‐structured interviews were administered to a sample of patients, to investigate their perception about quality of food and nutritional care. Results Two hundred twenty‐eight patients of 1,066 were malnourished (21.4%). Medical patients were at higher risk, so were women, patients aged 85 or more, with impaired autonomy, pressure ulcers or taking more than three drugs. The lack of personnel impacts on quality of care: in 55% of the units, no nutritional screening is performed; nutritional history is investigated in 48% only. No protocols for nutritional problems exist in 70% of the wards; hardly ever the intake is measured. Patients are mostly satisfied, even though they report that food has no taste and is not well presented. They remark the need for more personnel. Conclusion Prevalence was high, as found in other studies. Medical patients were at higher risk. Nutritional care was inadequate, and often no measures were adopted to prevent malnutrition. Staffing should be increased during meals. Relevance to clinical practice These findings will provide indications on the strategies needed to overcome such barriers.

Suggested Citation

  • Loris Bonetti & Stefano Terzoni & Maura Lusignani & Marina Negri & Marco Froldi & Anne Destrebecq, 2017. "Prevalence of malnutrition among older people in medical and surgical wards in hospital and quality of nutritional care: A multicenter, cross‐sectional study," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(23-24), pages 5082-5092, December.
    • Handle: RePEc:wly:jocnur:v:26:y:2017:i:23-24:p:5082-5092
    DOI: 10.1111/jocn.14051
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    References listed on IDEAS

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    2. Eliza C Tassone & Jasmin A Tovey & Jessica E Paciepnik & Isabel M Keeton & Anthony Y Khoo & Nicholas G Van Veenendaal & Judi Porter, 2015. "Should we implement mealtime assistance in the hospital setting? A systematic literature review with meta‐analyses," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(19-20), pages 2710-2721, October.
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