Eglseer D, Hödl M, Lohrmann C, et al.
International wound journal. Date of publication 2018 Nov 15;volume ():.
1. Int Wound J. 2018 Nov 15. doi: 10.1111/iwj.13016. [Epub ahead of print]
Nutritional management of older hospitalised patients with pressure injuries.
Eglseer D(1), Hödl M(1), Lohrmann C(1).
Author information:
(1)Institute of Nursing Science, Medical University of Graz, Graz, Austria.
This cross-sectional, multicentre study was conducted in hospitals to investigate
nutritional interventions conducted in patients aged 70 years or older with (risk
of) pressure injuries. A total of 1412 patients from 33 hospitals with 208 wards
participated in the study. A standardised questionnaire was used to collect
demographic data and data on care dependency, malnutrition risk, risk
for/prevalence of pressure injuries, and nutritional interventions. Data analyses
were conducted by using descriptive statistics, chi-square tests, or independent
t-tests. According to the Braden Scale, 678 (48.0%) of the patients were at risk
of developing pressure injuries, and 71 patients (5.0%) had at least one pressure
injury (assessed by skin inspection). The most frequently conducted nutritional
interventions in patients with pressure injuries were providing support during
mealtimes (50.7%), food specifically desired by the patient (40.8%), and
conducting a malnutrition screening (39.4%). One quarter of the patients with
pressure injuries were referred to a dietitian. The provision of an
energy-enriched/protein-enriched diet (18.3%), energy-enriched/protein-enriched
snacks (12.7%), or oral nutritional supplements (8.5%) was rare. Nutritional care
in older patients with risk of pressure injuries is suboptimal. Health care
professionals need to raise awareness regarding the importance of nutrition in
the management of patients with pressure injuries.
© 2018 The Authors. International Wound Journal published by Medicalhelplines.com
Inc and John Wiley & Sons Ltd.
DOI: 10.1111/iwj.13016
PMID: 30440105
