Volume 21 Issue 10
Oct.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(10): 1774-1777
WANG Ange, CHEN Jing, LI Hanyu, ZHANG Qin. Perceptions and practices of geriatric nutrition among medical staff of various levels in Zhejiang Province[J]. Chinese Journal of General Practice, 2023, 21(10): 1774-1777. doi: 10.16766/j.cnki.issn.1674-4152.003222
Citation: WANG Ange, CHEN Jing, LI Hanyu, ZHANG Qin. Perceptions and practices of geriatric nutrition among medical staff of various levels in Zhejiang Province[J]. Chinese Journal of General Practice, 2023, 21(10): 1774-1777. doi: 10.16766/j.cnki.issn.1674-4152.003222
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Perceptions and practices of geriatric nutrition among medical staff of various levels in Zhejiang Province

doi: 10.16766/j.cnki.issn.1674-4152.003222
  • 1.

    Department of Geriatrics, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, China

Funds:

 2022C03161

 2018YFC2000301

  • Received Date: 2022-04-22
    Available Online: 2023-11-23
    Abstract
  •   Objective  To investigate the nutritional knowledge, nutritional screening, assessment and intervention implementation of medical staff in hospitals at all levels, and to explore the deficiencies of medical staff ' s understanding of nutrition for the elderly, so as to provide reference for continuing education and training.  Methods  A questionnaire was designed based on the guidelines and consensus on clinical nutrition management for elderly patients. In April 2021, a questionnaire survey was conducted among 248 doctors and nurses who participated in a medical academic annual meeting in Zhejiang Province, so as to understand the understanding and practice of elderly nutrition in hospitals at all levels.  Results  A total of 237 valid questionnaires were returned, 134 (56.54%) from Level A tertiary hospitals, 65 (27.43%) were from non-Level A tertiary hospitals and 38 (16.03%) from community hospitals. The results showed that primary care physicians tend to underestimate the proportion of older hospitalized patients at risk of malnutrition. There was a significant difference in the frequency of nutritional screening, 86.57% (116/134) Level A tertiary hospitals always or frequently screen patients for malnutrition, while only 10.52% (4/38) primary hospitals do so. The indicators chosen for nutritional screening and assessment are inflexible. Dietary assessment prior to nutritional intervention is less common in community hospitals (47.37%, 18/38) than in Level A tertiary hospitals (86.57%, 116/134). Analysis of questions related to nutritional intervention showed inadequate detection and non-standard nutritional support therapy among community hospitals.  Conclusion  There was insufficient recognition of the importance of nutrition in older patients among primary care physicians. Nutritional screening and assessment were lacking, and knowledge of nutritional intervention needs to be further improved. Strengthening the training of community physicians in nutritional knowledge and providing the whole process of nutritional screening, assessment and intervention for the elderly will be the focus of our efforts for some time to come.

     

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