Korean J Community Nutr.  2014 Aug;19(4):386-400. 10.5720/kjcn.2014.19.4.386.

A Study of Hospital-based Home-Visit Nutrition Education Needs of Patients at Discharge

• Ahn SM

• KMID: 2268088
• DOI: http://doi.org/10.5720/kjcn.2014.19.4.386

Abstract

OBJECTIVES
The purpose of this study was to provide a basic data of nutrition services in home health care by analyzing hospital-based home-visit nutrition education needs of patients at discharge.
METHODS
Data was collected from September 11 to October 12, 2012 by administering questionnaires to 289 chronic disease patients to be discharged from a university hospital in Pusan. The home-visit nutrition education instruments used for collecting data were developed by the researcher.
RESULTS
Regarding the demands of home-visit nutrition education, 62.3% of subjects were willing to use home-visit nutrition education and 37.7% weren't. The main reason for using the home-visit nutrition education was "the effective nutrient management in consultation with an individual's doctor", 38.9% and 31.2% of patients who did not wish to use the service gave the reason for their decision as, "Just by managing the nutritional requirements of a family's diet and, the patient will be able to fully recover", respectively. As for the demand, classified with the areas of home-visit nutrition education, the demand for the area of basic nutrition (3.75/5.00) was the highest followed by, the area of educational nutrition (3.74/5.00), therapeutic nutrition (3.67/5.00), and dietary nutrition (3.55/5.00). The demand for the area of educational nutrition was high "Considering the state of dietary management, such as disease status and drugs", 73.7%. As for the relation between the characteristics of the study subjects and analysis of demand home-visit nutrition education, the characteristic of subjects, that is, "regular home-visit nutrition education", "practice of diet therapy after discharge" had a significant difference statistically (p < 0.01). As for the relation between the needs for fundamental home-visit nutrition education and the demand of home-visit nutrition education, basic nutrition, educational nutrition, therapeutic nutrition, and dietary nutrition had a significant difference statistically (p < 0.01).
CONCLUSIONS
Hospital-based home-visit nutrition education need the access of home nutrition support team.

Keyword

home-visit nutrition education; clinical dietitian; patients discharged

MeSH Terms

Busan
Chronic Disease
Delivery of Health Care
Diet
Diet Therapy
Education*
Humans
Nutritional Requirements
Surveys and Questionnaires

Reference

1. Arensberg MB, Schiller MR. Dietitians in home care: a survey of current practice. J Am Diet Assoc. 1996; 96(4):347–353.

2. Beck AM, Kjær S, Hansen BS, Storm RL, Thal-Jantzen K, Bitz C. Follow-up home visits with registered dietitians have a positive effect on the functional and nutritional status of geriatric medical patients after discharge: a randomized controlled trial. Clin Rehabil. 2013; 27(6):483–493.

3. Boumendjel N, Herrmann F, Girod V, Sieber C, Rapin CH. Refrigerator content and admission in old people. Lancet. 2000; 356(9229):563.

4. Charlton KE, Nichols C, Bowden S, Lambert K, Barone L, Mason M, Milosavljevic M. Older rehabilitation patients are at high risk of malnutrition: evidence from a large Australian database. J Nutr Health Aging. 2010; 14(8):622–628.

5. Choi HY, Lee MH. A study on post-hospital home health care needs in a general hospital. J Korean Acad Soc Home Care Nurs. 2002; 9(2):138–152.

6. Glanz K, Scharf M. A nutrition training program for social workers serving the homebound elderly. Gerontologist. 1985; 25(5):455–459.

7. Jang K. Development of nutrition services for health centers: based on chronic diseases management. Dongduk Women's University;2000. 26–27. MS thesis.

8. Jo JO. A Study on the activation of home nursing program in regional wellfare. Changwon National University;2003. 47–48. MS thesis.

9. Kim KY. Home medical care and home-visit dietitian. Nutr Diet. 2004; 27(5):15–19.

10. Kim SY. Nutritional management in long-term care insurance's home-visit care of elderly in Gyeonggi province. Dankook University;2012. 65–67. MS thesis.

11. Lee SG. Effects of visiting nutrition education to improve the nutrition status and dietary patterns of the community elderly. Seoul;Ministry of Health and Welfare;2002. p. 2–24.

12. Lee SG. Long-term care insurance in Japan and activity of dietitian. In : Proceedings of the Strategy on the Activation of Nutrition Care Service in Visiting Home Health Care Services Policy Debate; 2006. p. 39–61.

13. Mensforth A. Home enteral nutrition - the Leicestershire experience. Br J Homecare. 1999; 1:114–118.

14. Oh YY. The senile-care insurance system being introduced and home-visiting nutrition service. In : Proceedings of the Strategy on the Activation of Nutrition Care Service in Visiting Home Health Care Services Policy Debate; 2006. p. 82–105.

15. Park HY. Strategy on the activation of visiting nutrition care service state for the realization of welfare. In : Proceedings of the Strategy on the Activation of Nutrition Care Service in Visiting Home Health Care Services Policy Debate; 2006. p. 9–36.

16. Persson M, Hytter-Landahl A, Brismar K, Cederholm T. Nutritional supplementation and dietary advice in geriatric patients at risk of malnutrition. Clin Nutr. 2007; 26(2):216–224.

18. Schiller MR, Arensberg MB, Kantor B. Administrators' perceptions of nutrition services in home health care agencies. J Am Diet Assoc. 1998; 98(1):56–61.

19. Silver HJ, Wellman NS, Arnold DJ, Livingstone AS, Byers PM. Older adults receiving home enteral nutrition: enteral regimen, provider involvement, and health care outcomes. JPEN J Parenter Enteral Nutr. 2004; 28(2):92–98.

20. So EJ. Nutritional management status of home enteral feeding patients: focus on caregiving status and training needs of family caregivers. Seoul National University;2008. 68–69. MS thesis.

21. Son JM. Improvement strategy on the home care service through newly home-visiting nutrition. In : Proceedings of the Research Improvement Strategy of Elderly Long-Term Care Service through the Provision of Home-visiting Nutrition for Policy Debate; 2009. p. 9.

22. Sousa AM. Benefits of dietitian home visits. J Am Diet Assoc. 1994; 94(10):1149–1151.

23. Yamashita H, Kamei M, Yamada A, Toshima K, Morita H, Kodama N, Okabayashi K. The trial of the domiciliary nutrition support team in which a home medical care office offers. Gan To Kagaku Ryoho. 2010; 12. 37:Suppl 2. 275–277.

24. Yoon HJ, Lee SK. Effect of home-visit nutrition education for the elderly with high fasting blood glucose levels. Korean J Community Nutr. 2006; 11(3):346–360.