在宅療養者の訪問栄養食事指導の実態とその課題(第 1報) -在宅医療・介護に関わるスタッフへの質問紙調査結果から -

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The present study was carried out as part of an investigation to clarify the subjective and objective needs for the home-visit-based comprehensive nutrition support program. We also analyzed what roles and skills they expected of registered dietitians，and further examined relevant factors in implementing home nutrition support. In this study，we conducted a self-administered questionnaire survey among home-care service staff，and obtained the following results: 1）among the respondents，62% recognized home nutrition support and 11% had provided it to their care recipients; 2）compared with home nutrition support，information on nutritional care management，another national public health service to improve the nutritional status of these care recipients，and its financial basis was 　significantly（P＜0.001）less well-known among the respondents，with 38% thoroughly understanding that the care service was covered by the national nursing-care insurance and only 6% had utilized it for their clients; and 3）a higher percentage（71%）of the respondents were satisfied with home nutrition support，and 82% noted that their 　care recipients had dietary and nutritional problems. Furthermore，the survey revealed that，although home-care service staff perceived the needs for professional nutritional support from registered dietitians in home-care settings，their awareness of“nutrition support”was so limited to the controlled diet issues that their expectation of home nutrition support may be quite different from the comprehensive purpose of the program; registered dietitians introduce and support better ways of selecting，preparing，and eating foods even for those who follow energy/nutrient-restricted diets.
武庫川女子大学の論文

在宅療養者の訪問栄養食事指導の実態とその課題(第 1報) -在宅医療・介護に関わるスタッフへの質問紙調査結果から -

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