Exploring the appropriate dietary support in the transition between hospital discharge and home care

2022 Fiscal Year Final Research Report

• Project/Area Number: 19K24263
• Research Category: Grant-in-Aid for Research Activity Start-up
• Allocation Type: Multi-year Fund
• Review Section: 0908:Society medicine, nursing, and related fields
• Research Institution: University of Niigata Prefecture
• Principal Investigator: Tamaura Yuki 新潟県立大学, 人間生活学部, 講師 (60845915)
• Project Period (FY): 2019-08-30 – 2023-03-31
• Keywords: 退院時支援 / 食事管理 / 共有意思決定 / 高齢者 / 慢性疾患

Outline of Final Research Achievements

This study aimed to explore the collaboration between healthcare professionals, such as registered dietitians, and patients during hospitalization to determine dietary habits after discharge while considering the patient's values and lifestyle. Two surveys were conducted including a web survey targeting registered dietitians involved in discharge support and a self-administered questionnaire targeting community-dwelling elderly people including outpatients. The results allowed us to explore optimal support during discharge planning that included a sufficient SDM (shared decision making) process regarding dietary habits. Results were presented at an academic conference and submitted for publication and allowed for the development of a tool (booklet) that incorporates the SDM process at the time of hospital discharge.

Free Research Field

栄養教育（行動科学）、臨床栄養

Academic Significance and Societal Importance of the Research Achievements

本研究では、近年、高齢化が進み在宅療養の拡充が求められる中、慢性疾患で継続的な食事療法が必要な入院患者に対し、患者・家族の価値観やライフスタイル等の実情を踏まえ、入院中からどのような支援を行えば、退院後も適切な食事管理を継続できるかを検討した。実際、退院時食支援を中心的に担う管理栄養士側、その対象となる側の双方の食支援に関する実態・ニーズを把握したことで、現状の課題を整理が進み、実際に入院医療機関で退院時食支援に活用できる支援ツールの開発、提案へとつなげた。