Randomized clinical trial of nutritional counseling for malnourished hospital patients

Casals, Cristina; Soler, Nuria García‐Agua; Vázquez‐Sánchez, María Ángeles; Requena-Toro, M.V.; Padilla-Romero, L.; Casals-Sánchez, J.L.

doi:10.1016/j.rceng.2015.04.001

Cited by 7 publications

(31 citation statements)

References 24 publications

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“…This difference was statistically significant, and reflected good sensitivity to change. In this respect, too, previous research has shown that nutritional counseling by nursing case managers produces improvements in nutritional status in patients with malnutrition, in comparison with standard treatment programmes, and that it improves patients’ functional independence for the basic activities of daily living (Casals et al., ).…”

Section: Discussionmentioning

confidence: 99%

Applicability and Clinical Validity of Nursing Outcomes Classification in a Nursing Intervention of Nutritional Counseling for Patients With Malnutrition

Vázquez‐Sánchez

Valero-Cantero²,

Carrión-Velasco³

et al. 2018

Int J of Nursing Knowl

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PURPOSE To determine the applicability of the Nursing Outcomes Classification (NOC) after nutritional counseling intervention in malnourished patients. METHODS Prospective, randomized, open‐label study in 106 hospital patients with malnutrition. The NOC indicators evaluated were 162202 and 180201. FINDINGS The intervention group significantly increased both NOC indicator scores compared with the control group, these indicators significantly correlated with body mass index, Malnutrition Universal Screening Tool, and Barthel's Index. CONCLUSION The NOC indicators are sensitive to patients’ changes in clinical practice, and correlate well with other indicators in this context. IMPLICATIONS FOR NURSING PRACTICE The NOC can be used to assess malnourished patients in the clinical setting.

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Section: Discussionmentioning

confidence: 99%

Applicability and Clinical Validity of Nursing Outcomes Classification in a Nursing Intervention of Nutritional Counseling for Patients With Malnutrition

Vázquez‐Sánchez

Valero-Cantero²,

Carrión-Velasco³

et al. 2018

Int J of Nursing Knowl

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“…The questionnaire also includes three open questions in which the patient answers about what he/she liked the most about the service, what he/she least liked and what he/she would change. This tool has demonstrated its ability to determine patient satisfaction, with high reliability and consistency, and has been validated in Spanish, in its 8-item version, and used in nursing interventions in a Spanish population [53,54].…”

Section: Outcome Assessment Variables and Measurement Instrumentsmentioning

confidence: 99%

Intervention to improve quality of sleep of palliative patient carers in the community: protocol for a multicentre randomised controlled trial

Valero-Cantero¹,

Carrión-Velasco²,

Casals

et al. 2020

BMC Nurs

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Background Sleep disorders are commonly experienced by community caregivers for persons with cancer, with at least 72% reporting moderate to severe disorders. A consequence of this condition, which is associated with the presence of overload in the caregiver, is the increased risk of clinical depression. The aim of this study is to evaluate the effects of music on the sleep quality achieved by informal caregivers for cancer patients receiving home palliative care. In addition, we will assess the influence of specific variables that could modify these effects, analyse the correlates related to nocturnal wakefulness and consider the diurnal consequences according to the sleep characteristics identified. Methods This single-blind, multicentre, randomised clinical trial will focus on informal providers of care for cancer patients. Two samples of 40 caregivers will be recruited. The first, intervention, group will receive seven music-based sessions. The control group will be masked with seven sessions of therapeutic education (reinforcing previous sessions). Outcomes will be evaluated using the Pittsburgh Sleep Quality Index, a triaxial accelerometer, EuroQol-5D-5L, the Caregiver Strain Index, the Epworth Sleepiness Scale and the Client Satisfaction Questionnaire. The caregivers’ satisfaction with the intervention performed will also be examined. Discussion This study is expected to extend our understanding of the efficacy of music therapy in enhancing the sleep quality of caregivers for patients receiving home palliative care. To our knowledge, no reliable scientific investigations of this subject have previously been undertaken. Music is believed to benefit certain aspects of sleep, but this has yet to be proven and, according to a Cochrane review, high-quality research in this field is necessary. One of the main strengths of our study, which heightens the quality of the randomised clinical trial design, is the objective assessment of physical activity by accelerometry and the use of both objective and subjective measures of sleep in caregivers. Music therapy for the caregivers addressed in this study is complementary, readily applicable, provokes no harmful side effects and may produce significant benefits. Trial registration The IMECA study is registered at Clinical Trials.gov, ClinicalTrials.gov Identifier: NCT04491110. Registered 29 July, 2020.

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“…3): [9][10][11][12] an effective strategy for improving nutritional status, quality of life and functional dependency of malnourished patients (14,15). Nevertheless, the impact of hydration counseling on health has not been properly analyzed yet, and little information is available regarding malnourished patients (16).…”

Section: Nutritional Differences In Malnourished Patients According Tmentioning

confidence: 99%

Nutritional differences in malnourished patients according to their liquid-intake habits after hospital discharge

Casals¹,

Vázquez‐Sánchez²,

Sanchez³

et al. 2016

Nutr Hosp

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Introduction: Malnutrition is a serious and relatively common problem among hospitalized patients; moreover, it is known that a good hydration state contributes to health and wellbeing. Objective: The aim of this study was to determine the relationship between nutritional status, functional dependency, quality of life and liquid-intake habits in malnourished patients after hospital discharge. Methods: Cross-sectional descriptive study in 91 patients (45 males) who presented malnutrition at hospital discharge. The patients were grouped according to their liquid intake estimated through the Mini Nutritional Assessment questionnaire: 3-5 glasses (n = 42), and > 5 glasses (n = 46); removing from analysis < 3 glasses of liquid intake (n = 3). The body mass index, weight, Malnutrition Universal Screening Tool (MUST), functional dependency (Barthel questionnaire), and quality of life (Short Form 12 Health Survey [SF-12]) were assessed 2-months after discharge. Results: The > 5 glasses liquid intake group showed better nutritional status than the 3-5 glasses intake group, for weight (p < 0.001), body mass index (p = 0.001), and MUST scale (p = 0.020). Additionally, the > 5 glasses liquid intake group signifi cantly scored higher values in the total SF-12 questionnaire (p = 0.013), presenting better self-reported quality of life, and higher functional independency in the Barthel index (p = 0.037) than the 3-5 glasses liquid intake group (p = 0.013). Conclusions: Although further research is needed to elucidate the characteristics of this relationship, descriptive comparisons between groups showed favorable nutritional status, functional independency and quality of life for the > 5 glasses of liquid intake compared with the 3-5 glasses of liquid intake group during a 2-months follow-up.

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Randomized clinical trial of nutritional counseling for malnourished hospital patients

Cited by 7 publications

References 24 publications

Applicability and Clinical Validity of Nursing Outcomes Classification in a Nursing Intervention of Nutritional Counseling for Patients With Malnutrition

Applicability and Clinical Validity of Nursing Outcomes Classification in a Nursing Intervention of Nutritional Counseling for Patients With Malnutrition

Intervention to improve quality of sleep of palliative patient carers in the community: protocol for a multicentre randomised controlled trial

Nutritional differences in malnourished patients according to their liquid-intake habits after hospital discharge

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