{"id":26390,"date":"2026-09-14T09:38:20","date_gmt":"2026-09-14T07:38:20","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=26390"},"modified":"2026-09-14T09:43:23","modified_gmt":"2026-09-14T07:43:23","slug":"kan-risiko-for-underernaering-blandt-aeldre-opspores-tidligere-erfaringer-fra-et-feasibility-studie-i-kommunal-hjemmepleje","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2026\/09\/14\/kan-risiko-for-underernaering-blandt-aeldre-opspores-tidligere-erfaringer-fra-et-feasibility-studie-i-kommunal-hjemmepleje\/","title":{"rendered":"Kan risiko for underern\u00e6ring blandt \u00e6ldre opspores tidligere? Erfaringer fra et feasibility-studie i kommunal hjemmepleje"},"content":{"rendered":"

\"\"<\/p>\n

Launholt, T.L.; Larsen, P.; Hawkins, J.; Kristensen, H.K. Feasibility and Process Evaluation of a Screening Intervention for Early Detection of Malnutrition Risk Among Community-Dwelling Older Adults Receiving Home Care Services. Geriatrics 2026, 11, 112. <\/span>https:\/\/doi.org\/10.3390\/geriatrics11040112<\/a><\/p>\n

Tine Louise Launholt, cand. scient. i human ern\u00e6ring, ph.d.-studerende og lektor, Klinisk Institut, Syddansk Universitet og Sygeplejerskeuddannelsen, UCL Erhvervsakademi og Professionsh\u00f8jskole. <\/span><\/em>tlla@ucl.dk<\/a><\/p>\n

DOWNLOAD RESUM\u00c9<\/a><\/p>\n

Introduktion
\n<\/strong><\/span>Underern\u00e6ring og risiko herfor er udbredt blandt hjemmeboende \u00e6ldre, der modtager hjemmepleje, og er forbundet med nedsat funktionsevne, lavere livskvalitet og \u00f8get risiko for hospitalsindl\u00e6ggelser. <\/span><\/p>\n

Form\u00e5l
\n<\/strong>At unders\u00f8ge gennemf\u00f8rligheden af en kompleks intervention til tidlig opsporing af risiko for underern\u00e6ring blandt hjemmeboende \u00e6ldre i kommunal hjemmepleje. Interventionen omfattede b\u00e5de en screeningsprocedure rettet mod borgerne og en implementeringsstrategi rettet mod hjemmeplejens medarbejdere.<\/span><\/p>\n

Metode
\n<\/strong><\/span>Studiet blev gennemf\u00f8rt som et feasibility-studie med tilh\u00f8rende procesevaluering. Designet gjorde det muligt at unders\u00f8ge interventionens gennemf\u00f8rlighed og funktion i praksis samt forhold, der p\u00e5virkede levering og implementering. Der blev indsamlet b\u00e5de kvalitative og kvantitative data gennem observationer, interviews, workshops og journaldata fra NEXUS.<\/span><\/p>\n

Resultater
\n<\/strong><\/span>Medarbejderne oplevede interventionen som relevant og anvendelig og kunne generelt gennemf\u00f8re screeningsproceduren. Implementeringen blev dog p\u00e5virket af ledelsesm\u00e6ssige prioriteringer, organisatoriske rammer, arbejdskultur og eksisterende arbejdsgange. De forebyggende aktiviteter havde ofte vanskeligt ved at finde plads i en hverdag pr\u00e6get af akutte opgaver. <\/span>De \u00e6ldre borgere var generelt positive over for deltagelse, men deres ressourcer og motivation for aktivt at h\u00e5ndtere egen ern\u00e6ringstilstand varierede betydeligt.<\/span><\/p>\n

Diskussion
\n<\/strong><\/span>Studiet peger p\u00e5, at forebyggende ern\u00e6ringsindsatser er s\u00e6rligt s\u00e5rbare i en hjemmeplejekontekst, hvor akutte opgaver ofte prioriteres h\u00f8jere. Samtidig understreges behovet for fleksible og individuelt tilpassede tilgange til \u00e6ldre med forskellige ressourcer og behov.<\/span><\/p>\n

Konklusion
\n<\/strong><\/span>Interventionen kunne gennemf\u00f8res i kommunal hjemmepleje og blev generelt accepteret af b\u00e5de medarbejdere og \u00e6ldre borgere. Studiet viste dog samtidig, at levering og implementering p\u00e5virkes af organisatoriske forhold og af de \u00e6ldres forskellige foruds\u00e6tninger for at engagere sig i forebyggende indsatser.<\/span><\/p>\n

Implikationer for praksis
\n<\/strong><\/span>Hjemmeplejepersonalet spiller en central rolle i tidlig opsporing af risiko for underern\u00e6ring, men forebyggende ern\u00e6ringsindsatser kr\u00e6ver mere end kompetenceudvikling af medarbejdere. Der er behov for organisatorisk og ledelsesm\u00e6ssig prioritering af forebyggelse samt tilstr\u00e6kkelige ressourcer til opf\u00f8lgning. Indsatserne b\u00f8r samtidig tilpasses den enkelte \u00e6ldres ressourcer, behov og motivation for aktiv deltagelse. Implementering af forebyggende indsatser b\u00f8r betragtes som en gradvis proces, hvor interventioner l\u00f8bende tilpasses praksis.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Launholt, T.L.; Larsen, P.; Hawkins, J.; Kristensen, H.K. Feasibility and Process Evaluation of a Screening Intervention for Early Detection of 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