{"id":3998,"date":"2024-04-30T11:30:57","date_gmt":"2024-04-30T11:30:57","guid":{"rendered":"https:\/\/sygeplejevidenskab.dk\/?p=3998"},"modified":"2025-09-02T22:11:34","modified_gmt":"2025-09-02T20:11:34","slug":"sygeplejeinterventioner-til-den-underernaerede-patient-med-kol","status":"publish","type":"post","link":"https:\/\/sygeplejevidenskab.dk\/index.php\/2024\/04\/30\/sygeplejeinterventioner-til-den-underernaerede-patient-med-kol\/","title":{"rendered":"Sygeplejeinterventioner til den underern\u00e6rede patient med KOL"},"content":{"rendered":"

\"\"<\/p>\n

Download som PDF<\/a><\/p>\n

Download BA-projektet her<\/a><\/p>\n

Nikoline Baadsgaard Andersen, Emma Skjold Petersen
\n<\/span>BA projekt afleveret 04.01.2024. Sygeplejerskeuddannelsen KP K\u00f8benhavn. Vejleder: Nina Tvisholm<\/span><\/p>\n

Resum\u00e9<\/span><\/h3>\n

Introduktion:<\/span><\/strong> En analyse fra Lungeforeningen fra 2023 viser, at KOL er den enkeltsygdom, der for\u00e5rsagede flest d\u00f8dsfald i Danmark i 2021. Der er ca. 133.200 personer med KOL diagnosticeret i Danmark, og hos indlagte patienter med KOL er der ca. 30-60%, som samtidig er underern\u00e6ret. Underern\u00e6ring er en hyppigt forekommende problematik ved KOL, og er associeret med store konsekvenser som nedsat livskvalitet og \u00f8get mortalitet. Form\u00e5let med dette kvantitative litteraturstudie er at bidrage med evidensbaserede sygeplejeinterventioner, der kan forebygge underern\u00e6ring hos patienter med KOL.<\/span><\/p>\n

Metode:<\/span><\/strong> Gennem en omfattende litteraturs\u00f8gning i databaserne PubMed og Cinahl, blev tre RCT- studier inkluderet, og tilh\u00f8rende data blev ekstraheret og derefter analyseret ved brug af den narrative systese.<\/span><\/p>\n

Resultater:<\/span><\/strong> Litteraturstudiets resultater viste, at b\u00e5de orale ern\u00e6ringssupplementer (ONS) og ern\u00e6ringsr\u00e5dgivning har en signifikant positiv effekt p\u00e5 v\u00e6gt\u00f8gning hos patienter med KOL.
\n<\/span>Specifikt blev der observeret en signifikant v\u00e6gtstigning hos patienter, der modtog ern\u00e6ringsr\u00e5dgivning, samt hos dem, der fik ONS i 30 dage. I et internationalt systematisk review fremg\u00e5r det, at kombinationen af ern\u00e6ringsr\u00e5dgivning og ONS kan resultere i v\u00e6gt\u00f8gning hos underern\u00e6rede kronisk syge personer. Derudover fastsl\u00e5s det i et internationalt review, at netop ern\u00e6ringsinterventioner kan forbedre livskvaliteten hos KOL-patienter, hvilket understreger betydningen af KOL-patienters ern\u00e6ringstilstand og deres generelle trivsel.<\/span><\/p>\n

Diskussion: <\/span><\/strong>Behovet for patientuddannelse og -inddragelse i behandlingen af underern\u00e6ring hos KOL-patienter kan v\u00e6re en afg\u00f8rende faktor i forebyggelsen af underern\u00e6ring. Sygeplejersker spiller en central rolle i at st\u00f8tte patienter til at udvise egenomsorg, og det kan v\u00e6re afg\u00f8rende for at opn\u00e5 succes med ONS og ern\u00e6ringsr\u00e5dgivning som interventioner der forebygger underern\u00e6ring hos \u00e6ldre KOL-patienter.<\/span><\/p>\n

Konklusion:<\/span><\/strong> Implementeringen af ONS og ern\u00e6ringsr\u00e5dgivning kan have positiv effekt p\u00e5 v\u00e6gt\u00f8gning og \u00f8get livskvalitet hos denne patientgruppe. Ydermere tyder forskning p\u00e5 at en kombination af disse interventioner ogs\u00e5 kan have positive resultater p\u00e5 b\u00e5de v\u00e6gt\u00f8gning og livskvalitet.<\/span><\/p>\n

Implikationer for praksis:<\/span><\/strong> Det foresl\u00e5s at implementere n\u00f8glepersoner med ern\u00e6ringskompetencer i b\u00e5de prim\u00e6r og sekund\u00e6r sektor, som kan anvende redskaber som CHAT i dialogen med patienten og i samarbejdet med at st\u00f8tte deres egenomsorg.<\/span><\/p>\n

Kontaktoplysninger<\/span><\/strong><\/p>\n

Nikoline Baadsgaard Andersen, sygeplejerske. <\/span>nikolineba@gmail.com<\/a>
\nEmma Skjold Petersen, Sygeplejerske. <\/span>emmaskjold@yahoo.dk<\/a><\/p>\n

Nursing interventions for the malnourished patient with COPD<\/span><\/h1>\n

Download abstract as PDF<\/a><\/p>\n

Abstract<\/span><\/h3>\n

Introduction:<\/span><\/strong> An analysis from the Lung Association in 2023 shows that COPD was the leading cause of death in Denmark in 2021. There are approximately 133,200 people diagnosed with COPD in Denmark, and among hospitalized COPD patients, approximately 30-60% are also malnourished. Malnutrition is a common issue in COPD and is associated with significant consequences such as reduced quality of life and increased mortality. The aim of this quantitative literature study is to contribute evidence-based nursing interventions to prevent malnutrition in COPD patients.<\/span><\/p>\n

Method: <\/span><\/strong>Through an extensive literature search in the PubMed and Cinahl databases, three RCT studies were included, and their data were extracted and analyzed using narrative synthesis. The results of the literature study show that both oral nutritional supplements (ONS) and nutritional counseling have a significant positive effect on weight gain in COPD patients. Specifically, significant weight gain was observed in patients receiving nutritional counseling and those receiving ONS for 30 days. An international systematic review indicates that the combination of nutritional counseling and ONS can result in weight gain in malnourished chronically ill individuals. Furthermore, an international review concludes that nutritional interventions can improve the quality of life in COPD patients, emphasizing the importance of the nutritional status of COPD patients and their overall well-being.<\/span><\/p>\n

Discussion:<\/span><\/strong> The need for patient education and involvement in the treatment of malnutrition in COPD patients, is important and nurses play a central role in supporting patients in self-care, which can be crucial for the success of ONS and nutritional counseling as interventions to prevent malnutrition in elderly COPD patients.<\/span><\/p>\n

Conclusion:<\/span><\/strong> This literature study suggests that implementing these interventions can have a positive effect on weight gain and increased quality of life in this patient group.
\n<\/span>Relevance to clinical practice: Therefore, it is suggested to implement designated nurses with nutrition expertise in both primary and secondary sectors, who can also utilize tools like CHAT in dialogue with patients and in collaboration to support their self-care.<\/span><\/p>\n

Contact information<\/span><\/strong><\/p>\n

Nikoline Baadsgaard Andersen, RN. Mail: <\/span>nikolineba@gmail.com<\/a>
\nEmma Skjold Petersen, RN. Mail: <\/span>emmaskjold@yahoo.dk<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

En analyse fra Lungeforeningen fra 2023 viser, at KOL er den enkeltsygdom, der for\u00e5rsagede flest d\u00f8dsfald i Danmark i 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