Needs and challenges in meal provision at nursing care service facilities in the community

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  • 地域における介護サービス事業所の食事提供に関するニーズと課題
  • チイキ ニ オケル カイゴサービス ジギョウショ ノ ショクジ テイキョウ ニ カンスル ニーズ ト カダイ

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Abstract

Abstract: This study is intended to grasp the needs of nursing care service facilities and examine the challenges in providing meals at such facilities. In December 2022, targeting 50 nursing care service facilities in Chitose City that are not abiding by the registered dietitian staffing standards, we conducted an online survey on the calculation status of additional fees, nutritional management, provided meals, dietary consultation, etc. We conducted a chi-square test to compare home-based and outpatient facilities. Furthermore, we evaluated multiple responses using a Poisson distribution frequency test. Ten percent of the facilities applied nutrition-related additional fees, and 15% of the facilities recorded BMI scores. In 75% of the facilities, nursing staff were in charge of preparing menus and meal preparation. The burden on the person in charge of meal preparation was greater at home-based facilities than at outpatient facilities (p<0.05). These results suggested that having a registered dietitian record and use BMI and advise on menu creation and meal preparation will reduce the burden on the nursing staff, improving nutritional management for users. In the future, it will be necessary to establish a nutrition care station, providing a convenient platform for consultation.

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